PSORIASIS: Forms, Causes, Signs and Treatments
WHAT IS PSORIASIS?
Psoriasis Definition: Psoriasis is a skin disease that typically attacks precisely defined skin regions including in the area of the knees and elbows or the scalp. The scaly and silvery-white layer of horny cells is formed on a reddish red ground. There is plaque formation in the disease which is small and hardly noticeable in some patients, they cover most of the skin surface in others. Usually, they become bigger with time. Foot and fingernails, as well as the genitals, may be affected by psoriasis.
The typical form of psoriasis is also called Plaque Psoriasis Vulgaris, about four out of five psoriasis patients are affected by this condition. However, there are also cases where skin reddening is predominant known as Psoriasis Inversa or form pustules which are known as psoriasis pustulosa instead of dandruff. It displays itself for the first time in early adulthood. People with white skin tone are significantly more affected by psoriasis than darker skin types.
WHAT ARE THE FORMS OF PSORIASIS?
Forms of Psoriasis:
- Psoriasis guttata: The disease looks like drop-shaped inflammatory areas
- Psoriasis inversa: The infected area is mainly in the folds of the body, for example, armpits
- Nail psoriasis: Targets nail staining and deformation, so-called pots
- Psoriasis pustulosa: Psoriasis with pustules
- Psoriasis arthritis: psoriasis with concomitant joint inflammation
WHAT CAUSES PSORIASIS?
Psoriasis Causes: Psoriasis originates various causes which include both the hereditary preference and external influences. Doctors, therefore, normally say that psoriasis is a multifactorial disease. Nowadays, researchers hope that mutations in genetic arrangement account for about 60 to 70 percent of the risk of psoriasis. In the meantime, different genes have been discovered, which individually or together are considered to be psoriasis causing. The changes mainly affect those genes that regulate the defences and inflammatory processes in the body.
Cause of Psoriasis can be external factors which might include the following:
- Inflammation (for example streptococcal infection)
- Medications (for example, blood pressure reducers, malaria drugs)
- Skin damage (such as cuts, sunglasses)
WHAT ARE THE PSORIASIS SIGNS AND SYMPTOMS?
Psoriasis Symptoms: Psoriasis is linked with several symptoms that essentially attack the skin. The most common form is plaque psoriasis vulgaris – are slightly thickened areas, on which scaly layer forms on the skin. The scales themselves are silvery-white or yellowish and lie on a clear, reddish, subsoil, which they usually do not entirely cover. The targeted areas of psoriasis can be the following:
- Arms (in particular stretching sides / elbow area)
- Legs (in particular, stretching sides/knees)
- belly button
- Crossbones (lower back)
- gluteal fold
The inflammatory herds of psoriasis usually have a round shape and are arranged symmetrically – that is, arms, legs, ears, etc. are usually affected on both sides. A large proportion of people with psoriasis also suffer from constant itching and/or pain at the inflammation areas.
WHAT ARE THE TREATMENTS FOR PSORIASIS?
- Topical Treatment: For the external purpose, creams, ointments and emulsions with various active ingredients such as cortisone, calcipotriol, tacalcitol, dithranol, tazarotene and tar. All these are best suitable as the treatment for psoriasis. These drugs relieve the signs in different ways, for example inhibiting soreness, itching or excessive cell reproduction.
- Internal Treatment: In the case of heavier forms of psoriasis, drugs are also used in the form of tablets, drinking solutions or regular syringes. These include, for example, fumarates, retinoids, methotrexate, ciclosporin, adalimumab, etanercept or infliximab. Many of these medications interrupt the inflammation process at a certain point and thus alleviate the symptoms of psoriasis.
- Light and climate therapy: UV rays can assist with the treatment of psoriasis. In extension to special light therapies, the symptoms are improved by sun and salt water in many patients.
- Basistherapy: In general, careful skin care with refatting creams is the basis of any psoriasis therapy – even in non-thriving phases. These are rich lotions, creams and ointments that moisturize the skin and protect the natural skin barrier, for example with urea (urea).
- Psychosomatic treatment: Many people with psoriasis suffer not only physically but also mentally. Some are embarrassed or have a low self-esteem. At the same time, stress and psychological stress can have a negative effect on psoriasis. In this case, special patient training and psychotherapies for psoriasis can make a useful addition to the treatment.