Beginning with 2004 of the year, thanks to the initiative of the International Federation of Psoriasis Associations (IFPA) all over the world 29 October is World Psoriasis Day.

The purpose of the Day is to achieve knowledge and, what's even more important, understanding of the patient and those around him, that psoriasis is not an infectious disease!

Psoriasis is a chronic disease, in which raised red scaly patches appear on the skin. Various factors: stress, infectious diseases, non-compliance with diet, skin irritation, cold and dry air, taking certain medications, Alcohol abuse and smoking can worsen the condition of patients. There are more around the world 125 million. human, suffering from psoriasis.

Proven, что псориаз не является заразным и вреда окружающим не наносит. People, psoriasis sufferers, can and should live a full and active life. With regular treatment and adequate therapy, psoriasis can remain under control.

Psoriasis, or scaly lichen, is one of the most common chronic inflammatory skin diseases. Psoriasis can occur at any age, including the child, but most often the onset of the disease occurs between 16 and 25 years of age. In percentage terms, psoriasis affects both women equally, so do men. It is characterized by a chronic course with periods of exacerbation and remission. Heredity plays a major role in pathogenesis, immune system disorders, as well as various provoking factors. Psoriasis is characterized by impaired regeneration of skin cells, they multiply so much, that they don’t have time to die, as a result, scaly papular rashes appear on the skin. The genetic predisposition of psoriasis has long been scientifically tracked. So does the child, whose parents are not susceptible to this disease, the chance of the disease manifesting is 12%, if at least one of the parents has psoriasis, the risk of developing the disease increases to 25%.

In addition to genetic predisposition, the manifestations of psoriasis are also influenced by external provoking factors.:

• X-ray and solar radiation,
• inflammatory skin diseases,
• influence of chemicals,
• hormonal disorders.

Sometimes psoriasis can exist throughout life in the form of “duty” plaques on the scalp, extensor surface of the elbows, knee joints and do not require active treatment.

People, suffering from manifestations of psoriasis, in addition to specialized therapy, they often require social adaptation, because they suffer from an inferiority complex. If psoriasis occurs in the classical form, then the patient’s general condition does not suffer. The course of the disease alternates between relapses and remissions, exacerbation usually occurs seasonally, more often in autumn.

The prognosis for psoriasis remains unpredictable and highly individual in each individual case.. Therefore, and the approach to treatment must also be individual. Worth noting, that with the right approach to the problem of psoriasis, By eliminating possible provoking factors and establishing the true form of the disease, it becomes possible to significantly alleviate the course of the disease.

As part of the International Psoriasis Day, proactive medical workers, scientists, as well as patients, with a history of psoriasis, doing their best, to draw public attention to the problem of psoriasis. There is no other person's grief, only by uniting, we can provide all possible assistance to people, who suffer from symptoms of psoriasis.

Psoriasis – non-communicable disease, which manifests itself as chronic inflammation of the skin. A characteristic sign of psoriasis is the appearance of red, scaly, rounded nodules clearly demarcated from healthy skin., prone to peripheral growth and reaching significant sizes with lesions localized mainly on the skin of the elbow and knee joints, hands, feet and scalp, in rare cases, the entire skin may be affected. The rash may be accompanied by irritation, itching, burning, pain.

Approximately 10% of people, suffering from psoriasis, arthritis develops, affecting the joints of the hands, feet, wrists, ankle joints, as well as the cervical and lumbosacral spine, in some cases joint deformation occurs, which can lead to disability. Often there is damage to the nail plates.

The prevalence of psoriasis in the world is very wide. Usually, the disease proceeds as a chronic disease with alternating periods of remissions and exacerbations. Periods of complete remission are possible, reaching five years or more. Men and women get sick equally often.

The following factors can trigger the development of psoriasis:, how:

• mental trauma and chronic stress conditions;
• past infectious disease;
• skin injuries;
• some medications;
• hormonal changes in the body;
• allergy (may aggravate the course of the disease, eg, citrus, eggs, chocolate);
• alcohol intoxication;
• climate change.

The main symptoms of psoriasis are:

• characteristic rashes;
• feeling of skin tightness in the affected area;
• severe itching.

Psoriatic plaques can appear in various places, however, there is a typical location:

• elbows and knees;
• sacrum and lower back;
• scalp;
• flexural surfaces and folds of skin (inner surface of elbow and knee joints, groin and armpit areas, area under the breasts). In this case they talk about reverse psoriasis. Inverse psoriasis spots are smooth, they do not rise above the surface of the skin and are very rarely covered with scales;
• palms and feet. This type of psoriasis is called palmoplantar psoriasis.. At the same time, the skin in the affected areas becomes rougher, becomes cracked and peeling.

Diagnostics

No special tests are required to diagnose psoriasis.. During examination, the doctor makes a diagnosis based on the characteristic manifestations of psoriasis. In some cases, it is necessary to conduct a histological examination of the affected skin (biopsy) for differential diagnosis of psoriasis with papular syphilis, seborrheic dermatitis, eczema, rosacea, superficial mycosis, lupus erythematosus, acrodermatitis and bullous impetigo and other skin diseases.

Treatment of psoriasis long term process, aimed at controlling the disease and improving the patient’s quality of life. To date, there is no treatment method, which would allow one to completely get rid of the disease.

To determine the best therapeutic method of treatment, it is necessary to take into account the form of psoriasis., severity of the process, affected area, and also gender, age, general condition, previous treatment experience, the patient's reaction to those, or other medications and concomitant diseases. Treatment methods are selected by a dermatologist individually for each patient..

For a patient with psoriasis, primarily, It may be advisable to try to reduce anxiety and eliminate the most allergenic foods from your diet. Diet, proper daily routine, Quitting smoking and drinking alcohol are in themselves a significant contribution to treatment.

Despite the success, achievements in the treatment of psoriasis, medications, allowing for complete recovery, does not exist today. The treatment used is aimed at relieving signs and symptoms and changing its natural course.

Treatment for each patient is prescribed by a dermatologist using an individual approach, taking into account the form, stages, features of the disease, наличия сопутствующей патологии и других факторов.

Usually, для лечения лёгких форм псориаза применяются препараты местного действия, для умеренных форм – фототерапия, для тяжёлых форм – препараты системного действия.

В ведении больных псориазом важно не только лечение поражённых участков кожи, joints, но и своевременное выявление и коррекция других сопутствующих патологий. Значимыми составляющими медицинской помощи являются обеспечение перехода больных к ведению здорового образа жизни, здоровому режиму питания, труда и отдыха, надлежащему уровню физической активности, борьба с другими факторами риска.

Forecast

У большинства пациентов наблюдается легкая форма течения псориаза, которая хорошо поддается местному лечению. Даже при возникновении рецидива повторный курс местной терапии позволяет добиться продолжительной многолетней ремиссией. У некоторых развиваются тяжелые формы псориаза, требующие более интенсивных методов лечения. Но в целом, при проведении своевременной и качественной терапии, прогноз по заболеванию можно назвать благоприятным.

И самое главное! Псориаз – это хроническое, неинфекционное заболевание кожи, which не передается от человека человеку и не мигрирует с одной части тела на другую. Пациент, страдающий псориазом, может свободно посещать общественные места – бани, сауны, бассейны, пользоваться общими предметами в быту, проходить лечение в общих стационарах.