Private Akdeniz Sifa Konyaalti Hospital
Precautions That Can Be Taken
Psoriasis (Psoriasis) often occurs on the knees, elbows, trunk and scalp. It is a skin disease that causes skin lesions of pink and red color, covered with white or silver scales. Psoriasis is popularly known as "Psoriasis" because the dandruff layer of white color is at the forefront of the lesions Dec It is a chronic skin disease. There is no definitive cure for psoriasis, but it can be helped to reduce symptoms by managing the disease. Psoriasis is not contagious. Although it is unclear what causes the problem with the immune system, it is believed that this disease is caused by an immune system problem that causes the skin to regenerate faster than normal rates. What are the symptoms ? In this disease, itching is observed primarily at the sites of lesions. Often complain of itching, which occurs as a result of lesions on the scalp, inguinal folds or on the legs. Another complaint is pain, especially when there are heavily inflamed plaques on the legs, when the palms or soles of the feet are affected, or when psoriasis appears on the nails. Itching and pain can significantly affect the patient's daily life. Psoriasis (Psoriasis) has more than one type in itself, and each type has similar characteristics to each other, but gives significant different symptoms. The type of the disease should be carefully decided in the process of diagnosis and resort to a course of treatment in this direction. Types and symptoms of psoriasis: Plaque-type psoriasis: the most common clinical type of psoriasis is plaque-type psoriasis, typically the scalp, torso, elbows, and knees on the number of circular plates large oval, has a large amount of flaking. Psoriatic arthritis develops in at least 15% of these patients. Psoriasis on the nails: This disease, which can affect both the fingernails and toenails, can cause pitting of the nails, discoloration and abnormal nail growth. It can occur in various severity. Despite the aesthetic and functional effects caused by this disease, it has not been sufficiently discussed in the literature, so there are few studies investigating the clinical and epidemiological characteristics of this disease. Guttate psoriasis: Guttate psoriasis is observed on physical examination in the form of numerous, small, scattered papules and plaques. These papules are called "drop-like". This type of disease is more common in children and adolescents than in adults. It is classically triggered by streptococcal infection( pharyngitis and perianal). Reverse psoriasis: This type of disease, which is also difficult to recognize and treat, affects the armpits, groin and genital areas. However, a sudden reverse psoriasis that begins especially in adults can be an indicator of HIV. Pustular psoriasis: This disease, which can be widespread and localized, appears as a large number of separate or combined superficial, yellowish pustules. When the age distribution is examined, it affects infants in the pediatric age group and mostly adults between the ages of 40 and 50 in the adult age group Dec Erythrodermic psoriasis: This type, which is a rare and severe variant of psoriasis, is manifested by clinical manifestations covering at least 75% of the body surface area. Psoriatic arthritis: This disease, which includes joint tissue, joints and skin inflammation, was initially considered a mild disease, but later it was observed that abrasive and deforming joint complications developed in 40-60% of patients. What are the conditions affecting the disease and what are the precautions that can be taken? Most people who are prone to psoriasis may not have any symptoms for many years until their disease is triggered by environmental conditions. Among the causes that trigger this disease are the following examples Dec: Infections such as throat and skin infections, Skin injury such as cuts, abrasions, or skin injury by surgery, insect bites, or severe sunburn, Stress, Streptococcus or another infection that affects the immune system, Especially cold and dry weather conditions, Smoking, exposure to fumes and excessive alcohol consumption, Some prescription drugs. Keeping a life and paying attention to these substances, taking into account these elements and risk factors that can trigger the disease, is one of the most effective methods that can be done to prevent this disease. In addition, family history also has a big role in the development of this disease. The presence of people with psoriasis in the family also increases a person's risk of developing this disease. There are a number of genetic markers that cause cases of familial psoriasis, some of these markers are associated with psoriasis that occurs earlier and more intensively. Diagnostic Methods For the diagnosis of the disease, physical examination takes precedence - which includes the examination of bare skin. In suspicious cases, a skin biopsy may be required. In addition, if the patient complains of joint pain, in this case, a complete joint examination can be performed by a rheumatologist. Some cases of psoriasis may exhibit similar characteristics as other skin diseases, so if the doctor doubts the diagnosis, he can do a skin biopsy. There is normally no blood test to diagnose psoriasis, but in some cases blood tests can also be done to determine if there are any side effects to the drug recommended for treatment, for example. Treatments Although there are many treatments for psoriasis, which is a chronic disease, it should be remembered that none of these existing treatments radically improves the disease, so psoriasis lesions may reappear when treatment is stopped. Apart from medication, there are many applications aimed at reducing a person's harmful habits. For example, stress is one of the important triggers of psoriasis. Therefore, these patients are recommended meditations and exercises to control the condition. Because overweight people are more likely to respond negatively to treatments, patients are advised to maintain a correct weight, and patients are asked to avoid a sedentary life. In addition, quitting tobacco and alcohol use is recommended as a recovery measure for all psoriasis patients. Depending on the severity of the person's rash, the areas where the rash is located on the body, the patient's age and general health, psoriasis can be alleviated with some creams and ointments recommended for use by the doctor. In some cases, when these treatments do not work, it may be necessary to resort to other methods. For example: Light treatments that use UV light to reduce inflammation Methotrexate medication, Retinoids, a drug related to vitamin A, Cyclosporine, Biological agents. These treatments are treatments that are used for serious psoriasis problems and have really important side effects, so they should only be applied under the supervision of a doctor. Biological agent treatments Biological agents are new drugs. It is applied in severe forms of psoriasis and can be applied only in patients who have not responded to at least two classical systemic treatments. Depending on the drug, it can be injected subcutaneously or given directly into a vein. While the complications of biologic therapies may have mild infections such as colds, in some cases, pneumonia, tuberculosis or other serious infections may be seen; in rare cases, neurological disorders, heart failure, autoimmune diseases and skin rashes can be seen. Uzm. Dr. Kortan KUZUCU
Dermatologist
