Psoriasis, the initial stage of which can occur with a certain set of factors, manifests itself in the form of reddish plaques with clear borders.Subsequently, they are covered with silver scales merging with each other.As a rule, the plates are located in the area of the head, knees and elbows.Psoriasis is able to affect patients of any age and gender.By the end of the unexplored etiology of the disease, psoriasis does not finally allow it to significantly reduce the symptoms of the disease and to achieve prolonged remission if you begin therapy in the early stages of psoriasis development, adequately evaluating the original signs of psoriasis.
Symptoms of the initial stage of the disease
In order to recognize the original stage of the disease, it is important to know what primary symptoms it looks.At the outset, single papules appear, which can be from a few mm to 2-5 cm and have the shape of plaques covered with white flakes.When they were enchanted, a characteristic symptom of the psoriatic triad manifests itself:
- "Starine Spot" (light compartment of flakes during scrap);
- "Terminal film" (exposure to shiny, thin and wet skin after removing the scales);
- Symptoms of "blood dew" (with a further removal of the terminal film, small blood drops that resemble dew appear on the surface of the skin).
The initial stage of the disease is characterized by the appearance of psoriatic foci in places that are most often trauma for any kind.As a rule, these are elbows, knee area in places of combs or scratches.These manifestations are called the "symptom of a kebner."At the outset, the papular rash spreads linearly, directly at the site of irritation and can exist for a long time without dynamics.These rashes are called "security".The itching rash is significantly and itching.The initial stage lasts for several weeks.Subsequently, the papules increase and merge into psoriatic plaques that are able to cover significant areas of the body.Psoriasis can occur anywhere.The most dangerous rashes of the face are, but this form at the initial stage is very rare.
Characteristic places for localization of the disease in the initial stage
The most common rashes are observed:
Kraki.The initial stage of psoriasis of the legs develops from single small rashes, which are located mainly on the legs and knees, but are able to appear on any surface of the legs.
Elbows.The elbows arise the most common plane, whose symptoms are characterized by red small rashes with severe peeling.At the same time, skin accumulation is observed on the elbows.In addition, elbow rashes can be symmetrical.
Nails.On the hands of the nails, psoriatic manifestations resemble a fungal infection.First, the longitudinal strips (dots) appear at the very edge of the nails (pictured) and then spread to the roots of the nails.At the same time, the nails begin to thicken and dull.With the progression of the symptoms of the disease, the area of the nails can completely exfoliate.
Face.Psoriasis is very rare on the face, as this form of psoriasis is considered atypical.Hyperserized papules appear in the area of the eyelids, nasolabial folds, near the eyes and eyebrows (pictured).In rare cases, the rash on the face appears in the red bachelor of the lips and mucous membranes (cheeks and tongue).
The specificity of face rashes is associated with delicate, sensitive skin and abundance of nerve endings.First, papules (small, slightly raised above the skin, nodes) appear, accompanied by severe itching.Subsequently, an epithelium and plaques appeared in the top of the knot.
Hands.The symptoms of psoriasis on the hands appear suddenly, appearing in the form of a small rash (pictured), which many patients take as allergic.And only with the appearance of gray dry flakes on the hands, palms, and elbows, patients turn to a dermatologist for help.It is characteristic that if there is a psoriatic rash of the palms, then such manifestations are observed on the legs.The psoriatic manifestations of the palms are most often located between the fingers, which is explained by the most favorable environment at this place.The buttocks of the brushes are much more amazed.When psoriatic spots appear at one fingertips, loss of their sensitivity is possible.
Psoriasis photo at the initial stage
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What is it?Psoriasis is a disease of the skin of non -infectious nature, so it is impossible to infect.It not only affects the skin, but also has a negative effect on the whole body as a whole.It is characterized by a chronic course with periods of exacerbation and remissions.The disease is caused by the immune cells of their own body, that is, it is an autoimmune disease.Rising from the depths of the skin to the upper layers, these cells cause inflammation, excessive separation of the cells of the epidermis, leading to excessive growth, the appearance of new small capillaries.Externally, it seems that the formation of red or purple spots - psoriatic plaques.
The first signs and symptoms of psoriasis
Because psoriasis is a systemic disease that affects all systems of the body - the patient suffers from general weakness, rapid fatigue.The main symptom of the initial stage of psoriasis is psoriatic rashes and plaques, but he accompanies a person with the more incurring development of the disease.They occur due to the accelerated uncontrolled division of cells located in the upper layer of keratinocytes.Included cells are formed and the skin in these areas thickens, acquires red due to the increased formation of new capillaries.This leads to slight drip bleeding for any, even slight plaques injury.The surface of the plaques is often covered with a gray -shaped gray -like dusk.Even the term "paraffin lakes" is formed.This plaque consists of dead epithelium cells that accumulate on the surface of the plaques due to a disturbed rejection process.Spots can reach quite large sizes, merge with each other.They are hot to the touch, often accompanied by severe itching.Combs can lead to infection.
Over time, the nails begin to change.Their surface is drained, pressing, pink spots are noticeable under the nails - the accumulation of fluid, the nail turns yellow, thickens, takes the shape of poultry.All this happens due to impaired nail and blood nutrition.The nail bed is subjected to excessive keratinization, which leads to the rejection of the nail and the loss.Often there is a red inflamed border around the nails.The small joints are affected by diseases and small joints - this is accompanied by pain and inflammation.In addition to plaques, with psoriasis, papules are formed on the skin - small (about 1 mm) protruding formation that resemble a rash.Often localized to elbows and knees, preserved even during the remission period.During the improvement, the plaques begin to shine from the middle, take the shape of the rings and can completely disappear.The pigmented areas remain in their place.Psoriasis on the scalp has the same symptoms as on the body.In this case, the hair structure does not change.The rash also covers the adjacent areas of the skin - behind the ears, around the neck.
Types of psoriasis
According to the symptoms, the disease is divided into two types: pustular and unpaid.There are several varieties of the disease in these groups.
Forms of pustular psoriasis:
- summarized;
- Annular;
- Palmoplantar (mainly limb affecting);
- Ladomary;
- Psoriatic impetigo.
- ordinary (chronic plaque psoriasis);
- erythrodermic.
In addition, the following types of disease are distinguished:
- Napkin psoriasis;
- psoriasis of skin folds and flexion surfaces;
- seborrheic -similar;
- medicine.
- light (affected by less than 3 % of the body surface);
- average (affected up to 10 % of the body surface);
- Heavy (more than 10 % of the surfaces are affected).
Depending on the shape of the rash, such types of psoriasis are distinguished:
Stages of psoriasis development, symptoms
The first plaques appear in areas with dry skin and never happen where the skin is too wet, for example, armpits.First, the appearance of spots can be seen on the inside of the elbows, below the knees, along the border of the hair of the head, and in places subjected to any injury or rubbing.The location is usually symmetrical.Take such stages during the disease:
- progressive (formation of new spots, growth of existing, itching, noticeable peeling);
- Stationary (slowing or stopping the growth of plaques, lack of newly formed spots);
- Regressive (reduction or lack of peeling, disappearance of spots and plaques with the appearance of pigmented areas of the skin in their place, signs of psoriasis are almost absent).
There are no special tests to make a diagnosis.The diagnosis is made on the basis of external characteristics.One of these signs will be the appearance of bleeding during the scraping of plaques, the so -called bloody dew.Another specific sign of psoriasis will be the presence of a pale border around a young papule, which is not yet covered with flakes.This seems to be the vascular reaction of the skin, which means the progression of the disease.In severe forms of the disease, a blood count can change.There are signs of the flowing inflammatory process.In some cases, you need to have a biopsy to exclude other skin diseases and confirm the presence of psoriasis.
Effective Psoriasis Treatment
In the treatment of psoriasis, both topical medicines and internal, physiotherapy and spa are used.In the initial mild course of the disease, medicines in the form of ointments are used.First use ointments and creams with simple composition, then go to ointments containing hormones.Psoriasis cream should only be applied to plaques and spots.The middle and severe course of the disease uses internal products that affect the whole body but produce the best results.This group includes vitamin A, immunosuppressants, cytostatics.Physiotherapists carry a tangible relief for patients with psoriasis, can inhibit the development of the disease and sometimes replace the use of some medicines.UV irradiation (phototherapy), laser, ultrasound and magnetotherapy, hyperthermia, electrons, electrophoresis, electrophoresis are used.Psoriasis is able to gain resistance to the treatment used over time, therefore it is recommended to change the methods (treatment of treatment) from time to time.The disease with head manifestations is treated in the same way as in other parts of the body, using ointments and physiotherapy.
Psoriasis
Nutrition should help regulate metabolism and prevent or exacerbate skin symptoms.As almost all patients have a violation of lipid metabolism, preference should be given to low fat products.Special fire diets, Pegano won broad fame.When you compile a diet, you should try to follow some simple rules:
- Rejection of alcoholic beverages;
- Food up to 6 times a day, little by little;
- Exclude fried, smoked diet food;
- Reducing the content of salt in food;
- If possible, do not consume foods with dyes, stabilizers and other nutritional supplements;
- Exclude citrus fruits;
- Increase the share of vegetables and cereals in the diet;
- Mandatory use of vegetable oils.
Compliance with these simple rules will help to avoid exacerbation of psoriasis and independently compiling a therapeutic diet.
Psoriasis Initial Stage Symptoms Photo
Among the main first symptoms of psoriasis at the initial stage is the appearance of small papular elements of epidermal-dermal nature.At the early stage of psoriasis in the photo, the papules look small, with a pink head, hemispherical formations with a pink color with a smooth, shiny surface.A few days later, they are covered with silver white, slightly scales.Such manifestations are called "point" psoriasis.Psoriasis at an early stage is characterized by the appearance of new small elements of psoriasis or the growth of the already existing first signs of psoriasis.
Almost the presence of a Kebner phenomenon is installed according to linear psoriatic elements that occur after each injury, for example after combining with severe itching, etc.Finally, at a progressive stage, patients feel itching of varying intensity, which is usually not characteristic of other stages of the process.The duration of the progressive stage is individual.Usually the progressive stage lasts from 2 weeks to several months.It is during this period that it is best to use non -hormonal ointments of psoriasis as prevention and further treatment.
The regressive stage of psoriasis is the last stage of the psoriatic cycle.It is accompanied by a reduction in peeling, a gradual leveling of elements in the center and their subsequent complete resolution.In this case, a picture of different figures (arches, trapezoids, rings) can be obtained.In this case, psoriasis is called "geographical".There may be another way to resolve the elements in which it begins with the periphery of the element.No scars or atrophy are formed.Hyperpigmentations or areas that are deprived of pigment (psoriatic pseudo -proof) may occur at the site of the authorized elements.These changes are temporary.It should be noted that such division is largely conditional.In some cases, it is difficult to establish the process immediately.In this case, the diagnosis of psoriasis is established after the patient's observation.