Palmoplantar psoriasis - this form of the disease does not occur very often. It can take place only with the defeat of palms and soles or may be combined with psoriatic rash on other areas of the skin, as well as joint disease. The disease is easily confused with a fungal infection Fungal infection: to prevent and defeat .

Why start psoriasis of palms and soles

Psoriasis of palms and soles can occur at any age, but most often it occurs in the age range 30-50 years. The basis of this disease is a genetic predisposition. But genetic predisposition, even if it is a family, when psoriasis suffer from close relatives, may not be realized if there are no predisposing (launchers) factors.

When hand-foot form of psoriasis predisposing factors are most often permanent mechanical or chemical irritation of the palms of hands - being in the water, contact with household chemicals and a variety of irritants at work, wearing tight shoes.

Triggering factor can also be a variety of infections such as scarlet fever Scarlet fever - threatening complications At which the rejection of the surface layers of the palms and soles, foci of infection (chronic tonsillitis, sinusitis Sinusitis - when a puncture is required , Pyelonephritis Pyelonephritis - kidney disease   etc.), intoxications (smoking, alcohol abuse, etc.), endocrine diseases (e.g., hypothyroidism), and other factors.

Palmoplantar psoriasis - the main features

Palmoplantar psoriasis is more common in persons engaged in physical labor. There are patchy, veerooobraznuyu, calloused and circular shapes.

When the fan-patchy form on the palms and soles appear papules, covered with silvery scales, which merge into plaques. Plaques are fan-shaped on the surface of the palms and soles of Education reddish, clearly stand out against the healthy skin surface. Covering plaques scales in the folds of the palms and soles create a kind of cracks. More common psoriasis of palms patchy-fan-shaped.

Calloused form appears giperkeratoticheskie (excessive growth of the stratum corneum) of the skin layers of the palms and soles, feigning corn and callosity. Lots of hyperkeratosis usually placed at random, sometimes merging together. In the propagation process, he may move to the side surfaces of the hands and feet, and even completely cover them. Nevertheless, and with a solid lesion is clearly visible line that separates the healthy from the pathological tissue.

Psoriasis of palms and feet a circular shape shown in the form of large pockets of peeling in the shape of circles or rings located on the palms and soles.

Often in the pathological process involved the nails. Patients worried about the constant itching of the palms and soles, which is so exhausting patients, which leads to insomnia and neuroses.

Pustular psoriasis of the palms and soles

Pustular psoriasis of the palms and soles Barbera - a separate form of the disease, in which are located only pustular eruptions on the palms and soles. But other parts of the body most often appear normal papules and plaques. The process is accompanied by severe itching.

The disease begins with the appearance on the palms or soles of the areas of redness, which immediately appear bubbles (vesicles) and pustules (pustules) with sterile contents. Without opening the superficial pustules gradually dries to form a brownish crusts. Initially, these elements are small, but they gradually merge together to form larger bubbles with purulent contents - "festering lake" located usually symmetrical.

Psoriasis on the hands is usually located in the thumb, on the soles - on the side of the foot below the I toe. Often the process involved nails. Sometimes typical psoriatic lesions do not appear immediately, but after a few years after the start of pustular lesions of the palms and feet.

Treatment of palmoplantar psoriasis

Treatment of palmoplantar psoriasis begins with eliminating or minimize the physical and chemical effects on the palms and soles. If necessary, the patient is recommended even change jobs. There is also a special hydrocolloid coating, which is indicated for plantar psoriasis, it protects the skin from irritation, cracking and accelerates the healing of erosions and eliminates itching.

Treatment of psoriasis on the palms and soles - a very difficult task. Most often used for this purpose an ointment composed of corticosteroids. But the body quickly gets used to it and ointments are ineffective. In recent years, it developed a system for the treatment of palmoplantar psoriasis, in which during the exacerbation of the combined use of ointment, which include corticosteroids and calcipotriol (analogue of vitamin D). Such ointments include, for example, dayvobet. Corticosteroids are actively relieve inflammation and calcipotriol reduces the rate of cell division of the skin, reduces scaling, inflammation, have a positive effect on the immune defenses of the skin.

When inflammation subsides, prescribed ointment, which include only calcipotriol (eg Dayvoneks) - it is administered for a long time, it prevents the appearance of exacerbations.

Galina Romanenko

Psoriasis on the elbows - this is the most frequent localization of psoriatic lesions. Psoriasis - a chronic skin disease that manifests itself in different patients in different ways. Sometimes typical psoriatic plaques appear only in the area of ​​the elbows and knees. There may be more, less, and sometimes they disappear completely.

Psoriasis on the elbows and knees - a form of psoriasis vulgaris

Vulgar or ordinary psoriasis - a chronic skin disease with undulating course. In this disease, the spontaneous or treatment-induced remission (improvement) alternate with periods of spontaneous or provoked by some external factors (eg, previous infection, the use of alcohol, stress) exacerbations.

A feature of psoriasis is that its severity in different patients and even in the same patient during periods of life can be different. Manifestations of psoriasis can be in the form of small local lesions (e.g., in the extensor surfaces of the elbow and knee joints), and may - in the form of full coverage of the entire body of the drain rash.

Often it is with elbows and knees begins exacerbation of psoriasis, and then when the aggravation of passes in this area remain isolated "duty" of the plaque. Under the influence of a provoking factor (eg purulent tonsillitis) "duty" plaques begin to grow and spread to other parts of the body. With short or long (from several months to several years) remissions psoriasis lasts until the end of life, aggravate or in the cold season (winter form of psoriasis), or (rarely) - in a warm (summer form).

If psoriasis on the elbows left untreated, the disease progresses, the rash spreads to extensive areas of the body and joints.

Medication

How to cure psoriasis on my elbows? Psoriasis - a chronic disease and cure it completely, even with minimal forms on the elbows, most likely, will not work (although there are cases, and spontaneous recovery). But it is possible to achieve a state of stable remission.

Treatment of psoriasis on the elbows Policy Pay medication and using the physiotherapy effects. Drug therapy for non-severe forms of psoriasis skin should be carried out by means of external funds.

For the treatment of manifestations of psoriasis vulgaris Vulgar psoriasis - the most common form of the disease   with the characteristic scales on surface lesions, including the elbows, ointment are best used as they contribute to softening and removal of scales. Earlier in the treatment of psoriasis on my elbows used mainly ointments based on coal tar (antrasulfonovaya, antraminovaya ointment). Such an ointment can be used for a long time, but they are not always effective. The downside is the fact that these ointments have an unpleasant odor and stain clothing.

Therefore, for the treatment of psoriasis is most often used today ointments containing glucocorticoid hormones (corticosteroids). The use of these ointments (such as Tselestoderma) ensures quick relief from the rash. These ointments are generally odorless and easy to use, since all applied to the skin once or twice per day. The disadvantage of ointments with corticosteroids is that their parts can not be used for a long time: it reduces the effectiveness of the ointment because of addiction to her skin. In addition, prolonged use of such a risk ointments atrophy (reduction in volume) of the skin.

Ointments GCS with a new generation (e.g., ointment kutiveyt) does not contain in its composition fluoro and chloro, which greatly reduces the risk of side effects.

System (the entire body), the use of corticosteroids in the form of tablets or injections for psoriasis is undesirable because after the abolition of corticosteroids may occur very serious exacerbation of the disease, which can not always be suppressed.

Today, for the treatment of psoriasis are increasingly used non-hormonal drugs for external use, which contain synthetic analogs of vitamin D3, the active impact on metabolism Improves metabolism and losing weight without dieting   in skin cells. Under the action of these ointments (eg, ointments dovoneks) reduced the rate of cell division of the skin (the underlying mechanism of psoriasis), reduces inflammation and peeling, restores immunity Immunity - types and characteristics in children in adults .

How to treat psoriasis on the elbows - physiotherapy

For the treatment of psoriasis on the elbows are widely used ultraviolet radiation (UVR) The waves of medium length (selective phototherapy) and wavelength A (PUVA-therapy).

Selective phototherapy Phototherapy - restores vitality   carried out in a day, a course of treatment requires 20-40 treatments. PUVA-therapy is conducted with the ingestion of two hours before the test substance with photosensitizing properties to increase the skin's sensitivity to ultraviolet irradiation, and only after that the irradiation of the skin rays A. The frequency of procedures - in a day, the total number of procedures - from 15 to 30. PUVA- Therapy is considered one of the most effective treatments for psoriasis.

For a long time to get rid of recurrence of psoriasis on the elbows is possible.

Galina Romanenko