How is the Diagnosis of Psoriasis
How is the Diagnosis of Psoriasis
How is the Diagnosis of Psoriasis
Psoriasis is a chronic inflammatory disease that plagues many patients in our country, about 2% of the total population and significantly affects quality of life. The psoriatic patients often feel bad about themselves, feel that the world stares and comments, so isolated as it can to hide his problem and eventually be very skeptical and insecure in any friendly let alone sex and relationships creates.
Let us try together to analyze and understand some of the basics of the disease to the ultimate benefit of the patient always!
First of psoriasis is not transmitted. Many confuse psoriasis with scabies, which is a contagious disease caused by parasites and the proper treatment disappears.
In contrast, psoriasis is a chronic disease that either improves or worsens as we explain below.
The most common form of the disease is plaque psoriasis - charaktirizetaiapo thickening and peeling of the skin, but P may appear other forms such as pustular (with bubbles), with redness to affect the nails, scalp or and accompanied by arthritis.
It is a relatively common disease and is estimated to affect 2% to 2.5% of the population. It can occur either suddenly or gradually. It is characterized by periods of exacerbation and periods of the disease subside.
It affects all ages but is most common between 15 and 35 years. For psoriasis there is a genetic predisposition and heredity.
Stress, infections, obesity, excessive alcohol consumption, lack of or excessive sun exposure, worsen the situation of patients with psoriasis.
Also, the overall situation threadbare, reduced immune system seen in immune compromised patients with cancer or AIDS and drugs such as chemotherapy aggravate psoriasis.
But what works in every patient?
Did over treat sometimes?
It is up to the doctor to decide whether to give local treatment (skin), systemic therapy (oral, injection) or a combination of both. As for the topical treatment containing various substances posting pitch, the anthralini the kalsipotrioli and topical steroids. Also additional user and conditioners which provide relief to sick reducing the dryness of the skin and hence the itch.
The newest local product is a combination kalsipotriolis and betamethasone. It is the most effective topical treatment, as episiskai that gives faster results after just a week reduces symptoms by about 50%. The new scheme helps to better patient compliance since it is only once a day.
What causes Psoriasis;
Findings from several large studies suggest that both environmental and genetic factors may be involved in the initiation and progress of psoriasis. The familial occurrence of psoriasis between families who have a confirmed diagnosis of psoriasis is estimated at 35%. The patients inherit only a predisposition to the disease. Then you need to trigger some environmental factor.
The factors that can trigger psoriasis are:
Skin Injury
Medications
Endocrine factors
Psychological factors
Certain infections
Seasonal factors
How is the diagnosis of psoriasis?
From the clinical examination and information from the patient's history. The diagnosis requires histological confirmation of rare and almost always based on clinical features associated with psoriasis: well circumscribed, red, apofolidomenes plates are typically on the elbows, knees, and scalp and mesogloutiaia region. Some patients may develop lesions on the palms, the soles of the feet or genitals.
Information about the patient's history should include age of onset, environmental and pharmacological factors, concomitant use of drugs, medical and surgical history, family and social history and current symptoms.
Occasionally, the signs of psoriasis may resemble symptoms of other skin diseases such as seborrheic dermatitis, lichen planes and rosaceous dandruff. To exclude the doctor these facts can make a skin biopsy or other laboratory tests.
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