The palms and soles of the psoriasis affects the palms of the hands and soles of the feet, and the disease is incurable auto-immune disease condition.
Psoriasis on the palms and soles of the feet, as well as the localization process of the scalp is one of the most common forms of the disease. It accounts for about 14% of the cases a pathological condition of the skin.
The reasons for the development of the disease
Although the Palms and soles of the psoriasis is not a special reference to age years 15-35 years has been the highest frequency of developing the disease. There is a link with ethnicity. It is reported that a person of caucasian nationality over the age of 50 years significantly increases the risk of developing this disease.
The exact cause of pathological conditions is not fully understood and is still considered, that the disease is an autoimmune disease process. In normal operation, the immunity of the person be protected against various foreign agents, viruses, allergens, protozoa and other micro-organisms.
When psoriasis occurs the fault of the body, the immune system starts to produce aggressive substances against its own cells and tissues. The excessive number of T-lymphocytes (key cells of the immune system) and macrophages leads to the development of an inflammatory response and excessive proliferation of skin cells, when observed typical symptoms and the appearance of hyperkeratosis.
Note! Hyperkeratosis is an excessive thickening of the epidermis — the outer layer of the skin.
Some studies show that minor role of the factor of heredity. For example, about 10% of the population inherit the genes associated with psoriasis and only 3% of them develop the disease. As statistics show, the presence of other, more fundamental causes of the disease.
Other risk factors include:
- Stress and emotional lability (including sensitivity).
- Smoking and drugs.
- Background-a disease that affects the immune system.
- Infections, frequent injuries and wounds on the palms and soles of the feet.
In 2006, the study found the relationship of skin diseases treatment of heart diseases and other conditions: hypertension, diabetes and hyperlipidemia.
The results of the tests in the end were not clear. Complete understanding of all the processes, the research topic will continue, and more research is needed.
Triggers the disease (the factors that affect the pathology, but not causing it directly) can be the following:
- Sunburn;
- Insect bites;
- The effect of allergens.
- Common bacterial infections, such as pneumonia or a sore throat;
- Viral diseases, such as HIV infection;
- An inflammatory condition of varying severity: bronchitis, nasopharyngitis;
- Severe alcohol poisoning;
- Obesity.
The diagnosis of Palmar and plantar psoriasis
Although the rapid development of modern medicine, is still the establishment of, psoriasis, on the palms it is possible to visual inspection of the skin doctor without special equipment. Medical examination is based on "psoriatic triad", whose manifestations have been detected with a light scraping of the scale affects the parts of the body.
Doctor to pay attention to the history of the disease, as some people constantly take medications can be triggers condition:
- Indomethacin and other non-steroidal anti-inflammatory drugs (nsaids);
- Lithium and antimalarial drugs;
- Sudden discontinuation of corticosteroids;
- When penicillin, hydroxychloroquine.
In severe cases, a comprehensive examination, which includes laboratory blood tests and ultrasound scanning, as well as the exclusion of a fungal infection using mycological diagnosis. If the certificate is questionable biopsy damage to the skin.
The symptoms and the first signs of the Palms and soles psoriasis
Among the main types of the disease has five variations. Thus, 90% of the cases observed visual feature of the clinical picture.
Looks like the Palms and soles psoriasis? The patient's palms and soles of the feet as defined in psoriatic plaques, red scaly patches of thickened skin, prone to peeling. Centers person feels itching, fever, and pain of varying intensity; in some cases the skin is broken and bleeding.
Affect the formation of nails:
- The nail plate can occur for defects, holes;
- The nail is thickened and discolored;
- It deforms.
The palms and soles of the disease occurs as part of the whole process, but is limited to only the skin of the palms and feet. Psoriasis soles makes it difficult to walk and wearing shoes. Damage to the hands can not only prevent the execution of any work, but also impose a negative impact on relationships with people. Ordinary situation, like a welcome hand, can be difficult, causing embarrassment and social situation of man, until the development of social phobia.
A distinctive feature of this form of the disease is present in varieties of process, which can be called the following conditions:
- The palms and soles pustular psoriasis of the Barber;
- Purulent psoriasis;
- Pustular rash.
Mentioned disorder of the skin causes the formation of clusters (clusters) in different pustules in the region of plaques. In general, such as rashes are very similar to normal pimples. It should be noted that such disease is take easiest method to treat and often requires an integrated approach in therapy.
Note! Pustular psoriasis, on the palms and soles require treatment with antibacterial drugs, when you join a bacterial infection.
Stage the Palms and soles psoriasis
As with all forms of pathological process, the Palms and the soles of localization is characterized by three clinical stages:
- In the early stages. The appearance of lesions on the hands and feet. The paintings have a characteristic red hue, may be purulent whitish inclusions; the patient worries intense itching. The lesions coalesce into large pockets. Their number depends on the individual characteristics of the disease.
- The stage of stabilization. The condition does not progress, the new pathological factors are not formed, but the old is still intact. Itching gradually subsides, and the color of plaque becomes less bright.
- The final stage. Involved in the regression of the elements, the itching is gone. Treatment is supportive either excluded altogether; offered recommendations to maintain remission and prevent relapses.
In some cases, the disease is classified as a element of skin rash:
- Normal form — a typical manifestation of the skin;
- Horny form must be accompanied by hyperkeratosis and the typical red spots a little, or they do not exist;
- Form Of Barbera.
Treatments
The palms and soles of the psoriasis is a chronic disease, which can occur repeatedly, regardless of the treatment. However, there are treatments to achieve reduction in terms of acute and extended withdrawal.
The main treatment is trying to prevent the rapid growth of the cellular elements, which lead to the development boards is to make anti-inflammatory therapy. An alternative technique provides immediate removal of the scale.
Because the skin on the palms and soles of the feet is thickened, even in healthy people, treatment of this localization is often associated with a combination of techniques and a more aggressive impact damage.
First, psoriasis, palms and soles is assigned to local treatment in the form of gels, creams and lotions:
- Vitamin D analogues;
- Ointments based on corticosteroids;
- Retinoids;
- Anthralin;
- Special resin;
- Salicylic acid;
- Moisturizer reduce swelling and relieve inflammation.
The most common side effects are irritation, dryness and thinning of the skin. Extras can be light therapy:
- Natural uv radiation from the sun;
- Artificial uv radiation using a special device;
- Excimer laser;
- Photochemotherapy.
It is important to know!Very important to a smooth transition to the natural light treatment. It is recommended to start with 5-10 minutes of direct sunlight a day. After this you can gradually increase the exposure time to 30 seconds per day.
Drugs for the treatment of Palmar and plantar psoriasis
The palms and soles of psoriasis treatment includes oral medications more severe form of the disease:
- Methotrexate;
- Retinoids;
- Cyclosporine;
- Biological drugs, which reduce immune system function;
- Thioguanine;
- Hydroxyurea.
The most common side effect is called drugs are a problem in the gastrointestinal tract.
Disease and prevention
Severe course of the disease to some extent, can affect the development of serious diseases that threaten the health and the lives of patients: 58% higher risk of myocardial infarction and 43% of the stroke. Major immediate complications, psoriasis, palms and soles is psoriatic arthritis and nail dystrophy.
National medical research center identified a number of diseases, which may depend on the skin condition:
- Associated autoimmune conditions: Crohn's disease, celiac disease, sarcoidosis, and others;
- Eye diseases: cataracts and glaucoma, and infectious processes;
- High blood pressure;
- Parkinson's Disease;
- Diabetes mellitus;
- Diseases of the liver and kidneys;
- Osteoporosis;
- Depression.
Note.With timely treatment and compliance with the necessary instructions and possible relapse of psoriasis can be reduced, and the skin-symptoms minimize.
Recommended preventive measures:
- Take a daily bath natural oils, salts and mild soap, with no artificial flavorings and colorings;
- Use moisturizer for the skin (in severe cases — twice a day), especially after receiving water treatments. It does not use hard towels. Simply apply to the skin with a soft, dry cloth, and then use the cream;
- To get enough sunlight. You should consult with your doctor to choose the "Golden mean". Too weak solar radiation does not bring a significant impact, and too strong will increase the risk of skin cancer;
- Avoid triggers such as Smoking, alcohol use, stress and infection;
- Use of aloe juice. You have to complete the ointment on the damaged skin several times a day. There are official studies that prove the effectiveness of this plant in the fight against inflammation of the skin;
- Get at least three grams of omega-3 fatty acids per day. The diet include fish, walnuts, flax seed oil or take capsules of fish oil. Fatty acids help to reduce inflammation in the body;
- To help get some special additions on the basis of barberry, tea tree oil or Dead sea salt.