In this article, today's topic is psoriasis named from the Greek word “Psora” meaning “itch”. Psoriasis is a chronic non contagious disease, characterized by inflamed lesions covered with silvery white scabs of dead skin. At least four million Americans suffer with psoriasis, which is somewhat more frequent in women than in males.
Long-lasting autoimmune illness psoriasis is characterized
by abnormal skin patches. These skin patches are typically red, dry, itchy, and
scaly. On people with darker skin the patches may be purple in color. The
extent of psoriasis can range from small, localized spots to total body coverage.
Injury to the skin can trigger psoriatic skin changes at that spot, which is
known as the Koebner phenomenon.
Although the disease can develop at any time, ten to
fifteen percent of all cases are diagnosed in children under 10 and the average
age at the onset of symptoms is 28. Psoriasis is more prevalent in fair-skinned
people and highly uncommon in those with dark complexion.
Causes Of Psoriasis
Your immune system is meant to protect you when an “intruder”, like a cold virus, enters your body but sometimes the immune system mistakes your body's healthy cells for intruders and attacks them. While the precise aetiology of psoriasis is unknown, scientists think it is caused by a number of factors, including the immune system.
You have a hyperactive immune system if you have
psoriasis. This leads to internal body inflammation, which is what causes the
symptoms you notice on your skin. More healthy cells are produced than normal.
Those excess cells get pushed to the surface of your skin too quickly. Normally,
it takes about a month for your skin cells to cycle through your body. With
psoriasis, it takes days. Your body simply can't shed skin cells that quickly, so
the cells filled up on the surface of your skin. The thick red patches you see
on your skin also called plaques are actually a buildup of excess skin cells.
Types Of Psoriasis
There are five main types of psoriasis which are as follows:
1) Plaque
2) Guttate
3) Inverse
4) Pustular
5) Erythrodermic.
Plaque Psoriasis
Plaque psoriasis is the most common form of the disease
and appears as raised, red patches covered with a silvery white buildup of dead
skin cells. These Patches or planks most often show up on the scalp, knees,
elbows and lower back. They are often itchy and painful and they can crack and
bleed.
Plaque psoriasis, also known as psoriasis vulgaris,
makes up about 90 percent of cases. It often appears as white scales on top of
crimson areas. The backs of the forearms, shins, navel region, and scalp are
the body parts most frequently impacted.
Guttate Psoriasis
Guttate psoriasis is a form of psoriasis that appears
as small dot-like lesions. Guttate psoriasis often starts in childhood, or
young adulthood and can be triggered by a strep infection. This is the second
most common type of psoriasis after plaque psoriasis. About 10% of people who
get psoriasis develop guttate psoriasis.
Inverse Psoriasis
Inverse psoriasis shows up as very red lesions in body
folds such as behind the knee, under the arm, or in the groin. It might seem
shiny and smooth.
Pustular Psoriasis
Pustular Psoriasis is characterized by white pustules
or blisters of non-infectious pus surrounded by red skin. White blood cells can
be found in pus. It is not an infection, nor is it contagious. pustular
psoriasis can occur on any part of the body, but occurs most often on the hands
or feet.
Erythrodermic Psoriasis
Erythrodermic psoriasis is a particularly severe form
of psoriasis that leads to widespread, fiery redness over most of the body. It
can cause severe itching and pain, and make the skin come off in sheets. It is rare,
occurring in three percent of people who have psoriasis during their lifetime.
Signs And Symptoms
Psoriasis signs and symptoms are different for everyone.
Common signs and symptoms include red patches of skin covered with thick silvery
scales, small scaling spots commonly seen in children, dry, cracked skin that
may bleed, itching, burning, or soreness, thickened, pitted, or rigid nails, swollen
and stiff joints.
Psoriasis Diagnosis
In most cases, a psoriasis diagnosis is rather straight
forward. Your doctor will perform a physical examination of your skin, scalp
and nails and also take your medical history if you have a family member with psoriasis.
It’s important to share that with your doctor. In rare cases, a psoriasis diagnosis
may require a biopsy or your doctor takes a small sample of skin to examine
under a microscope. So, he or she can determine the exact type of psoriasis and
rule out other disease possibilities.
Psoriasis Treatments
Treating your psoriasis is critical to good disease management and overall health. Work with your doctor to find a treatment that reduces or eliminates your symptoms. What works for one with psoriasis may not work for another.
Biologic Drugs
Biologic drugs or biologics are usually prescribed for
moderate to severe psoriasis and psoriatic arthritis that is not responded to
other treatments. They are given by injection or intravenous or IV infusion.
Systemic Medication
Systemic medications are prescription drugs that are
taken orally or by injection and work throughout the body.
Photo Therapy
photo therapy or light therapy involves exposing the
skin to ultraviolet light on a regular basis and under medical supervision. Treatments
are done in a doctor's office, psoriasis clinic or at home with a photo therapy
unit.
New Oral Treatment
New oral treatments improve symptoms of psoriatic disease
by inhibiting specific molecules associated with inflammation. These treatments
can be effectively delivered as tablets taken by mouth.
Topical Treatment
Topical treatments are applied to the skin and are
usually the first treatment to try when diagnosed with psoriasis.


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