Exudative psoriasis - a form of the disease, which is not very common. Basically exudative psoriasis develops in patients with endocrine diseases (mainly diabetes and overweight people), children and the elderly.

What is exudative psoriasis and how it manifests itself

Exudative psoriasis - is a form of psoriasis - a chronic inflammatory disease of the skin infectious nature. This form of psoriasis is more common in patients with endocrine and immune disorders are overweight, as well as children and the elderly. Contributing factors for the development of exudative psoriasis are allergic processes, stable high blood pressure, diabetes mellitus Diabetes - threatening and incurable disease , Low thyroid function. Exudative form of psoriasis often develop in the cold time of year people working outdoors.

The main and most common form of psoriasis is psoriasis vulgaris Vulgar psoriasis - the most common form of the disease In which the skin appear extensive plaque desquamated scaly skin. In exudative psoriasis, the main feature of psoriatic lesions - white scaly plaque missing. Instead, the surface of the lesions appear yellow-brown crust.

This happens because when a certain state of the body (the presence of endocrine and metabolic disorders), inflammatory psoriatic process is to produce a large amount of inflammatory fluid - exudate. Exudate infiltrates the scales formed on the surface of the lesions, and they take the form initially soft, then gradually hardening gray-yellowish brown crusts.

If this crust forcibly remove formed weeping or erosion of the surface. The rash is often located on the inversion (the opposite of the typical) type - in the folds of the skin (including the genitals, under the breasts, in the armpit, and so on) on the flexor surface of the limbs. When exudative psoriasis on my feet Psoriasis on their feet - a very frequent localization process   ego symptoms worsen if the patient suffers from varicose veins.

The characteristic for a simple no papules of psoriasis on the skin surface are formed portions of acute edematous inflammation is not pronounced, and sometimes absent infiltration, with fuzzy, irregular outlines, whether covered serous crusts seropurulent. When these crusts dry up, they can be layered on top of each other, forming a vast formation that resembles an oyster shell.

Under the influence of friction injury clothing, then irritation on the surface of these formations may appear cracked, which is fraught with the addition of the infection. Exudative psoriasis is often accompanied by severe itching, which causes patients with sleep disorders and neuroses.

Treatment

Treatment of exudative psoriasis - a difficult task. Today, there are enough new effective treatments for this form of psoriasis, which is certainly not allow it to achieve complete cure, but nevertheless, relieve the patients from the main unpleasant symptoms and prolong its remission.

Exudative psoriasis treatment should be complex. It includes general and local therapy, physiotherapy, and diet adherence. Total (systemic) treatment of exudative psoriasis includes prescription drugs that suppress inflammation and release of inflammatory fluid, diuretics (they derive excess liquid How to withdraw excess fluid from the body - all sorts of ways   from the body), antihistamines (they remove burning and itching). Be sure to prescribe vitamins B, C, D, A, E, D - it improves cellular metabolism.

In severe forms of psoriasis exudative appointed immunomodulators (too active suppress the immune system) and glucocorticoid hormones (they have a pronounced anti-inflammatory and antipruritic action). Assign the procedures, cleaning the blood from toxic products (hemosorbtion, plasmapheresis), physiotherapy treatments for psoriasis: ultraviolet radiation (UVR) in a variety of techniques,

Externally administered anti (a progressive phase), keratolytics (stationary phase) and reducing (in regressing phase) means. If the skin formed crusts, ointments and creams, soak in the preferred solution for external application, which is used as a lotion.

Creams and ointments with corticosteroid hormones when used to soak limited, their use is combined with the appointment of antibacterial and antifungal agents to prevent infection.

After the transition process in remission can be attached spa treatment. Preference should be given to local resorts. We do not recommend staying at the resort with sulfur springs or on the southern resorts.

Galina Romanenko

Symptoms depend on the form of psoriasis diseases. The most common form of psoriasis is a skin. But there are forms in which the skin is clean and all the manifestations of the disease are located, for example, in the joints or nails. Psoriasis can manifest different symptoms.

Symptoms initial stage of psoriasis

Psoriasis - a chronic skin disease Skin diseases - what to do when violated the basic functions of the skin , The main manifestation of which are scaly rash.

The first symptoms of psoriasis can appear suddenly. At the same time the skin appear single or multiple lesions - sharply circumscribed round papules (small elevations of the skin) pink size of the tip or the head of a pin. Top whitish papules covered with silvery scales. Initially, these rashes slightly protrude above the skin and have little or no infiltration (seal).

Over time, the size of papules and layering them on scales increases, increases and infiltration. Overgrown papules coalesce together to form plaques.

The characteristic localization of psoriatic lesions are extensor surface of the extremities, especially in the elbows and knees, scalp and torso. But sometimes you can see the perverse and localization scars - on the flexor surface of the limbs and in the skin folds (under the breasts, in the groin and axilla).

The triad of symptoms of psoriasis

For psoriatic lesions characterized by the following triad of symptoms:

• the phenomenon of stearin spot - with their surface poskablivanii rash resembles stearic spot;
• the phenomenon of the terminal film - after papules scraped from the surface of all scales, opens shines a very thin film;
• the phenomenon of bloody dew Auspittsa or - in violation of the integrity of the thin film by its careful poskablivanii appear on the surface point drop of blood.

The triad of symptoms of psoriasis is common to all forms of skin disease.

Stages of development of psoriatic lesions

There are three stages of development of psoriatic plaques: progressive, stationary and retrogressive. Progressive stage distinguishes the appearance of new lesions, bright pink papules surrounded by a bright and saturated neshelushaschimsya slightly vague rim, the emergence of fresh rash at the site of skin irritation (for example, when combing - Koebner phenomenon), and pruritus.

In the regressing stage color papules and plaques pale, their infiltration decreases and elements rashes start to dissolve. If the process starts in the middle and goes toward the periphery, the annular shape formed. Sometimes resorption process goes in the reverse direction - from the periphery to the center. In such a case, a plaque is formed around a whitish border - psevdoatrofichesky rim Voronov. In place of the missing white depigmented lesions formed spots - psevdoleykoderma or psoriatic Leucoderma (leucoderma - a neuroendocrine disorder characterized by the appearance of the skin, deprived of pigmentation). Itch at this stage no Koebner phenomenon has also been observed.

In some cases, the same patient can observe the emergence of fresh eruptions in the presence of lesions in the stationary phase and stage of regression.

The symptoms of psoriasis of the skin

Depending on the individual lesions may be guttate psoriasis (in the form of multiple small, raised above the surface of the skin, red-purple dots or drops) or coin-like (in the form of patches of larger size). At the confluence of the plaques can form a variety of shaped outline pockets, often resembling a map. Sometimes plaques are ringed character.

Less rash located in the mouths of hair follicles - the so-called follicular psoriasis.

Psoriasis

For severe psoriasis are arthropathic (with the defeat of the joints), pustular (with the presence of pustules and erythrodermic psoriasis (all the skin becomes red and scaly). It also occurs in psoriasis soles, palms, nails and mucous membranes. The rare forms of the disease are, warty, papillomatoznyh and bullous (with the appearance of blisters on the skin) form of psoriasis.

Galina Romanenko