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Severe psoriasis - psoriatic arthritis
Psoriasis arthropathy (arthropathic psoriasis, psoriatic arthritis
Arthritis - a variety of forms and complications
, Psoriatic arthropathy) occurs more frequently in patients who already have skin manifestations of psoriasis in an average of 6 years after onset. But sometimes, joint damage develops before the rash appears, or simultaneously with it. This affects the small interphalangeal joints of the fingers (less feet) and almost always - nails. Often there sosiskoobraznoe swelling of fingers or toes - psoriatic dactylitis.
Sometimes the process involves two or three large joints (knee, hip, shoulder, etc.) And the defeat is symmetrical. In severe cases, the articular process becomes generalized multiple joint disease (generalized psoriasis).
Also affects the intervertebral joints of the lumbar region and sacroiliac joints, which develops stillness, so psoriatic arthritis, rheumatoid be distinguished from lesions of the spine - ankylosing spondylitis. Current articular psoriasis - a sharp alternation of exacerbations (they are often associated with skin rash) and partial remission. The lesions of the spine can lead to immobility of the spine and disability.
The effects of psoriasis joints can be very heavy - with the progression of developing major dysfunction of the joints.
Pustular psoriasis accompanied by the appearance of bubbles on the skin with a sterile purulent contents - pustules. This is a relatively rare type of psoriasis, which may develop as originally, and against the background of psoriasis vulgaris. In recent years, the incidence of psoriasis vulgaris
Vulgar psoriasis - the most common form of the disease
growing, which, apparently, due to the use of glucocorticoids and cytotoxic drugs suppressing the immune system. The development of pustular psoriasis can be triggered by the cancellation or reduction of the dose of glucocorticoid hormones, pregnancy, stress
How to beat stress? Create an oasis
and other factors. But often the cause of its origin remains unclear.
There are genearlizovannye and localized form of pustular psoriasis.
By the generalized form of psoriasis include pustular purulent Tsimbusha in which pustular eruptions occur in already existing psoriasis. The primary elements in this case are bubbles or blisters that appear on the papules and pustules quickly becoming - blisters with a sterile content. In some places, pustules coalesce into larger pockets - lake. The skin above and below the surface of the pustules inflamed, swollen, tight. In some cases, the process joins bacterial infection and pustules acquires contents unsterile character. It violates the general condition of the patient: there is a weakness, malaise, increased body temperature. The process involved all areas of the skin, including the face and scalp, can join the articular psoriasis and psoriatic erythroderma.
By localized form of psoriasis is pustuoeznogo pustular psoriasis
Pustular psoriasis - a severe form of the disease
Barbera palms and soles, which is localized only on the palms and soles, and sometimes combined with the rash characteristic of psoriasis vulgaris. In rare cases, the process can take generalized with widespread pustules all over the body, and their tendency to merge into larger blisters.
In psoriasis, skin Barbera set palms and fingertips, or soles initially appear red spots, which then bubbles appear at first to clear, and then purulent contents. The pustules at the same time are located at the level of the rest of the skin, he seems to be drowned in it. Drying, pustules converted into brown, tightly attached to the surface of the cover, there is an atrophy (decrease in volume) of the skin of the palms and soles.
Erythrodermic psoriasis (erythrodermic psoriasis) - this is usually widespread psoriasis, which is most often a complication develops as a result of improper treatment of psoriasis vulgaris. The cause of this complication may also be a variety of external influences such as prolonged exposure to the sun (in the summer type of psoriasis). Sunburn in psoriasis can be dangerous, psoriasis and the sun, psoriasis and solarium - incompatible concepts, especially in the period of exacerbation. In the period of remission for the treatment of psoriasis are sometimes used sunbathing, but with great caution.
The cause of erythrodermic psoriasis can also be taking certain medicines, alcohol, stress, high nervous and mental load and so on.
Erythrodermic psoriasis is more common in men and almost never occurs in children. It starts with a general disease of skin redness (erythema), which then appears large and plentiful melkoplastinchatoe peeling, accompanied by a feeling of tightening of the skin, pain, burning and itching. The process may end with generalized inflammation, peeling and exfoliation of skin in large areas of the skin and sometimes the whole body, the accession of infection, sepsis and death of the patient.