Psoriasis on the hands - a very common phenomenon, especially psoriatic lesions frequently occur on the skin of the extensor surfaces of the elbows. In some patients, they are placed there permanently, and an exacerbation of the process quickly spread to the entire upper limb, and sometimes on other parts of the body.

Features of the disease

The skin on the hands - is the most vulnerable areas of the human skin as his hands while working constantly injured, contact with chemicals, including those with household chemicals. In the hands of burns often occur in the summer they are most exposed to solar radiation, and hypothermia in the winter.

In addition to the permanent external influence on your hands for the development of psoriasis or its exacerbation matters and the presence of internal predisposing factors - chronic diseases (especially digestive diseases), diseases of the endocrine, foci of infection (tonsillitis, sinusitis, carious teeth), stress, bad habits (particularly harmful smoking and alcohol abuse).

That is why psoriasis on the hands - a phenomenon very often. Sometimes he is only in his arms, but more is still combined with skin lesions on other parts of the body.

The symptoms of psoriasis on the hands

What is psoriasis on the hands? The answer to this question is not easy, as the disease can look different. Psoriasis on hand appears in a variety of skin cells. So, psoriasis on the elbows Psoriasis on the elbows - the most frequent localization of the rash   characterized by the appearance on the extensor surface of the elbow joints characteristic red papules with scaly surface white. Depending on the severity of the process may be just a few papules or they can very quickly grow, merge together to form large plaques covering the entire skin.

Psoriasis of the hands often looks different. On the rear of the hands may appear red spots of various sizes and on the palmar surface - large flat bubbles. Psoriasis on the fingers is often manifested by redness and swelling of the skin in the small joints of the fingers. Often it combined with a psoriasis lesion periarticular tissues - Arthropathic form of psoriasis.

Sometimes on the hands and fingers appear warty growths - are another form of psoriasis. In patients with diabetes and overweight, the disease can manifest itself in the form of the formation of large crusts on the surface of papules (exudative psoriasis).

Psoriasis of the hands may be complicated by nail psoriasis Nail psoriasis - a difficult problem   - Thickened nail plate and broken - looks like the disease is a fungal infection.

Treatment

How to treat psoriasis on the hands? How to treat psoriasis on the hands? Such questions are constantly asked by patients with psoriasis, as hand - this body, without which the active life is impossible.

First of all, you need to learn to follow the hands skin. Avoid injuries (bruises, scratches, cuts, bruises), the skin should always be clean - wash your hands should be using a special soap or gel does not dry the skin. After washing hands should be thoroughly wet with a soft towel and lubricate individually chosen neutral moisturizing cream.

Good helping hand bath with celandine Celandine - a means-tested over the centuries , Succession, sage Sage - cvyaschennaya grass , Camomile. All these herbs are brewed at the rate of a tablespoon of chopped herbs in a glass of boiling water. Duration of procedure - 10 minutes. The infusion should be slightly warm, but in any case not hot.

In the treatment of psoriasis being treated and be sure to identify all foci of infection, chronic diseases, patients are advised to stop smoking, drinking, eating properly on a regular basis, slightly reducing calorie diet and a healthy lifestyle.

During exacerbation of psoriasis hand, if the disease does not spread quickly on large areas of skin treatment begins with the application of external drugs - ointments, creams and solutions for topical use. Tar applied, salicylic ointment, if necessary - ointment corticosteroid hormones.

If the process becomes common, systemic treatment is prescribed. To suppress the autoimmune process prescribed drugs - immunomodulators. With these drugs inhibits the proliferation (division of power) of the cells of the skin and inflammation.

Sometimes, to suppress inflammation treatment prescribed glucocorticoid hormones.

Good help and physiotherapy, including various techniques of ultraviolet irradiation of the skin of hands.

Treatment of psoriasis on the hands requires patience and careful implementation of the prescribing physician.

Galina Romanenko

Retinoic ointment - the instruction indicates that the active substance of the drug is the active form of vitamin A (retinoids) are actively working on skin cells, regulates metabolism Improves metabolism and losing weight without dieting   in them, the processes of division and maturation.

The mechanism of action of retinoic ointment

Active ingredient retinoic ointment retinoid is isotretinoin. The ointment is intended primarily for the treatment of acne Acne treatment: how to get rid of blackheads . Retinoid isotretinoin inhibits too rapid cell division and thus accelerates the process of maturation and differentiation (specialization of cells). As a result of inhibited proliferation (proliferation) of the epithelium, reduced allocation of detritus (a breakdown product of mushy tissue) excretory ducts of the sebaceous glands, which is derived from freely ducts. Isotretinoin inhibits and regulates the formation and sebum, as well as its chemical composition, suppresses inflammation around the gland.

This mechanism of action allows for retinoic ointment for acne - when applied to skin it has anti-seborrhoeic inflammatory action regulates the maturation process of skin cells, reinforces the processes of their regeneration. Moreover, retinoic ointment activates cutaneous immunity.

The ability of retinoids influence on regenerative processes in the skin is also used to suspend the process of skin aging, including the treatment of wrinkles.

Adjuvants are dibunolg retinoic ointments, butylhydroxyanisole, emulsifying wax, mineral oil, glycerin, 95% ethanol, purified water.

It produces retinoic ointment for external use (0.01%, 0.1%, 0.05%) Domestic pharmaceutical company ZAO FNPP Retinoids.

Indications and contraindications

Indications for use retinoic ointment are:

• pustular acne, seborrhea (changes in the skin caused by excessive saloobrazovaniya);
• rosacea - a chronic disease of the sebaceous glands and hair follicles of skin combined with increased sensitivity to heat the dermis capillaries;
• perioral dermatitis - a rash around the mouth of the inflammatory nature of unknown origin;
• skin aging.

In the course of treatment for one or two weeks may cause pronounced reactions exacerbation. In this case, manufacturers recommend cancel treatment for a few days to reduce inflammation, then the treatment can be resumed.

Do not use this retinoic ointment during pregnancy, including in its planning (retinoids have a pronounced teratogenic - the ability to cause malformations and embryotoxic effects), feeding baby Breastfeeding - a personal choice   feeding, children and adolescents under 18 years of age, hypersensitivity components of the ointment and the simultaneous use of tetracycline antibiotics group. During treatment and for some time after its completion can not be donors of blood for women of childbearing age.

Precautions retinoic ointment used to treat liver diseases, kidney disease, chronic pancreatitis, severe diseases of the cardiovascular system, chronic intoxication (including alcohol intoxication at). Not recommended simultaneous use of other drugs with similar properties (including other retinoids), as well as progesterone microdozes (including the oral contraceptive preparations type mini-pill).

During treatment with retinoids can not long exposed to direct sunlight and have ultraviolet irradiation.

The ointment is applied in a thin layer to the affected skin twice daily. The course of treatment - 1-1, 5 months.

Side effects of retinoic ointment

Possible reactions of the skin in the form of dry skin and mucous membranes, irritation and itching of the skin, cheilitis (inflammation of the lips), persistent redness of the skin (especially on the face), increased sweating, peeling of the skin on the palms and soles, paronychia (chronic inflammatory processes okolonognevogo roller), metabolic disorders nail plate, significant proliferation of tissue in the affected area, thinning hair (very rare), vasculitis (inflammation of the capillaries of the skin), photosensitivity. In the treatment process may occur intolerance of contact lenses.

Prolonged uncontrolled use of retinoic ointment Retinoic ointment - help with acne and wrinkles   may cause systemic side effects of the internal organs and systems.

Despite the fact that retinoic ointment is released at a pharmacy without a prescription, it should appoint a dermatologist, as in the treatment process may occur a number of unforeseen side effects.

Galina Romanenko