3 phases of cyclic development of psoriasis

Stage of psoriasis has certain intervals, and the disease acquires the characteristics. Many patients mistakenly called the severe or mild form of the disease, but the medical term that is used in the second sense.

What are psoriasis are level

stages of psoriasis

Psoriasis is recognized as a recurrent disease of the skin, a phenomenon that blame genetics. According to estimates dermatologists who suffer from this disease at least 2% of the population, and therefore there is a problem, is very important. In psoriasis clearly different 2 States:

  1. Repeat. This term refers to the deterioration of the skin. At relapse, the patient, who suffers from itching, pain, burning sensation, rich in skin rashes, irritation and discomfort. The position of the victim makes it difficult to insomnia, neurosis and anxiety.
  2. Release. This word is used to refer to the improvement of the appearance of the skin. In remission, the skin becomes normal color, the redness disappears, and the area of the psoriatic plates is reduced.

Stages of psoriasis partly overlap with the description of the remissions and recurrences, so many dermatologists use these words as synonyms. In clinical practice, is described in 3 stages of psoriasis:

  • progress stage;
  • in the stationary;
  • stage of the regression.

Given the fact that this is a cyclical process, the degree of sequence flow into each other and form a continuous course of the disease.

Fact! The most serious health condition is considered to be progress stage.

What is the progress of psoriasis?

In the stage of progress triggers a number of triggers, for example, the cold season or stress. In some cases, even an experienced dermatologist can not uniquely identify the trigger. In the advanced stage the following will happen:

  1. Psoriatic tubers develop rapidly, striking the skin, they are connected in the so-called panels, that flake and itch. Pad the spot of any shape, usually round or oval, sometimes with an uneven edge.
  2. Papules, that is, some nodules psoriatic rash, are a seal on the skin. The edge of the papules do not peel, and the Central part of the – flakes. As soon as you accumulate large amounts of dead skin scales and plaques begin to rise above the surface of the skin. Even more convex and the rough look gives them the swelling.
  3. For this phase of the pathology characterized by izomorfnaya reaction which is a worsening of the rash, when the skin injuries, scratches, pricks, cuts, micro-injuries. This phenomenon bears the name of the Kobnera.

For advanced stages of psoriasis the characteristic of slow response. In some cases, the rashes on the skin, which appear after about 9 days after exposure to triggers (e.g., food allergen). In a typical psoriatic rash appears within a day of exposure to adverse factors.

Interesting! 95% of patients who have one or another food intolerance, which may start a recurrence. To avoid any complications should be to keep a food diary and observe the reaction on the different types of food.

Dormant and recessive stages of the

The stationary phase is called the period of psoriasis, in which the victim's condition is relatively stabiliziruemost. When the stationary phase:

  • Psoriatic panels have a smooth contour. The entire surface of the panel is covered with a thick layer of scales which are easily shed. Itching and discomfort involved in the moderation. Around the papules no bright red, inflamed ring.
  • Microtrauma of the skin does not notice the emergence of Kobnera, i.e. to comb or reduction of healthy skin, but not in plaque.

Regressing or recessive stage is characterized by mass lesions in psoriasis. First around the papules, you may have noticed, pseudoatrophic rome, and then the patients notice immediate cessation of exfoliation of the skin, the formation at the site of plaques of hyperpigmentation.

The severity of the pathology

psoriasis

An additional diagnostic criterion is the assessment of the area of psoriatic lesions. For the description uses the term "severity". Dermatologists distinguish 3 severity of diseases of the skin:

  1. Easy. Psoriatic panel lasts from 1 to 3% of the total area of the body. The small size of the affected area does not mean that the patient feels well. Psoriasis of the head or face, another pair of panels will be enough to cause a person pain and suffering.
  2. Average. The total body volume of the psoriatic lesions is 3 to 10%. It affects the back, chest, and outer surfaces of the joints, scalp, arms, and legs. Such prevalence leads to severe poisoning and severe syndrome. The patient may fully or partially lose health, poor mental condition, and nervous system.
  3. Heavy. The disease, which covers more than 10-15% of the surface of the skin. It is estimated that if psoriasis is more than a quarter of the total surface area of the body, greatly increases the likelihood of liver or kidney failure. Decompensated damage to internal organs may cause death of the patient.

To comprehensively assess the severity of psoriasis uses a special scale called the FEED. The scale takes into account:

  • the percentage of the healthy and the diseased skin;
  • phase pathology;
  • the response of patients to treatment with medicines;
  • individual downloading of psoriasis (mental status, complications of the nervous system and psyche);
  • the objective laboratory analysis data from the dynamics (for example, the amount of uric acid in the blood).

In the diagnosis takes into account all the symptoms that affect the status of the person with psoriasis. In the health record reflects intensity:

  • itchy processes of the skin;
  • redness;
  • swelling;
  • redness;
  • thickening of the skin;
  • exfoliation;
  • the flow of blood;
  • swelling;
  • infection;
  • pain, syndrome.

On the scale FEED amount of the skin lesions, which is described by the digits from 0 to 72, where 0 means the absence of skin symptoms, and 72 is large, the maximum possible, the spread of the disease.

Caution! For the patient, which is first of all important to know and monitor signs of deterioration. With the onset of adverse symptoms, should immediately visit a dermatologist, because psoriasis is not always included in the stationary phase. A relapse can last for decades.

Treatment of psoriasis depends on the phase of the

For each stage of the disease has developed its own complex therapeutic interventions, so the first thing that a dermatologist provides, progressing psoriasis, stabilized or regressed.

To discharge ends, each affected with psoriasis guesses on their feelings. If the itching increases, the skin is looking worse, and psoriasis clearly is divided on the surface of the body – it is necessary to start treatment. Therapy for the advanced stage, has the following features:

  • The patient is prevention of further deterioration, strictly adhering to a diet, refrain from triggering the pathological process (stress, Smoking, alcohol).
  • With a strong itching you can use antihistamine drugs, additional benefits of this class of medications is to relieve the swelling of the psoriatic plates.
  • The dermatologist called a wide range of local resources for treatment, softening and thinning of the skin. The decision of the doctor, selected creams, ointments or sprays. The positive dynamics gives tar soap and solidolovye compresses. You can also apply compresses or apply cosmetics with Dead sea mud.

The main task at this stage is to stop the escalation before the disease enters into a long repeat. According to the testimony of the doctor picks up corticosteroid injections or ointments.

Caution! Corticosteroids need to use a short and intensive course under the supervision of the dermatologist. You can do the injections or smear is antihistamine ointment.

Therapy stationary and regressing stages

cleaning blood

Follow-up by the dermatologist dependent on the body's response to the selected treatment. The following scenarios are possible:

  1. Medicines have a positive effect. Within 1-2 weeks the psoriasis is the stationary phase, regresses and starts to release.
  2. Medicines have no effect. If after 2-4 weeks from the date of appointment of the course of medicinal products, the results are still not visible, is the reason for the change in either the list of medications, or attending physician.
  3. Medications that cause deterioration. Such dynamics is also possible, especially if the doses or frequency rate of reception is not enough. A recurrence of the delay, the psoriatic plates, covers a large area of the body, the person needs treatment in a hospital.

In the conditions of medical institutions to use, more powerful tool for the treatment of, for example, automatic cleaning of the blood. Under favorable reactions, psoriasis, included in the stationary phase, which can last from a few days to a few months.

Interesting! More than 80% of patients notice a seasonal exacerbations. This means a disease that is predictable and allows you to prepare for the start of the re-use.

The list of medicines in stationary and regressing stages is exactly the same, but the dosage and frequency rate of reception is less than at an advanced stage.

The remission length in 10-15 years

Competent dermatologist puts before itself the following task – to pick up such medical and physiotherapeutic means, which will give the patient a lot more improvement. In this case, the patient would greatly contribute to the treatment, avoid triggers and take medications. If the Alliance of the patient and the doctor, which was successful, the duration of remission is unlimited. Stable, good health can last 15 years or more.