The periods of remission under the influence of the dysfunction of the factors (violation of diet, hypothermia, stress) will change the acute episodes, it is difficult amenable to treatment. The manifestations of the disease may pursue the individual throughout the life. Therefore, it is important to know what the symptoms are is declared the psoriasis in the initial phase of development, as well as the timely detection of problems will depend on the effectiveness and success of the treatment.
Psoriasis in the initial phase of the cause of the disease
One of the main reasons that cause the psoriasis is considered a genetic predisposition. The probability of suffering from the parents will give their disease to a child, is very large. In addition, they are distinguished by a number of factors can cause the appearance of psoriasis:
- Disorder of the function of the immune system
- Transferred to the infectious diseases
- Endocrine diseases (a disorder of the function of the thyroid, diabetes mellitus)
- Stressful situations
- The predisposition to allergies
- The long-term use of medications
Features seats the location of the eruption in the psoriasis are the hands, the elbows, the trunk, the part of the head. But sometimes bullosa strikes the surface of the limbs, groin region and armpits. Taking into account the causes of the disease, the specialists divide the disease into two main types:
- The psoriasis of the first type. Occurs in children and adolescents on the background of genetic predisposition. The transfer of the psoriasis on inheritance can occur in 3-4 generations. More than 60% of patients with psoriasis have family members who suffer from this ailment.
- Psoriasis of the second type. Occurs in people over 40 years of age. In this case, the onset of the disease is not associated with the heritage or failures in the functioning of the immune system. The sick in the first place, the involvement of the joints and the nails.
As can be seen psoriasis in the initial phase(of the photo, symptoms)?
The clinical picture of the initial phase of the disease is characterized by the sudden outbreak and the appearance of eruptions on the surface of the hands, feet, elbows, trunk, scalp.The initial phase of psoriasis in children is sometimes erroneously approved by the manifestations of the allergy. Eruptions of the younger children may appear in unusual areas, or in those parts of the body that are exposed to friction from clothing. This is the deception of the disease, as the correct and timely diagnosis will depend on should continue the treatment.
The main element of the eruption is the pustule (pimple) of reddish-pink colour with round in shape with well defined edges. They tend to coalesce and form plaques in different shapes and sizes. The plates are grey covers for the discs that separate easily. In terms of expenses of the skin is usually swollen and edematous. The appearance of the rash may be accompanied by itching.
When it is damaged the papules appear specific symptoms, which carry the name of the psoriaticheskoj of the triad, and that allows to diagnose the disease.
- The phenomenon of the stearinovogo of the stain. If you damage the plate surface becomes white, the scales that cover the education of exfoliation, and is similar to a crushed drop of stearin.
- The phenomenon of a thermal film. When the future is damaged papules and the removal of refund, you will receive a bright red surface.
- The phenomenon of blood dew. If you continue to scrape the plates on their surface, act small drops of blood, that demonstrate the hemorrhage.
In some cases, the initial phase of psoriasis can be ehkssudativnymi phenomena. When this scales to absorb the exudate (seroznuyu liquid) and converted into a husk. If the crust, remove, under it they stay moist areas of the skin. These phenomena are dangerous for the possibility of accession to secondary bacterial infection. The progression of the disease the plaque that may extend up to large dimensions and take over large areas in the body of the patient.
The initial phase of psoriasis (the acute phase) may last for several weeks. Its duration largely depends on the general state of health, the resistance of the body, the treatment tactics.
The location of the disease in the hands
One of the most severe forms of psoriasis artropaticheskaya, which affects the hands, the skin between the fingers, the hand, the palm of the hand.Psoriasis in the initial phase in the hands begins with the appearance of rashes on the skin, blends in red dry patches. With time, the rash spreads, it flakes appear gray. The skin on the palms of the hands and the fingers are thick, inflamed, and cracked. The disease can affect to deform the joints of the upper and lower extremities, leading to swelling, pain, difficulty of movements. In consequence, develops psoriatic arthritis, threatening, invalidity and disability.
Psoriasis on the hands leads the sick person to the mass of psychological and physical problems, and is difficult to treat. In some cases, develops nail psoriasis, in which the patient produces the detachment of the surface of the nail, up to the total of your loss. Apparently, this form of the disease resembles an infection.
When the psoriasis on the palms of the hands the skin becomes inflamed, thickens, its top layer becomes rough and with time it covers a painful cracks. The foci appear round or oval plates of bright red color with the light and the layers that separate easily. These swellings are clearly visible in the background of the health of the skin and delivery to a sick man of considerable psychological discomfort, because they can't hide under clothes.
The skin of the hands looks swollen, rough and dry. Appear of education, similar to the corn, decorative border, the bezel, can communicate with each other and form large enough areas of defeat. In the absence of treatment a lot of skin can break, forming painful cracks. All of these manifestations markedly reduce the quality of life of the patient and will deliver a lot of distressing minutes.
Psoriasis on the elbows
The more frequent the location of the rash are the elbows. Psoriasis in the initial phase in the elbows is characterized by the appearance of eruptions, sporadic of different diameters, which tend to rise. With time, the elements of the eruption coalesce, forming large plaques and the hoarding of large surfaces. The plates are covered with silvery scales, that easily separate.
Psoriasis is different undulating nature of the current, in which the periods of remission alternating with periods of worsening. The return of the disease usually occur in winter. During a pause inflammation of the elements in the elbows become less visible, little red and can even disappear completely. In its place remain the discoloration of the skin.
Psoriasis on the elbows most often in the ordinary form (vulgaris) psoriasis is characterized by rising above the skin of the platelet color red, with rounded shape and clear boundaries. When this is observed a tendency to the union of the platelets and the formation of large red patches, covered by grey albums.
In some cases, the elbow and psoriasis is observed in the form exudative. It is characterized by the appearance of extensive of the pit of the plots with scaling, and the allocation of exudate. Scales to absorb the exudate and on the surface of platelets are formed by the rough bark. The general condition of the patient worsens, it is possible the accession of secondary infection, the appearance of the inflammation, the temperature, the itching and burning of the skin.
Psoriasis in the head
Psoriasis of the scalp quite common. The nature of the disease can be easy, characterized by small foci and heavy, that covers all the skin of the head, and even go beyond the line of growth of hair. In the cases in the pockets of the defeat placed on the forehead, the neck, in the area of the ears (see photo).
Psoriasis is the initial stage in the head accompanied by itching and irritation of the skin. Help the patient to unravel the platelet, observed abundant desquamation of the return, it produces dandruff. Permanent damage leads to the appearance in the skin in small abrasions and cracks, where it can easily penetrate the infection.
The progression of the process appear plates of large dimensions, becomes rough and thickened skin. The scales also increase in size and are separated in the form of white flakes. It held the largest increase of the agony of itching, the skin loses elasticity and is easily damaged to the peinadura.
Follow the progression of the disease leads to that in the pit plots appear gray scales that cover the skin under the hair. The lack of timely treatment leads to a greater dissemination of the process and to the defeat of the skin behind the line of growth of hair.
If at the beginning of the disease of the platelets a little and pale, as if erased, by the progression of the disease rash grows, plaques increase in size, become bright and they blend with each other When the psoriasis in the head, the hair does not fall out, even in the case of extensive injuries and heavy during the disease.