Psoriasis on the hands - a chronic skin disease, which is not fully understood, to date, there has been no special shift in the search for effective treatment.The pathology of the onset of psoriasis on the hands is up to 80% of the total number of this type of disease. Psoriasis spots, or plaques, can affect any areas of the skin.
On the one hand, psoriasis on the hands does not threaten the patient's life. However, if you start treatment and bring the disease to severe form, it can provoke serious complications, which are no longer so harmless. For example, psoriasis can affect the main joints of a person, lead to the emergence of psoriatic arthritis, adversely affect the work of the musculoskeletal system.
These consequences can eventually lead to disability and disability status. It is difficult to treat psoriasis on the hands, nevertheless, with qualitative complex treatment it is possible to significantly increase the period of remission.
Causes
What it is? Thanks to scientific research, there are many hypotheses for the appearance of this skin disease. However, it is not yet possible to establish the causes of the disease with complete certainty. According to the scientific formulation,
there are two alleged causes of psoriasis:- autoimmune form;
- dysfunction of the skin.
The autoimmune form of psoriasis manifests itself in the unsystematic production of various substances that damage the skin. The second reason for the appearance of psoriasis plaques is the maturation of unnecessary cells, torn off by a healthy tissue. There are some assumptions that psoriasis has a hereditary causal relationship.
The main provoking factors, leading to the onset of the disease, are:
- diseases of the digestive tract (especially the liver and intestines);
- hormonal ailments (decrease in melatonin level, increase in the concentration of growth hormone, prolactin, insulin);
- burdened heredity (psoriasis, diagnosed in previous generations);
- allergic mood of the body;
- skin diseases (allergic, fungal, etc.);
- skin trauma (including insect bites and tattoos);
- stress, exhaustion of the nervous system;
- infection (HIV, children have frequent ARVI);
- taking medications;
- exposure to the skin of hands of chemically active agents (household chemicals, external medicines, etc.);
- toxic effects on the body (alcohol, smoking);
- childbirth in women.
Psoriasis on the hands entails not only aesthetic discomfort, but also problems of a physiological nature, since with this the disease is likely to atrophy of small joints, and, consequently, to reduce their efficiency and sensitivity.
This insidious disease can affect both the hands and the skin between the fingers and palm. It is important to begin to treat psoriasis at the initial stage, that is, when the first signs appear. Otherwise, the risk of psoriatic arthritis and spread to other parts of the body increases.
Symptoms
Psoriasis on the hands and its symptoms develop gradually. In the initial stage, papules appear in the areas of extension. They are small and flat, rise on the skin. Covered by white scales, which easily lag behind.
For the further development of psoriasis on the hands are characterized by such signs:
- if you tear off the scales, then the peeling increases.
- exfoliate the film covering the papule.
- there are small blood points (dropping bleeding).
- Nodules develop, expand, acquire large sizes.
- there are plaques.
Psoriasis on the hands can be different: in the form of single spots of different sizes or detachment of the nail until its complete loss. The disease is accompanied by swelling near the joints and on them. The skin on the hands is dry, cracks and inflammations appear on it
Psoriasis on the hands: photo
How does psoriasis look on your hands, including in the initial stage, you can look at the photos presented.
Than to treat psoriasis on the hands
In the case of the appearance of psoriasis on the hands, treatment is complex, since local and general therapy is used, as well as compliance with diet and regimen. When appointing drugs and procedures, the doctor must determine the stage and form of the disease, in order for the treatment to be really effective.
How to treat? The complex of therapeutic measures includes:
- General treatment- the patient is prescribed antihistamine and soothing drugs (Zirtek, Claritin), the use of immunomodulators. Also, the administration of drugs to improve immunity (Likopid and others), vitamins A, B, C, D.
- Local treatment- the patient is prescribed anti-inflammatory ointments (salicylic), relapsing drugs (ichthyol ointment, sulfur tar). Preparations for improving the work of the digestive tract (Linex, Polysorb). Possible use of corticosteroid ointments (Flucinar, Sinaflanc, Fluorcort).
- Physiotherapeutic treatment- Widely used methods such as paraffin applications, PUVA therapy, UV irradiation.
- Therapeutic diet- an obligatory factor in the treatment of psoriasis on the hands, palms, elbows, etc.
In the initial stage it is very important not to lose time to address to competent specialists who are familiar with the nature of psoriasis and can provide qualified help. Patients with this disease often need psycho-emotional correction and counseling of psychologists. To relieve tension sedatives are prescribed, funds with a mild hypnotic effect.
Ointments for the treatment of the initial stage
The tactics of treating the initial stage of psoriasis are gradually changing. Significantly reduced the use of cytostatics and hormonal drugs that have serious side effects. For relief of acute conditions specialists prescribe aromatic retinoids and non-hormonal preparations of local action (ointments, gels, sprays).
Non-hormonal ointments are widely used:
- Salicylic ointmentremoves the dead skin layers, softens it, makes possible a deeper penetration of other drugs. Apply it to the limb every day until the desired effect is achieved.
- Anthralinreduces the activity of cell division, thereby contributing to the smoothing of the plaque.
- Naftalan Ointment(like sulfuric) eliminates the sensation of itching, which sometimes causes a lot of inconvenience to the patient.
If the above drugs do not work, then the treatment is hormonal. To those include ointment Flumethasone, Triamcinolone, Acetonide and others.
PUVA therapy for psoriasis
PUVA-therapy - photochemotherapy treatment of psoriasis. The method is based on the use of ultraviolet and photosensitizers, which increase the sensitivity of the skin to UV irradiation. For complete cleansing of the skin from psoriatic plaques, up to 20-25 treatment sessions are required.
PUVA-therapy is used most often with eukssudativnoy, vulgar forms of psoriasis, including the localization of foci of inflammation in the palms. The method is effective at 85-90%.
See also the VC group on psoriasis.
Relapse prevention
This disease has properties to progress and subside, so this should always be remembered and adhere to certain preventive measures:
- Hand skin should be moistened as often as possible;
- avoid exposure to chemicals;
- to observe the correct diet, excluding nicotine and alcohol;
- to use complexes of vitamins.
It is worth remembering that with psoriasis of the feet it is necessary to maintain a moisture balance, since too dry skin legs can begin to crack, which is the primary source of psoriasis, because the skin is traumatized. In addition, the skin of the legs should not be too greasy, because it can also aggravate the disease.
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