Guttate psoriasis occurs mostly in children and adolescents. In the development of this form of psoriasis is of particular importance streptococcal infection - a disease often begins after a postponed angina or purulent otitis Purulent otitis - why develop complications . Therefore, prevention of guttate psoriasis is of great importance sanitation foci of infection.

Why start guttate psoriasis

Guttate psoriasis is the same reason as the other forms of the disease - family history, disorders of cell metabolism and the breakdown of immunity. There are trigger factors that contribute to its development. Unlike other forms of psoriasis guttate psoriasis trigger factor in many cases is a bacterial infection, usually strep, at least - strep. But sometimes disease develops after viral infections. Guttate psoriasis develops within two to three weeks after a streptococcal infection - sore throat, otitis Otitis - than could face an ear infection , Sinusitis and so on.

It was found that the streptococci and staphylococci secrete large amounts of toxins, which play the role of antigens capable of binding to human tissue proteins. The molecules of the protein are located mainly on the skin cells (keratinocytes), the T-lymphocytes and monocytes. Such alterations in T leukocytes can lead to release of cytokines, stimulating the multiplication (proliferation) keratinocytes. Additionally, antigens associated with tissue proteins, antibodies are produced that leads to development of autoimmune process - allergic inflammation.

Therefore, prevention of guttate psoriasis is of great importance the timely recovery of the child - rehabilitation of foci of infection. This is especially significant for children and adolescents in families where there are people with psoriasis. Matter and other predisposing factors: stress, endocrine disorders, hormonal disorders, intoxication, chronic diseases and so on.

How does guttate psoriasis

Disease begins acutely in two to three weeks after infection. On the skin of the limbs and trunk there are small teardrop-shaped red papules with scaly surface. Most of these elements on the skin of the limbs and less often on the face (in most cases, the face does not happen rash). At the site of the rash may be formed in the injury of small erosions and ulcers that during exacerbation of the infection may increase in size.

The disease gradually becomes subacute and chronic when exacerbation followed by periods of partial remission. The disease sometimes runs alone during adolescence. But most of it goes to other, more specific to adult forms of psoriasis (vulgaris, exudative, and so on).

Treatment

Treatment of guttate psoriasis begin with the appointment of a diet: exclusion from the diet of fatty roasted meat, sweets, baking, soft drinks, chocolate, strong coffee and tea, hot spices, savory dishes. The child or adolescent should be fully fed, getting enough protein (lean meat, fish, dairy products), fats (preferred vegetable fats and butter) and carbohydrates (vegetables, fruits, cereals - a source of complex carbohydrates, vitamins, macro- and trace elements).

With a significant aggravation when disturbed general condition of the patient, or when frequent exacerbations administered cleansing the blood of toxic products through plasmapheresis. The positive effects and has enterosorption (purgation) through various enterosorbents.

When newly diagnosed guttate psoriasis, if confirmed by his association with staphylococcal infections, staphylococcal vaccine administered. Be sure to designate a complex of vitamins: vitamins B, C, D, A, E, D.

It is used as a new method of physical therapy - PUVA therapy (photochemotherapy) - long-wave radiation of the skin with ultraviolet rays with advanced drug administration, enhancing the photosensitivity of the skin.

To suppress the proliferation of the epithelium of the skin surface cells administered retinoids - drugs based activated vitamin A (e.g., neotigazon).

When mild form guttate psoriasis treatment begins with drugs for external use - ointments, creams, gels, lotions. During the advanced stage of the disease prescribe ointments, which include corticosteroids (such as triderm Triderm - care for skin diseases , Diprosalik, Elokim Elokim - relieve inflammation and itching , Advantan.

The stationary and regressing stages ointments containing derivatives of vitamin D3 (calcitriol) - Dayvoneks, Psorkutan and others who actively suppress the proliferation of skin cells.

Treatment of guttate psoriasis is held under the supervision of a physician, with no less importance is given to the prevention of exacerbations, which is the rehabilitation of foci of infection.

Galina Romanenko

Pharmaceutical company laboratory Galderma SA (Switzerland - France) produced a gel for topical application baziron different concentrations. The gel is widely used in the treatment of acne Acne treatment: how to get rid of blackheads , Particularly in adolescents. Proper application Baziron is of particular importance.

Why do I get acne on the skin

Acne on the skin often appear during adolescence, but some people acne occur in adulthood. The original cause of acne is a high content of male sex hormones androgens (such as testosterone), which occurs as in boys and girls. Under the influence of hormones sebum it changes its chemical composition and becomes viscous. Furthermore, hormones stimulate sebum and desquamation of surface cells of the skin. Mingling with sticky sebum, exfoliated epithelial cells clog the pores of the skin, after which the top covered with dust and look like ugly black dots (comedones). The clogged skin pores begins to multiply an infection that leads to the appearance of the skin rash pustular - acne vulgaris.

Of great importance in the development of acne has a status of immunity. If immunity is lowered, the common acne may become mature eels. If the stored normal immunity, in most cases the body to cope with acne and after 20 years, they tend to fade.

The mechanism of action Baziron

Baziron (right baziron speakers, the active ingredient - benzoyl peroxide) - a gel for topical application for acne Acne: facial trouble . In many pharmaceutical companies produce analogues Baziron - deskvam, hydroxy, benzoyl peroxide, proderm, eklaran.

Baziron comes in the form of a gel of different concentrations and has anti-bacterial and keratolytic (that is capable of dissolving dead skin cells) properties. In addition, it improves the oxygen supply of the skin, which promotes a rapid reduction of the inflammatory phenomena. Baziron also reduces the secretion of the sebaceous glands, thereby reducing the number of comedones and blackheads.

Baziron considered treatment for acne, however, it is used and some other diseases. For example, it is seen that it helps to speed up the healing of trophic (exchange) ulcers of the lower extremities.

Baziron manufactured as 2, 5%, 5%, 10% gel for topical application.

Who and how to apply baziron

Baziron used to treat acne - is its main purpose. Use baziron and to restore skin trophic ulcers of the lower limbs of different origin - under the effect of Baziron is improving oxygen supply, which contributes to more rapid recovery of tissues. Most of these trophic disorders occur when venous insufficiency Venous insufficiency - rapidly Youthful disease .

Before use, carefully clean the skin Baziron. Apply gel spot, directly on the blackheads and comedones, trying to baziron not get in eyes, on the lips and in the mouth. Procedures do one to three times a day. The effect of Baziron appears only after a month of regular use, the maximum effect - after three months. Baziron can cause dryness and peeling of the skin, in this case the concentration of the gel is changed to lower.

Contraindications and side effects that can occur when using Baziron

Do not use this baziron hypersensitivity to its components, for example, when a strong redness and peeling at the site of application. Do not use baziron and violation of the integrity of the skin.

It is forbidden to use baziron during pregnancy and nursing Breastfeeding - a personal choice   breast - he can partly be absorbed into the blood and is excreted in breast milk. For the same reason baziron not permitted for children under 12 years.

Side effects in Baziron are rare, usually well tolerated. But there are cases when it causes excessive dryness of the skin, severe flaking and redness. Allergic reactions are also possible - a rash, swelling of the skin, allergic dermatitis (rash of blisters on the skin). Sometimes the application site baziron hair discoloration occurs.

When treating Baziron Protect skin from the sun - it can cause irritation and flaking.

Should not be applied on the background of treatment baziron various drugs (including plant) capable of more dry skin, for example, any alcohol-based agent. Such means may cause severe skin irritation, resulting in cancellation of all drugs.

Baziron - effective drug long-term use, which can get rid of acne for a long time.

Galina Romanenko