Psoriasis symptoms

Psoriasis

Psoriasis is defined as a common chronic dermatitis, characterized by the presence of prominent red spots on the skin and silver-colored scales, and the main cause of psoriasis is still unknown, but researchers believe that genetic, environmental and immune factors play A role in infection, and this disease is considered an autoimmune disease, that is, it develops when the immune system malfunctions in a way that harms the body, by the action of active T cells that stimulate the production of skin cells at a rate ten times the normal rate, and from It is worth noting that the symptoms of psoriasis may appear in any part of the body, such as: hands , feet, nails, eyelids, ears, mouth, lips, and in skin folds, ^{[1] [2]}But it appears in different areas of the body, according to what was mentioned in a study published in the Journal of Rheumatology or Rheumatology in 2018. It is both elbows, knees, scalp, navel abdomen , lumbar region and in the back more areas where symptoms appear. ^[3]

To learn more about psoriasis, you can read the following article: ( What is _ psoriasis_ and what_ it is treated ) .

The main goal of treating psoriasis is to stop the abnormal rapid growth of skin cells, and the treatment of psoriasis varies from person to person depending on the severity and location of the injury and the type of psoriasis that the patient suffers from, and the doctor may recommend a treatment and then recommend another treatment if the first treatment does not work, and in general There are many different treatments for psoriasis, such as topical treatments that are used in moderate to moderate cases of psoriasis, such as: moisturizers, coal tar, and vitamin D analogs .And topical corticosteroids, and in more severe cases may be used in conjunction with systemic or phototherapy treatments, and phototherapy includes exposing the body or the affected area to rays, which may be natural - meaning sunlight - or artificial, such as ultraviolet rays. With systemic treatments, drug injections and oral treatments, examples of which are: methotrexate, and retinoids. ^{[4] [5]}

To learn more about psoriasis treatment, you can read the following article: ( What is the treatment of psoriasis ) .

Psoriasis symptoms

Psoriasis is accompanied by the emergence of many symptoms , and the general symptoms of the disease are the appearance of dry, thick, and prominent patches on the skin usually covered by white to silver-colored scales that cause a feeling of itching, and other symptoms of psoriasis vary according to its type, location, and area of ​​the affected area, and the details of these will follow. Symptoms by type of psoriasis: ^[6]

• Psoriasis Allohristih: , is the most prevalent types of psoriasis, according to what he referred to the American Academy of Dermatology Association , the prevalence of psoriasis tablets ranges between 80-90%; The most important characteristic of this type is the presence of plaques of thick, protruding skin that may be covered at times with dry white scales tending to silver color, and it is worth noting that these plaques differ in the area they cover, and small plaques may combine to form other larger plaques, and these appear. The plaques are usually found on the scalp, elbows, knees and lower back, but this does not rule out the possibility that they may appear in any other part of the body.
• Psoriasis raster: , when the incidence of this type of psoriasis on the skin , small protrusions scaly tends to color to the pink color suddenly, and show these bumps on the legs, arms, and trunk basically, with the possibility of facial injury, scalp, And ears, and it is worth noting that this type of psoriasis is more common among infected children and young adults; Like a sore throat, for example, and it is good that this type of psoriasis is often considered temporary. Its symptoms disappear on their own without resorting to any type of treatment within weeks, months, or after the infection is eliminated, but it should be noted that in some cases, guttate psoriasis symptoms may persist for life.
• Psoriasis reverse: , also called Besdwih flexures , where they appear soft , smooth patches may be covered with a white layer tilted to a silver color sometimes in places where the skin folds such as the armpits, genital areas, Bends of the buttocks, and under the breasts, and this type of psoriasis may cause the appearance of cracks at the site of the infection that may lead to pain and bleeding, and due to the sensitivity of the site of this type of psoriasis, it may cause bacterial or fungal infections , and it may cause irritation in the area as a result of scratching Severe and sweating. ^[7]
• Psoriasis pustular: , is this type of psoriasis of rare species, studies have shown a strong between smoking link , and this type of psoriasis, is the emergence of spread on the skin red spots, this situation develops within hours, appears protrusions Filled with pus, and when these bumps dry up, brown spots appear on the skin, and it is good to mention that these bumps disappear within several days, but they may appear again in some cases, and pustular psoriasis may cause severe pain to the injured, and it may cause many symptoms in some Rare cases such as high temperature, headache, muscle weakness, ^{[6] [8] [9]} and these bumps are common in the soles of the hands, feet and fingers, and it is rare for pustular psoriasis to affect children; It usually affects adults, and this condition may appear repeatedly among members of the same family. ^[10]
• Psoriasis roasted skin: , is this kind of types of psoriasis is uncommon, but very severe, that has caused a change in body chemistry and, in general, the symptoms of psoriasis reddish skin may appear suddenly or gradually, and include these symptoms what comes : ^[11]
  • Severe redness in most areas of the skin with severe itching and pain.
  • Skin peeling off in large patches.
  • Blisters
  • The skin appears as if it has been burned.
  • Increased heart rate.
  • Variation in body temperature.
  • Skin swelling, especially around the ankles, and joint pain.
• Squamous nails: , exposed nails injury psoriasis in most cases due to the incidence of other types of psoriasis , including 35% or due to the incidence of psoriatic arthritis including 86%, according to what indicated by studies conducted at the National Psoriasis Foundation , and symptoms of nail psoriasis include the following: ^[12]
  • Holes in the nail.
  • Deformation of the shape of the nails.
  • Thickening of the nails.
  • Discoloration of the nails, as they appear brown or yellow, and it may appear as if the nails are exposed to a fungal infection.
  • Nail loosening, as the nail separates from its place.
• Psoriasis scalp: , affects this type of psoriasis , the entire scalp or parts thereof, may extend to infect the ears, neck, and the front of the head, and is moderate cases , including the appearance of scaly skin patches are small in size, and in severe cases , which is suffering the injured From dryness and scaling of the scalp, in addition to the appearance of red blisters, and the feeling of the presence of burning in the area, and in some cases hair loss in the affected areas, but this symptom is temporary, and the patient suffers from severe itching, which causes bleeding and infection. ^[13]
• Psoriatic arthritis: It is a type of arthritis that may affect people who suffer from psoriasis, and it is of two types; The first is moderate in severity, affecting four or fewer joints, and the second type, known as polyarticular, is more severe, and affects four or more joints, and in general, psoriatic arthritis of both types may be accompanied by the emergence of many different symptoms and signs such as Enlargement of the fingers and toes, a feeling of pain in the hands and feet, in addition to the possibility of suffering from lower back pain, as this type of psoriasis causes a condition called spondylitis; It is a condition represented by arthritis between the vertebrae of the spine in addition to the possibility of arthritis between the spine and the pelvis if it develops into a condition called sacroiliitis. ^[14]

To learn more about the types of psoriasis can read the following article: ( One_alsdwih ) .

Psoriasis symptoms when pregnant

Mostly psoriasis does not affect the ability of women to pregnancy and childbearing, however, should tell the doctor in charge of injury psoriatic even before planning for pregnancy, so as to achieve full health care during a special pregnancy, it is worth recalling the need to avoid triggers psoriasis to reduce the occurrence of donations as much as possible, ^{[ 15] In} fact, some women showed a marked improvement in psoriasis symptoms during pregnancy, while others' cases worsened, and a percentage of them did not feel any change in symptoms during pregnancy, as indicated by a study published in JAMA Dermatology in 2005 The percentage of women who feel the improvement of psoriasis symptoms during pregnancy is estimated at 55%, while the percentage of women whose symptoms have worsened is 23%, and finally, the remaining 21% of their symptoms have worsened, and therefore it is difficult to predict the course of the disease during pregnancy . ^[16][17]In the context of talking about the symptoms of psoriasis during pregnancy, it should be noted that there is a rare case of psoriasis that may appear during pregnancy, known as pustular psoriasis of pregnancy, short for PPP, and it usually appears in the beginning of the third trimester of pregnancy, and is the appearance of Inflamed areas of the skin, especially in the areas of skin folds, such as: the armpits, the thighs, and under the breasts, in addition to the appearance of pimples, and these pimples can spread in different parts of the body, but they do not usually affect both the face, the soles of the feet, and the palm of the hands. Often this condition appears in mothers with psoriasis before pregnancy, or with a family history of psoriasis, and it may affect mothers who did not suffer from psoriasis or one of their family members, and pregnancy psoriasis may be accompanied by the emergence of many other symptoms, such as:Diarrhea, delirium, fever, and fatigue. It should be noted that women with this type of psoriasis should receive appropriate treatment as soon as possible because of its effect on the health of the mother and the fetus.^[17]

Tips to reduce psoriasis

We mention below a set of daily precautions that the patient may take into account to alleviate the symptoms associated with psoriasis, and to promote healing from the disease: ^{[5] [18]}

• Maintaining the moisture of the skin to relieve itching , redness, and dryness, by applying a suitable moisturizer, and it is worth noting that the available pharmaceutical forms of moisturizers are different, and the choice is made between them according to the extent of the dryness of the skin; It is preferable to apply moisturizer in the form of an ointment after showering; Ointments are a good option for dry skin because of their dense texture and their ability to prevent water from evaporating from the skin, and attention must be paid to the need to choose moisturizers so that they are free of perfumes, taking care to apply moisturizer more than once during the day, especially on cold or dry days.
• Exposure to the sun in moderation, 2-3 times a week, after consulting a doctor; Exposing the affected skin to sunlight in excess of the need will negatively affect the symptoms of psoriasis, and it may also increase the chance of developing skin cancer, while noting the need to use sunscreen creams to protect the unaffected skin.
• Daily showering with warm water to help get rid of dead skin, scales, relieve itching, and inflammation, with attention to using soap that has a gentle effect on the skin and avoiding the use of hot water, and it is generally recommended to stay in the bath for a period of 10-15 minutes, with Emphasis on drying the body by patting it and not by rubbing, and it is worth applying a moisturizer on the body in abundant quantities to relieve the feeling of itching, immediately after the completion of the shower.
• Quit smoking and abstain from drinking alcohol.

References

1. ↑ "Psoriasis" , dermatology.ca , Retrieved 27-11-2019. Edited.
2. ↑ "About Psoriasis" , www.psoriasis.org , 2019-10-23, Retrieved 2019-11-27. Edited.
3. ↑ "Psoriasis in special localizations" , www.ncbi.nlm.nih.gov , Retrieved 16-12-2019. Edited.
4. ↑ Jacqueline Payne (2019-12-3), "Psoriasis" , patient.info , Retrieved 2019-12-12. Edited.
5. ^ ^{A b} Mayo , Clinic Staff (2019-3-13), "Psoriasis" , Www.mayoclinic.org , Retrieved 2019-12-8. Edited.
6. ^ ^{A b} "Psoriass: Signs And Symptoms" , Www.aad.org , Retrieved 2019-11-28. Edited.
7. ↑ "Inverse Psoriasis" , www.webmd.com , 2018-10-16, Retrieved 2019-12-4. Edited.
8. ↑ "Types of psoriasis" , www.mayoclinic.org , Retrieved 17-12-2019. Edited.
9. ↑ "How cigarettes and alcohol affect psoriasis" , www.psoriasis.org , Retrieved 17-12-2019. Edited.
10. ↑ "Pustular Psoriasis" , www.webmd.com , Retrieved 17-12-2019.
11. ↑ Jenna Fletcher (2019-2-19), “Erythrodermic psoriasis: What you need to know” , www.medicalnewstoday.com , Retrieved 2019-12-4. Edited.
12. ↑ "Managing nail psoriasis" , www.psoriasis.org , Retrieved 17-12-2019. Edited.
13. ↑ MaryAnn De Pietro (2018-9-19), “What to know about scalp psoriasis” , www.medicalnewstoday.com , Retrieved 2019-12-4. Edited.
14. ↑ "Psoriatic Arthritis" , www.webmd.com , Retrieved 26-12-2019. Edited.
15. ↑ "Psoriasis and Pregnancy: What to Know" , www.webmd.com , Retrieved 26-12-2019. Edited.
16. ↑ Jenny E. Murase, MD; Kenneth K. Chan, MD; Thomas J. Garite, MD (2005), "Hormonal Effect on Psoriasis in Pregnancy and Post Partum" , jama dermatology , Page 601-606. Edited.
17. ^ ^{A b} "How does psoriasis affect pregnancy?" , www.medicalnewstoday.com , Retrieved 22-12-2019. Edited.
18. ↑ "7 Tips for Psoriasis Skin Care" , www.webmd.com , 2019-11-15, Retrieved 2019-12-8. Edited.