Ladonno-plantar psoriasis affects the palms of the hands and soles of the feet, and the disease is a pathologic autoimmune state.
Psoriasis on the palms of the hands and soles of the feet, along with the localization process in the scalp, it is one of the most common forms of the disease. Represents approximately 14% of the cases, the condition of the skin.
The causes of the development of the disease
Although for ladonno-the form of the psoriasis is not the link to the age, in the range of 15 to 35 years, observed a higher frequency of developing the disease. Has relationship with the ethnic origin. It is reported that individuals of caucasian over the age of 50 years increases the risk of developing this pathology.
The exact causes of the condition until the end not until now considered that the disease is caused by the autoimmune process. During the normal operation of the immunity of the person receives the protection of a variety of exotic agents, from viruses, allergens, protozoa, and other microorganisms.
When psoriasis occurs an error in the body, after which the immune system begins to produce substances aggressive against its own cells and tissues. The excess of the amount of T-lymphocytes (cells of immunity) and macrophages, leads to the development of the inflammatory response and the excess proliferation of skin cells, which is observed characteristic of the symptoms and the appearance of hyperkeratosis.
Note! Hyperkeratosis is an excessive thickening of the epidermis is the outer layer of the skin.
Some studies suggest a small role in the factor of heredity. For example, approximately 10% of the population inherit genes associated with psoriasis and only 3% of them develops the disease. These statistics give rise to the idea of the existence of other, deeper causes of the onset of the disease.
Other risk factors are:
- The stress and emotional lability (sensitivity).
- Smoking and the use of drugs.
- Wallpaper of the disease that affect the immunity.
- Frequent infections of the lesions and cuts on the palms and soles.
In the study conducted in 2006 indicated about the relationship of the pathology of dermatologic diseases of the cardiovascular system and other states: hypertension, diabetes, and hyperlipidemia.
The results of the experiences up to the end were not clear. For the full understanding of all processes, the study of this topic continues and more research is needed.
The triggers of the disease (factors affecting the pathology, but do not lead to it directly) can be the following:
- The sun burns;
- Bites of insects;
- The exposure to the allergens;
- General bacterial infections such as pneumonia or angina;
- Viral diseases, including hiv infection;
- The inflammatory condition of varying severity: bronchitis, nasopharyngitis;
- Heavy alcohol intoxication;
- Obesity.
The diagnosis of ladonno-plantar psoriasis
Despite the rapid development of modern medicine, until the time of the establishment of the psoriasis on the palms of the hands is possible when the visual inspection of the skin doctor, without the need of devices. Is based physical examination in "psoriatic triad", a manifestation that is observed with a slight scrape scales with the affected areas of the body.
The doctor calls the attention on the clinical history of the disease, as well as some constantly taken by the medications can be triggers of disease development:
- Indomethacin and other nonsteroidal anti-inflammatory agents (nsaids);
- Lithium and anti-malarial drugs;
- Acute cancel corticosteroids;
- The reception of penicillin, hydroxychloroquine.
In difficult cases, it is recommended that a full examination that includes a laboratory analysis of blood and ultrasound scanner, as well as the exclusion of the fungal infection with the help of mycological diagnosis. During the testimony of the biopsy of a questionable focus of the epidermis.
The symptoms and the first signs of ladonno-plantar psoriasis
Among the main types of the disease, there are five variations. In 90% of cases, there is a visual feature of the clinical picture.
As seen ladonno-plantar psoriasis? The patient in the palms and soles defined psoriatic plaques of red, scaly spots on the thick skin, inclined to the peeling. In foci, person feels itching, fever, pain of different intensity; in some cases, epidermis will crack and bleed.
Will an impact on the formation of the nails:
- Nail plates may appear defects, or holes;
- The nail thickens and fade strong;
- It changes its shape.
Ladonno-plantar type of disease occurs as part of the overall process, but only limited to the skin of the palms of the hands and feet. Psoriasis soles makes it difficult to walk and wear shoes. The damage in the hands can not only prevent the fulfilment of any kind of work, but also impose negative imprint in relation to trafficking in persons. The most common situations, such as the greeting of the hand, can be clumsy, which leads to confusion and the alarm of the person, until the development of the social anxiety.
The distinctive feature of this form of the disease is the presence of varieties of process, which can be the following terms:
- Ladonno-plantar pustular psoriasis barbera;
- Purulent psoriasis;
- Pustular dermatitis.
The above skin disorder causes the formation of clusters (of birds) of the different pustules in the area of the platelet. In general, this eruption is very similar to pimples. It is worth noting that this variant of the disease of sufficient firmness takes light methods of treatment and, often, requires a comprehensive approach to the work of the therapy.
Note! Pustular psoriasis of the palms of the hands and soles of the feet, it requires treatment with medication bacterial adhesion bacterial infection.
The stage of ladonno-plantar psoriasis
As with all forms of injury in the process, ladonno-plantar localization is characterized by three clinical trials phases:
- The initial phase. The appearance of rashes on the arms and legs. The plates have the characteristic of color can be seen as whitish purulent inclusion; the patient annoying intense itching. Elements of the rash and merge in important foci. Their number depends on the characteristics of the evolution of the disease.
- The phase of stabilization. The state is not moving forward, new pathological elements are not old, but still reserved. Itching gradually calm, and the color of the platelets is less bright.
- The final phase. Accompanied by regression elements, itching of the lack. The treatment becomes admitted or excluded at all; they offer recommendations for the conservation of the remission and the relapse prevention.
In some cases, the disease is categorized into the elements of eruptions:
- A form is a typical manifestation of the skin;
- Horn shape accompanied by hyperkeratosis and the typical red spots little, or they are not;
- The Form Of The Barbera.
Methods of treatment
Ladonno — plantar psoriasis is a chronic disease that may appear new, regardless of the treatment. However, there are therapy methods to achieve the reduction of the periods of the exacerbation and the prolongation of the remission period.
The main method of treatment is the attempt to avoid the rapid growth of cellular elements leading to the development of the platelet, anti-inflammatory therapy. Alternative methodology provides directly the removal of scales.
Given that the skin cloaks of the palms of the hands and soles of thickened even in healthy people, the treatment of this localization often involves the combination of techniques is more aggressive and the impact on the foci.
In the first place, when the psoriasis the palms of the hands and soles of the feet is assigned to a local treatment in the form of gels, ointments and creams:
- The vitamin D analogues;
- The ointment-based corticosteroid;
- Retinoids;
- Anthralin;
- Special resin;
- Salicylic acid;
- The hydration of the tool to reduce the inflammation and relieve the inflammation.
Normal, side effects are irritation, drying and thinning of the epidermis. Can also be carried out sessions of phototherapy:
- Natural ultraviolet radiation from the sun;
- Artificial ultraviolet radiation with the help of special devices;
- Eksimerniy laser;
- The photochemotherapy.
It is important to know!It is very important to the natural transition of the phototherapy. It is recommended to start with 5-10 minutes of direct sunlight a day. Subsequently, you can gradually increase the time of exposure of 30 seconds a day.
Drugs for the treatment of ladonno-plantar psoriasis
Ladonno-plantar psoriasis includes treatment with oral medications more severe evolution of the disease:
- The methotrexate;
- Retinoids;
- Cyclosporine;
- Biological, medicines that reduce the activity of the immune system;
- The thioguanine;
- The hydroxyurea.
The most frequent side effect of these drugs are problems with the intestinal tract of the castle square.
The course of the disease and the prevention of
A heavy course of the disease, in some extent, can influence the development of the serious conditions that threaten the health and life of the patient: a 58%, increases the risk of myocardial infarction and in 43% of stroke. The major immediate complications of psoriasis the palms of the hands and soles of the feet is the psoriatic arthritis, and dystrophy of the nails.
National medicine research center called to a number of diseases, which may depend on the skin of the pathology:
- Related autoimmune disease: Crohn's disease, celiac disease, sarcoidosis, and others;
- Eye disorders: cataracts and glaucoma, as well as infectious processes;
- Increase in blood pressure;
- Parkinson's Disease;
- Diabetes mellitus;
- Diseases of the liver and of the kidneys;
- Osteoporosis;
- Depression.
In a note.When the early treatment and compliance with the necessary recommendations, possible relapse of psoriasis can be reduced, but the skin manifestations of reduced to a minimum.
And recommended prevention measures:
- Take daily bath with natural oils, salts and mild soap, do not contain artificial flavors and dyes;
- Use a moisturizing cream to the skin (in extreme cases — twice a day), especially after receiving a treatment of water. Do not use hard towels. Simply apply to the skin a soft, dry cloth, and then use the cream;
- Receive enough sunlight. You should consult with your doctor and select "intermediate". Too weak to heat stroke will not produce noticeable effect, and it's too intense — increasing the risk of development of skin cancer;
- Avoid triggers, such as smoking, alcohol consumption, stress, and infection;
- Use the juice of aloe. You should make a lotion in the damaged areas of the skin several times a day. There are official studies that show the efficacy of this plant in the fight against inflammatory processes of the skin;
- Get no less than three grams of omega-3 fatty acids per day. Include in the diet of fish, walnuts, flaxseed oil, or use fish oil capsules. The fatty acids reduce inflammation in the body;
- It helps to take some special supplements on the basis of barberry, tea tree oil or Dead sea salt.