Seborrheic psoriasis is very common, but just as often it is confused with other diseases, develops on the background of seborrhea - seborrheic dermatitis. However, accurate diagnosis is needed - these diseases occur and are treated differently. It is therefore important to consult a doctor promptly.

The seborrhea differs from psoriasis

Seborrhea - a malfunction of the sebaceous glands of skin, which manifests itself in the increased production of sebum and change its chemical composition resulting in sebum becomes increased viscosity. Against the background of seborrhea with constant skin irritation appears profuse dandruff and seborrheic dermatitis often develop - inflammation of the skin.

Dandruff is almost always accompanied by the development of seborrhea and talks about a violation of the sebaceous glands and the presence of the fungus. This fungus lives on the scalp in most people, but in violation of the sebaceous glands it is activated and causes the peeling of the skin - dandruff Dandruff: where it comes from, and what to do .

Seborrheic psoriasis also develop on the background of seborrhea, but other causes of this disease - they tend to be associated with altered heredity and immune disorders Immunity - types and characteristics in children in adults .

But both of these diseases often have similar symptoms, and sometimes they just can not be distinguished. At the initial examination of the patient the doctor always asks himself: seborrhea or psoriasis? Sometimes confirm the diagnosis of psoriasis is possible only by histological examination of a piece of skin taken from the lesion.

As it appears seborrheic psoriasis

Seborrheic psoriasis develops on the so-called seborrheic areas of the skin where there are many sebaceous glands. It scalp, nasolabial folds and nososchechnye, the area behind the ear shells, chest and interscapular region.

In seborrheic psoriasis in those areas of the skin appear red spots and papules topped with abundant krupnoplastinchatym peeling. On the skin of the back, chest and face frequently appears blotchy rash very similar to seborrheic dermatitis.

And behind auricles papular rash often has a distinct character areas at the base of infiltration papules bright pink or red. Papules in this area are accompanied by weeping skin and therefore covered seropurulent crusts. Such lesions resemble seborrheic dermatitis complicated by the addition of an infection. And stains, papules and psoriasis topped with grayish-white scales.

Seborrheic scalp psoriasis manifests as infiltrated papules, such as papules with a characteristic peeling occur on the skin of the forehead on the border with the hair. The scales are glued and fixed sebum on the skin surface, turning into yellow cake. Often these elements are transferred from the eruption of the scalp skin of the forehead in the form of a crown. This phenomenon is called psoriatic crown. On the scalp also appears always plentiful dandruff.

Almost always seborrheic psoriasis is accompanied by severe itching.

Treatment

How to treat psoriasis, seborrheic? It is not so easy. The first attempt to identify the reasons for the starting point - a chronic disease, site of infection, constant stress, and so on, and if possible to eliminate it.

Treatment of mild to moderate forms of psoriasis seborrheic carried out mainly by external means. For the treatment of smooth skin using tar ointment, and for the treatment of scalp - tar shampoos (such as Politar).

Applied also based dithranol ointments that are applied to the skin for a few hours and then thoroughly washed.

With widespread seborrheic psoriasis, accompanied by weeping, bleeding and severe itching, prescribe systemic treatment - immunomodulators Immunomodulators: a contract with the protective forces of the body , Glucocorticoid hormones, vitamin therapy, drugs affecting blood circulation and metabolism Improves metabolism and losing weight without dieting   in her.

How to treat scalp psoriasis, seborrheic at

In seborrheic psoriasis proper skin care is the prevention of recurrence of the disease:

• You can not hurt the scalp combs or any other means;
• head should be washed with special shampoos, for example, tar-based shampoo - it contributes to sparing softening psoriatic lesions and remove them from the skin; after application to the skin of shampoo should be left on for five minutes, then massage the skin with fingertips and then rinse shampoo
• once a week should be rubbed into the scalp warmed olive oil, then cover the head polyethylene and towel and leave on all night; head to wash in the morning.

Seborrheic psoriasis - is a serious problem, to keep it under control is possible only with the help of a doctor - a dermatologist.

Galina Romanenko

  Erysipelas - an acute infection of the skin and fatty tissue, caused by streptococcus. The incubation period lasts, on average, three to five days. This disease is most susceptible to the elderly, but it occurs in young people with immune deficiency (eg, in HIV-infected patients or different types of blood cancer).

In most cases the bacteria causing the infection, penetrate into the body through skin lesions. Therefore, any scratch, as well as many skin diseases Skin diseases - what to do when violated the basic functions of the skin Can be an indirect cause of erysipelas. Humans and fungal infections Fungal infection: to prevent and defeat   the risk of erysipelas is especially great, since the protective mechanisms of the skin relaxed, which facilitates the penetration of infection in the body.

Symptoms

Erysipelas symptoms can appear suddenly. First, the skin there is a small red spot, the size of which in a few hours is greatly increased. The infection spreads under the skin in waves, creating a convex boundary between the affected area and the surrounding healthy skin.

Adipose tissue is less dense than the skin, is particularly vulnerable to infection. Erysipelas on the face most often appear on the cheeks, around the eyes and around the ears.

The development of infections accompanied by chills, fever and headaches. Without the use of effective antimicrobial drugs the patient may experience severe malaise.

If you suspect that erysipelas should, without delay, consult your doctor.

Treatment

For the treatment of penicillin, the following preparations:

• Penicillin-V (p.o.);
• Penicillin (injection);
• Flucloxacillin (tablet, syrup, solution for intramuscular injection);
• Erythromycin (this drug is an alternative to penicillin and appointed people who are allergic to penicillin).

In most cases, penicillin is very effective to cope with erysipelas. In severe forms of erysipelas may require hospitalization and intravenous antibiotics, but this rarely happens. In cases of recurrent erysipelas may be needed prolonged treatment with antibiotics Antibiotics - whether they will help you in the foreseeable future? .

In addition to these drugs for the treatment of Biseptolum Biseptolum - a breakthrough in the fight against germs   can be assigned Biseptol, enteroseptol and vitamin supplements. To relieve the symptoms of erysipelas can be used NSAIDs and antihistamines, but they can reduce the effect of certain other drugs.

Diagnostics

Usually, the diagnosis of erysipelas enough visual inspection. It causes specific symptoms that are fairly easy to recognize. Biopsy do only in those cases when the doctor has doubts about the diagnosis.

Possible complications

In some patients, the bacteria which cause erysipelas, move along with the bloodstream, resulting in bacteremia develops. This infection can spread to the heart valves, joints, and bones. Other complications of erysipelas can be a relapse of infection and septic shock.

Forecast

With timely and proper treatment the prognosis is favorable. Symptoms are usually within a few weeks. During treatment, there may be strong but temporary, peeling skin.

Prevention

To reduce the risk of developing erysipelas, it should be possible to avoid damage to the skin as soon as possible to handle any, even the most insignificant-looking cuts and scrapes.