Statistics indicate a colossal percentage of patients with psoriasis throughout the Earth - within 3-5%. The disease primarily affects the skin, which manifests itself as red rashes with a characteristic inflammatory reaction. At the same time, the plaque is covered with silvery scales on top. The main difficulty in treating the disease is the lack of drugs for a complete cure. It is assumed that the main factors influencing the spread of psoriasis are: metabolic abnormalities, external factors, stress, and heredity. Most scientists agree that heredity plays one of the most important roles. In the presence of genetic abnormalities, any external stimulation can trigger the process of psoriasis. These may be nervous, depressive, psycho-emotional disorders, poor-quality clothing material, mechanical damage to the skin, poisoning with chemical compounds, infectious diseases, etc. Methods of treating psoriasis are reduced to the transition of the disease from acute symptoms to asymptomatic manifestations. Of greatest importance is not only the behavior of a person during a relapse, but also the prevention of psoriasis, for which prevention is responsible.
Basic methods for preventing psoriasis
Prevention of psoriasis consists of maintaining a healthy lifestyle and eliminating negative factors. At the same time, prevention has a fairly general form, that is, it allows you to prevent the development of other diseases, since the immune system is strengthened, and the body functions normally, the likelihood of qualitatively resisting environmental irritants increases. Prevention is a set of measures aimed at maintaining health in the body. There are several areas of influence that help prevent relapses: 1. High-quality skin care; 2. Stick to a diet; 3. It is recommended to have a relaxing massage; 4. Giving up bad habits; 5. Avoid stress and depression; 6. Prevent contact of caustic chemicals with skin and respiratory tract; 7. Maintain proper levels of microelements and vitamins in the body.
Medical myths. Psoriasis
Psoriasis is a relatively common immune-mediated skin disease. The main manifestation is dense flaky spots, usually localized on the knees, scalp, elbows, and back. On light skin, such areas appear redder; on dark skin, they appear violet or purplish.
The global prevalence of psoriasis is difficult to estimate, but such studies are being conducted. In particular, one of the most authoritative medical journals in the world, the British The BMJ (until 1988, the official full name was “British Medical Journal” - note by Lakhta Clinic ), in 2022 published data according to which the incidence of psoriasis varies from 0.14% among the population East Asia to 2% in Australia and the Pacific. According to other studies (PubMed database), the prevalence of this disease in Norway reaches 11.4%.
It should be noted that psoriasis, in addition to physical discomfort, causes a negative psychological state and significantly reduces the quality of life. In addition, many patients are faced with the phenomenon of social stigmatization (ancient Greek “stigma” - literally “label, stigma.” We are talking about the phenomenon of irrational, prejudiced rejection, condemnation and rejection of a person by society for the sole reason that he suffers a certain disease - note from Lakhta Clinic ). One publication states that “...stigmatizing attitudes towards people with psoriasis are widespread. This unacceptable and intolerable situation can only be overcome through targeted awareness-raising campaigns targeting paramedics and society at large.”
In support of this initiative, let's look at some of the persistent myths and prejudices surrounding the problem of psoriasis. In preparing the latest issue of Medical Myths, we have had the kind help of two experts. David Chandler is chief executive of the Psoriasis and Psoriatic Arthritis Research Alliance (UK). His compatriot Dominic Urmston is the patient advocacy and communications manager at the Psoriasis Association.
Psoriasis is contagious
Despite the amazing persistence of this idea, it is completely untrue. According to D. Chandler, “It is impossible to become infected with psoriasis, since it is an autoimmune disease. The body’s defense system in some people does not react correctly to its own skin cells, which are also produced too quickly, but this is a purely individual, non-contagious feature.”
The same fact is emphasized by D. Urmston: “Psoriasis cannot be transmitted from person to person, either through direct tactile contact or through biological fluids (for example, during a kiss, when sharing food, drinks, etc.). It is not transmitted in close crowds of people, for example, in public places, in swimming pools, saunas, etc. This is impossible in principle.”
Psoriasis is simply dry skin
“No, it’s much more serious,” says D. Chandler. “The point is not only an autoimmune attack, but also a sharply accelerated skin renewal: if normally this process takes about 28 days, then with psoriasis the renewal cycle can be reduced to 4-5 days.”
At such rates of regeneration, skin cells simply do not have time to fully mature, transforming instead into scales, which the body cannot get rid of in the usual subtle way. In addition, continues D. Chandler, “pathological changes concern the circulatory system: the vessels are closer to the surface of the skin, which leads to redness, irritation, and when scratched, to bleeding of the affected areas.”
“In the most severe cases, psoriasis manifests itself as bleeding cracking of the skin, which is a debilitating and unpleasant condition,” confirms D. Urmston. “Such lesions of the hands can make daily activities difficult and limiting, and psoriasis that primarily affects the buttocks and/or groin area can make even ordinary sitting or going to the toilet painful.”
Psoriasis – it is psoriasis, everyone has the same
This is a popular misconception or rather a lack of information. There are actually quite different varieties of psoriasis. “The most common of these,” says D. Chandler, “is accompanied by large plaques on the skin and the typical thick silvery scales.” Other types include:
Guttate psoriasis (sometimes called “raindrop psoriasis” because the areas of peeling and redness form in a teardrop shape);
- inverse or inverse psoriasis (also known as “psoriasis of the folds”: this type is typical only for those areas where there is contact and friction of the skin areas against each other, for example, in the armpits, groin or under the mammary glands in women);
- erythrodermic psoriasis (sometimes the reverse order of terms is used, i.e. psoriatic erythroderma), is a special type of psoriasis, manifested by a scaly red rash almost all over the body;
- pustular psoriasis (in this case, ulcers form, most often on the arms and legs).
Psoriasis is caused by poor hygiene
"Of course not! - says D. Chandler. “In fact, people with psoriasis take very good care of themselves, since flaky and irritated skin requires constant care.”
And even the cleanest person can get psoriasis. David Chandler further explains that many patients are forced to perform certain procedures at least twice a day, spending a lot of time on them - especially if the scalp is affected. If you skip these procedures, then it will be very difficult to return to an acceptable condition.
Psoriasis can be cured
Unfortunately, this remains a myth: to date, there is no radical treatment for psoriasis. However, intensive research is underway, and D. Chandler is convinced that such a treatment may appear in the foreseeable future.
D. Urmston adds an important detail: “psoriasis can be successfully controlled and treated symptomatically; Dermatology has accumulated an extensive arsenal of effective palliative treatments.”
Psoriasis affects only the skin
Skin lesions are the most noticeable manifestation of psoriasis, but the disease is systemic and not exclusively cutaneous. Dominic Urmston explains: “Psoriasis can affect more than just the skin. From 6 to 42 percent of patients also suffer from psoriatic arthritis, a non-infectious inflammation of the joints. The most common areas of inflammation in such cases are the knees, joints in the hands and feet, and where tendons attach to bones, such as the heel or lower back.”
As shown above, the impact of psoriasis on health and well-being is not limited to physical negative effects. In addition, the psychological state suffers significantly. “People with psoriasis [compared to the general population] are much more prone to anxiety, depression, low self-esteem and self-esteem,” says Urmston. “All of this has a very negative impact on the quality of everyday life.”
Nothing helps with psoriasis
Despite the lack of etiopathogenetic therapy, psoriasis is by no means an incurable condition. “There are many remedies that are effective in relieving the symptoms of psoriasis, depending on how intense the process is,” explains D. Chandler. – Today, various topical (local) creams, ointments, foams and gels are used. Light therapy has been developed and introduced into clinical practice. In some cases, the pathological process is controlled by oral agents and injections - and each method, of course, has its own indications and contraindications, advantages and associated risks.”
Since psoriasis is a chronic disease that accompanies a person throughout life, the patient needs to work closely with the doctor to make adjustments to the treatment plan as necessary.
Dominic Urmston: “Most people facing the problem of psoriasis begin treatment under the constant supervision and control of a family doctor, who may prescribe certain topical (applied directly to the skin) products in various dosage forms, i.e. in the form of creams, ointments, gels, etc. In more severe cases, as well as in the case of ineffectiveness of the prescribed treatment, the general practitioner should refer the patient to a specialized dermatologist, who will consider the feasibility and offer options for additional treatment, for example, ultraviolet light therapy, tablets, injections, etc.” .
Only adults get psoriasis
“Psoriasis is most common among adults, but the disease often begins in adolescence and then continues throughout life. Psoriasis also occurs in childhood, and occasionally even in infants,” explains D. Chandler.
With reference to publications in the world's most cited scientific and medical journal JAMA (“The Journal of the American Medical Association” - Note by Lakhta Clinic ), D. Urmston adds that “in all likelihood, there are two peaks in incidence: the first - from late adolescence to 30 years of age, and the second is between 50 and 60 years of age.”
Psoriasis is the same as eczema
Although the primary symptoms of eczema and psoriasis may appear to be similar dermatological problems, they are two completely different diseases.
According to the explanations of D. Chandler, “eczema is often based on an allergic reaction, unlike psoriasis. Another difference is that eczema often begins in early childhood and may improve over time.”
And vice versa: psoriasis in children is less common, but tends to persist for life.
“In addition, these diseases affect different parts of the body,” D. Urmston writes to us. “Eczema usually appears on the inside of the elbows and knees (the folds), while psoriasis most often manifests on the outside of large joints, as well as on the scalp.”
In general, eczema and psoriasis have different development mechanisms. Psoriasis is an autoimmune disease, while the etiopathogenesis of eczema may be associated with genetic, environmental and some other factors.
It should be noted, however, that some experts also classify eczema as a disease with an autoimmune component.
D. Urmston emphasizes: “Whether it ultimately turns out to be eczema or psoriasis, it is critical to contact a qualified doctor in order to develop and implement an appropriate therapeutic strategy as soon as possible.”
Psoriasis can be cured with a special diet
“No one has yet provided a single piece of evidence in favor of this or that diet that is supposedly capable of curing psoriasis,” D. Chandler tells us. “This disease occurs in waves, so if they wish, people can always see a non-existent connection between some changes in diet and changes in well-being.”
However, the expert’s response also states that “a healthy, balanced diet, maintaining a normal weight and regular exercise are recommendations that, if followed, will in any case benefit your overall well-being and health.”
D. Urmston completely agrees with this: “At the moment, there is no reliable research evidence that any dietary adjustments would alleviate the symptoms of psoriasis. However, we know for sure that obesity, alcohol and smoking aggravate these symptoms - in other words, a healthy lifestyle is necessary to control this disease.”
What to take note
To date, psoriasis cannot be completely cured, but its manifestations can be successfully controlled with palliative therapeutic control.
Anyone who suspects the onset of psoriasis should see a doctor immediately and, if the diagnosis is confirmed, begin treatment as soon as possible.
As with many other similar diseases, research into the mechanisms of development and progression of psoriasis continues. Ways to reduce clinical symptoms are constantly being improved, and one day a definitive treatment will be developed.
Based on materials from Medical News Today
For more details, see the materials “Psoriasis” and “Eczema” on our website
Skin care
High-quality and thorough skin care is necessary: 1. Periodically carry out water procedures, even during the cold season. For hot times, you can use a cool shower, douches, and during the cold season, use warm baths with the addition of soda, salt, herbs, etc.; 2. It is important to carefully care for the skin so as not to provoke irritation and cuts on it. Use soft sponges, but it is better to avoid hard ones altogether, otherwise a relapse is possible; 3. Eliminate hard soaps from use. Also prevent the ingress of solvents, such as gasoline, kerosene; 4. It is better to wash your hair with special shampoos that inhibit the spread of the disease and can act as a treatment for psoriasis. This includes shampoos, conditioners, and lotions; 5. Prevent skin cracking to eliminate the possibility of symptoms. After taking a bath or shower, it is important to moisturize the skin, use masks, creams, ointments, etc. for this. This accelerates the restoration of the hydrolipid membrane and prevents increased water loss. It is necessary to use such products once a day; 6. The humidity in the room should be at the optimal level (50-55%). If the air is too dry, the skin begins to dry out and eventually crack. Humidifiers can be used; 7. Increased air circulation increases dry skin, this applies to air conditioners and drafts. It is necessary to limit the time spent in such premises; 8. Mechanical damage should be excluded. Cuts, bruises, abrasions, and tears in the skin often provoke a relapse; 9. Chemical products, for example, for bathroom cleaning, should be used minimally and only with personal protective equipment, although even prolonged exposure to the respiratory tract is harmful; 10. Trim nails short to prevent accidental injury to the skin; 11. Some types of cosmetics contain aggressive substances, which negatively affect the skin. You may have to switch to medical cosmetics.
List of funds
The range of skin care products for psoriasis is far from complete, so it is important to choose products that do not cause irritation and do not have allergenic properties. Skin irritation can lead to Koebner phenomenon, i.e. the appearance of new plaques on irritated skin. Keratolytic products are commercially available to help remove scales, making it easier for topical medications (such as glucocorticoids and vitamin D derivatives) to reach and absorb damaged skin. Finally, for psoriasis it is necessary to use emollients (moisturizers) as they increase the elasticity of the skin and make it less rough and dry. Products based on water from thermal springs are especially suitable for this (they have emollient and anti-inflammatory properties).
Although skin care products cannot replace medications for topical treatment of psoriasis, both can complement each other. Skin care products help improve the overall condition of psoriasis patients by reducing discomfort and improving the appearance of the skin. Well-hydrated skin looks better and becomes softer, making psoriasis patients feel more confident. Thus, the use of these remedies can help in improving their quality of life.
Moisturizing body lotions
With psoriasis, the skin becomes dry and rough, and the stratum corneum of the epidermis thickens significantly. Violation of cellular processes leads to the fact that it becomes increasingly difficult for the skin to retain moisture, and it undergoes dehydration. Therefore, for psoriasis, it is recommended to use emollients that make the skin more flexible. Substances such as urea, amino acids and lactic acid, which absorb and retain water, give these products softening properties, and petroleum jelly, beeswax, vegetable oils and ceramides, which prevent skin dehydration, provide protective properties.
What are the best products to use?
It is better to use products labeled "O/W" (oil in water) on the packaging, which will not make your skin as oily as products labeled "W/O" (water in oil). Patients with psoriasis usually benefit from products designed for very dry skin and products intended for patients with atopic dermatitis. However, inflammation of the skin due to psoriasis does not always lead to dryness. Atopic dermatitis is a skin disease that manifests itself as eczema. Although some of its manifestations (especially redness and itching of the skin) resemble some forms of psoriasis, atopic dermatitis does not lead to a thickening of the stratum corneum of the epidermis.
Is there a special treatment method?
There is no specific treatment designed for different forms or stages (progressive or stable) of psoriasis. However, all patients tolerate moisturizers well, which are used after a shower and bath and have a long-lasting effect. It is believed that they can slow down the renewal of skin cells by half and prevent the appearance of new affected areas.
It is important to remember that emollients should not be used immediately before exposing the skin to UVA or UVB as they make it difficult for this radiation to reach the skin. However, they can be used the day before the procedure or the night before.
What products should I buy if I have itchy plaques?
Patients with psoriasis, especially those with itchy plaques, benefit from atopic dermatitis skin care products (rich in omega-3 fatty acids and essential fatty acids). Although a deficiency of fatty acids is characteristic of atopic dermatitis, there is every reason to believe that they are also necessary for psoriasis, since it is characterized by accelerated renewal of the epidermis.
Keratolytic agents
Skin keratinization is a normal process during which the skin is renewed by keratinocytes. Keratinocytes constitute the main cell population of the epidermis and produce keratin. With psoriasis, their functioning is disrupted, as a result of which the stratum corneum of the epidermis thickens and becomes covered with scales. Because the desquamation of keratinocytes in psoriasis is impaired, the skin becomes rougher. To combat hyperkeratosis (thickening of the skin), various substances are used, including salicylic acid, urea, and lactic acid.
Which substances are most effective?
Salicylic acid, which has a keratolytic and antiseptic effect, is an active ingredient that is part of many products used for skin irritation and peeling. Urea acts as a keratolytic and moisturizing agent. So-called alpha-hydroxy acids and fruit acids (such as glycolic and citric) have long been used in cosmetics for their exfoliating and smoothing effects, as they help remove excess dead cells. Stronger alpha hydroxyl acids (lower pH) have a more pronounced exfoliating effect. For psoriasis, only the weakest alpha-hydroxy acids, such as ammonium lactate, can be used. Keratolytics are produced in creams and emulsions; they help remove old epidermis and scales. These products are especially recommended for use on thickened and scaly skin of the body and scalp.
Most keratolytic products contain another active ingredient that helps moisturize the stratum corneum of the epidermis. These products can be used as a maintenance treatment to ensure normal skin moisture and prevent flare-ups. When the epidermis is damaged, these products soften it and make it more flexible.
Treatment for weeping skin lesions
In some cases, psoriasis is accompanied by weeping of the skin, in which the affected areas resemble bubbles located on its surface. These bubbles are filled with a colorless or yellowish transparent liquid. When they are damaged, spontaneously or due to scratching, the skin appears moist and may become crusty. In those places where the skin experiences constant friction, the bubbles reappear after they burst. The cause of weeping may be injury or inflammation.
Facial skin care
If your facial skin is not affected by psoriasis, you can use any product appropriate for your skin type to cleanse it, including soap, water, makeup remover, cleansing milk or gel. If you have acne, it is better to use mild cleansing gels. If your skin is dry, it is recommended to use soap-free cleansers, toilet soap and cleansing milk. If the skin is affected by psoriasis, it is necessary to carefully monitor its cleanliness, cleansing it morning and evening, and apply a moisturizer to it every day (or even several times a day if it is severely dry). Although there is no perfect product for psoriasis-affected skin, you should use products that do not cause irritation. You can treat your skin with mineral water vapor, which helps remove flakes and reduce redness. Dry your facial skin by gently blotting with a towel. If your skin is affected, you should avoid visiting beauty salons, and at home, avoid using masks and facial scrubs, which can increase irritation. In the absence of lesions, products with a wide variety of active ingredients (eg anti-aging) can be used if desired, as long as they are well tolerated. However, products containing vitamin A derivatives should be used with caution.
Scalp care
With psoriasis of the scalp, the skin in this area may thicken and become covered with red plaques covered with a large number of scales. To remove scales and reduce itching, it is necessary to use keratolytic shampoos that do not contain tar. The shampoo is applied to the roots of the hair and washed off after 5 minutes. After this, the hair should be rinsed thoroughly and then washed again with a shampoo suitable for this hair type. After the scalp is cleared of the lesion, it is necessary to use mild shampoos that prevent the appearance of dandruff. If you use the right shampoo, you can wash your hair daily. Keratolytic creams can be used to remove scales from the scalp. To achieve maximum effect, it is recommended to apply the cream to the scalp and leave for 2 hours, putting a shower cap on your head. In the absence of exacerbation of psoriasis, you can dye your hair, but do not wash it with hot water or dry it with hot air.
Sun protection
Although sunlight has beneficial effects on psoriasis skin, it must be protected from the harmful effects of UVA and UVB. Special sunscreens are produced for patients with atopic dermatitis, for example, Mustela SPF50 lotion for children with a high degree of protection.
The use of healing massage
Prevention of psoriasis becomes even more effective if you use massage. Massage techniques that stimulate blood circulation are considered especially useful. Thanks to active blood circulation, the removal of metabolites and toxins is accelerated, and the process of skin regeneration is accelerated, which prevents exacerbation of the disease. The massage involves using your fingers to gradually stretch the areas of skin located around the plaques. You need to cover an area of 2-4 cm around the affected area. You shouldn’t touch the plaques themselves, as this can worsen the disease. To prevent the appearance of new plaques, you can massage the whole body. Mostly you need to treat the back, then move on to massaging the limbs and finally the abdomen. The chest responds well to squeezing and rubbing. The duration of the procedure is 10-15 minutes.
Types of psoriasis
- Simple. Diagnosed in 85% of cases. There is redness in areas of the skin with white scales. This type of psoriasis is often found on the scalp. The skin under the scales is easily injured; wounds can bleed and cause pain.
- Back. Appears in folded areas: under the breasts in women, in skin folds, armpits, inner thighs, external genitalia.
- Pustular. This type of psoriasis causes clear blisters to form. There is red, inflamed skin around the pustule.
- Rupeeodny. In addition to the presence of plaques, this species is characterized by acute inflammation of the epidermis. The skin under the plaques is pink and wet.
- Teardrop-shaped. It is distinguished by a large number of small bubbles of red or purple color. They are shaped like dots or drops. This type of psoriasis appears on the arms, head, neck, shoulders, back, and thighs.
Is psoriasis transmitted?
This is a common question that concerns patients and their families. The disease is not contagious, since its cause is not associated with pathogenic microorganisms. It is assumed that psoriasis can only be transmitted genetically, that is, when there is a genetic predisposition. Psoriasis on the nails is often a concern for healthy people. After all, the patient touches any surface. However, there is no need to worry.
Proper nutrition and diet
Nutrition plays a vital role in preventing the development of almost all chronic diseases, psoriasis and its prevention is no exception. There are some diet plans that can produce positive results, such as the Pegano diet, but the essence is the same and involves eliminating harmful substances. It is because of the negative impact of food that relapses occur. This is justified by the fact that liver damage in psoriasis is a characteristic course of the disease. 1. Avoid fried, spicy, salty and pickled foods at all. Also exclude canned food; semi-finished products can be consumed in small quantities, but only homemade. Eat perishable foods with caution. All this worsens the process of food processing in the gastrointestinal tract; 2. You cannot eat citrus fruits, as they are considered highly allergenic fruits. Citrus fruits also contain colchicine, which destroys folic acid, which in turn is one of the important components of skin regeneration; 3. It is not recommended to eat corn; 4. Relapses are possible due to bananas, mangoes and strawberries; 5. It is forbidden to eat sweets, as well as flour products; 6. Eating potatoes is acceptable, but the quantity should be greatly reduced. This is due to the high potassium content. By reacting with sodium, they have an antagonistic effect on calcium. Calcium is important for eliminating the inflammatory response; 7. Fatty meats should be minimized; these primarily include pork and lamb. Replace with more dietary varieties of meat; 8. Highly allergenic foods are considered: eggs, tomatoes, coffee, chocolate, honey, and mushrooms; 9. Dairy products are healthy because they contain a lot of protein and fat. It is recommended to include cottage cheese, milk, fermented baked milk and cheese in the diet. Thanks to the most important amino acids, the course of biochemical reactions throughout the body is normalized. At the same time, the high calcium content helps eliminate inflammation, as well as allergic manifestations; 10. Treatment and prevention of psoriasis responds well to eating foods of plant origin, such as vegetables, fruits and herbs. However, they should be eaten raw. Carrots have beneficial properties thanks to vitamin A. This component leads to the normalization of metabolism in the skin and helps to perform faster regeneration; 11. The diet should include porridge every day. The most useful cereals are: wheat, oatmeal and buckwheat; 12. For the fastest treatment of psoriasis, you need to drink a lot of fluids, this includes juices, water, including mineral water, teas, etc.; 13. If you have intolerance, prevent the consumption of allergens. This nuance is determined with the help of the attending physician.
How do the properties of skin affected by psoriasis change?
Image: brgfx / freepik.com Skin affected by psoriasis is characterized by accelerated renewal of the epidermis.
Normally, complete renewal of epidermal cells requires 3-4 weeks, but with psoriasis it takes only 4-7 days. Due to dehydration, the skin becomes dry and less elastic. In addition, it becomes prone to inflammation, which is why the plaques appearing on different parts of the body, especially on the arms, legs, torso and scalp, are reddish in color. Usually the plaques are covered with thin whitish scales. Psoriasis is a chronic disease with a wave-like course, usually occurring after 15 years. Photo: polubiatka / freepik.com
Quitting alcohol and smoking
There is no reliable data on whether alcohol can provoke the disease. However, it is known for sure that in patients with already developed psoriasis, the course of the disease is greatly aggravated by drinking alcohol. It is also possible to generalize the usual, vulgar form of the disease into a more severe one, for example, psoriatic erythroderma. Regarding smoking, everything is somewhat simpler. It has been noted that it can provoke both the disease itself and aggravate the current form of the disease. People who consume 20 or more cigarettes per day are especially at risk. The main problem is a decrease in the activity of the immune system due to oxygen deficiency and weakening of muscle tone and vascular walls. It is also important that smoking worsens blood circulation through the capillaries, as well as suppression of antioxidant protection.
Causes of psoriasis on the body
Psoriasis is a very unpleasant disease for everyone who suffers from it. The disease manifests itself in the form of red spots on the body, covered with white crusts, itching, burning, and inflammation of the skin.
The disease is explained by a violation of cell renewal. The body does not work correctly in this direction, too many skin cells are renewed - as a result, psoriasis appears.
Skin cells become more like scales, they become coarse, flake, and look like white spots on the skin, which attracts attention and brings moral and aesthetic inconvenience to the patient.
Most often, psoriasis is localized in visible places - elbows, knees, and maybe even on the face. Many people who have not encountered this disease fear that the patient is contagious.
In fact, this disease is not transmitted in any way, but the risk of having a child with psoriasis in an already sick parent increases noticeably, although a direct relationship has not yet been proven.
The main advice to patients is to eliminate symptoms by all available means, visit the doctor more often and follow all his recommendations. Then the disease will progress noticeably easier, all symptoms will disappear and the quality of life will increase.
Healthy lifestyle
A healthy lifestyle is one of the fundamental factors that influence the well-being of the skin. It is important to have a good daily routine, including getting enough sleep. Doctors advise getting out into nature more often, getting fresh air, going to the sea, resorts, and sanatoriums. Physical activity allows you to restore a healthy state of the body, which is the main factor in preventing disease. Sports activities are excellent, especially fitness and swimming. This set of measures allows you to strengthen the immune system, as well as eliminate nervous tension.
Antistress
Psycho-emotional disorders and tension negatively affect the course of the disease and very often provoke its occurrence. Of primary importance in prevention is the normalization and stability of the emotional state and nervous system. You should try to eliminate external irritants as much as possible. Ancient practices like yoga and meditation, as well as extra sleep, can help with this. In more severe situations, they use sedatives or use herbal teas. If psoriasis involves disorders of the nervous system - headaches, sleep disturbances, nervousness, then the use of medications is possible. Effective - motherwort, valerian, Nervo-Vit. They allow you to normalize your sleep patterns, increase your immune system, and improve your resistance to stress. It’s difficult to achieve results without making your own efforts; you need to take everything more calmly.
Use of vitamin complexes
Vitamins have an extremely beneficial effect not only on the course of the disease, but also on its prevention. Thanks to a strong immune system, it is possible to prevent relapse; at the same time, metabolism improves, which has a beneficial effect on the condition of the skin. Important vitamins are: 1. A – it is responsible for keratinization, which significantly accelerates skin regeneration; 2. E – mainly valued for its antioxidant effects. It also prevents deviations in metabolism and acts as an integral part of DNA synthesis; 3. D – is a regulating substance for the exchange of phosphorus and calcium. At the same time, it stimulates regeneration in the epidermis and normalizes the membrane and cellular structure; 4. Group B – actively participate in skin metabolism, improve the process of oxygen absorption. The skin elements respond favorably to the presence of B vitamins, which is reflected by the normalization of the nervous system. Most often, foods high in vitamins or medications are used. Recommended are Undevit, Hexavit, and Decamevit, but they should be used based on the doctor’s recommendations.
How to choose a shampoo for psoriasis?
Scalp psoriasis appears as red patches (plaques) on the scalp. Over time, they begin to itch first and then peel off. The plaques can range from small and invisible to outsiders to covering a large area of the head, including the forehead, the area behind the ears, and the back of the neck. Therefore, scalp psoriasis is not only a health issue, but also a matter of beauty and neatness - detached scales get stuck in the hair and fall on clothes, which creates a completely unpresentable image.
Scalp psoriasis
Choosing a shampoo for psoriasis may not be as easy as it seems at first glance. Since products from different manufacturers contain different medicinal ingredients, as well as other additives, the patient may experience skin irritation or an allergic reaction if the wrong shampoo is used for psoriasis. The correct shampoo for psoriasis, capable of satisfying all the patient’s needs and without causing side effects, can be recommended by a supervising dermatologist.
In addition, do not forget that this disease requires an integrated approach: cream, ointment, spray, lotion, gel and other forms of drugs are used simultaneously. Although all of the above forms can be used in treating the scalp, it is easier, more convenient and generally preferable to use shampoo for psoriasis. In addition to being easy to apply and distribute over the scalp, the shampoo cares for the hair, and the medicinal substances are quickly absorbed.
Shampoo for psoriasis is used according to the instructions to obtain the best effect. First, you need to wet your hair generously with warm water. Then apply a little shampoo and lather well on the hair, gently rub the shampoo into the scalp with your fingertips. Without rinsing off the product, collect your hair under a shower cap and wait 5-10 minutes (depending on the manufacturer’s instructions). Rinse your hair with warm running water and, if necessary, repeat the procedure from the very beginning. Hair must be dried with a towel; using a hairdryer and fixatives can provoke an outbreak of the disease. Shampoo for psoriasis is usually used 1-3 times a week for a month.
Shampoos may contain the following active substances: zinc pyrithione, selenium disulfide, allantoin, birch and willow tar, naphthalan oil, ichthyol, magnesium salts, keratin, salicylic acid, resorcinol, extracts of string, celandine, St. John's wort, juniper, sophora, herbal and essential oils.
Shampoos for the treatment of psoriasis, depending on the composition, can relieve inflammation and irritation, eliminate microorganisms from the surface of the skin, regulate sebum secretion and the process of cell renewal, improve blood supply to tissues, stimulate the healing of psoriatic plaques, and remove dead skin particles. In addition, all medicated shampoos are made from components that do not damage the protective layer of hair.
Shampoos with pine, birch, juniper, and coal tar are highly effective. It has an antipruritic, anti-inflammatory effect, removes excess sebum and dead skin flakes, suppressing the proliferation of fungi. However, some patients may experience dry skin, so tar products should be used with caution. It should also be noted that preparations with tar have a specific smell, which not everyone likes.
Multi-component medicinal shampoos have a powerful multidirectional effect. For example, “Losterin” shampoo has the ability to relieve itching and inflammation, restore the natural lipid protection of the skin and damaged areas, sanitize wounds, nourish and moisturize the skin. This is facilitated by deresined naphthalan, Japanese Sophora extract, burdock root and a complex of oils - almond, sunflower and flaxseed.
Climatotherapy, ultraviolet rays
Ultraviolet irradiation has a beneficial effect on the course of psoriasis and its prevention. Patients are prescribed sunbathing for 5-10 minutes; combustion is unacceptable. Sea water also has a positive effect, especially from the Dead Sea, although this indicator is individual, but on the contrary, it is harmful for some. Skin wounds are a contraindication to swimming in sea water. During an exacerbation, you should not swim. The time for climatotherapy should be adjusted individually. When sunbathing, you need to use protective creams. Your doctor will be able to tell you whether sunbathing will have a beneficial effect, otherwise there is a high risk of exacerbation of the disease.
What you need to know about psoriasis: causes, symptoms, treatment and complications
How to cure psoriasis once and for all is a common question for doctors. Only remission can be achieved. Psoriasis on the face is especially troubling for patients. To minimize its manifestations, you need to exclude risk factors and follow your doctor’s recommendations. Therapy is selected strictly individually, medications are changed periodically. This is necessary due to the rapid addiction to them and the reduction of their effect. Psoriasis on the elbows and other parts of the body can be treated with corticosteroid ointments. They are especially used in the acute stage of the disease, and then switch to non-hormonal drugs to fix the state of remission. “I treat psoriasis on my own” - this approach to this disease does not justify itself. Typically, therapy is prescribed by doctors using:
- physiotherapy (ultraviolet irradiation);
- plasmapheresis to remove toxins and autoantibodies;
- drug therapy.
The role of nutrition in treatment
Psoriasis on the head, elbows, and legs can be controlled with nutrition. The patient's menu should consist of 70-80% alkali-forming foods - fruits. It is recommended to eat apples, bananas and melons separately from everything else, not combining them with anything else. The situation is similar with citrus fruits. They should not be consumed in combination with whole grains. Acid-forming foods are also a good cure for psoriasis. This category includes: meat, potatoes, beans, cheese, grains, sugar, cream, etc. How to treat psoriasis with an appropriate diet is easier to predict and plan. It is recommended to include broccoli, fish, kefir, milk, bran, buckwheat in water, green vegetables, and lamb in the menu. Diet for psoriasis is a good enhancement to therapy.
Home remedies
Psoriasis requires treatment under the supervision of a doctor, but home remedies can help relieve symptoms. It is recommended to take baths using St. John's wort, celandine, and sage. A compress of water and soda (1 tablespoon per 30 ml of boiled water) will help reduce itching. Treatment with folk remedies will help to go from start to finish and put psoriasis into remission, but it requires consistency and regularity. You can take baths with baking soda before bed. For this you will need 1 kg. After the procedure, you need to generously lubricate the body with fatty cream. Over-the-counter ointment for psoriasis can be expensive and have side effects. But it can be replaced with healing mud from the Dead Sea, which is also on sale. An effective natural remedy can put psoriasis into remission when used systematically during an exacerbation.
Cloth
Such a factor as high-quality and suitable clothing is one of the principles of preventing psoriasis or its relapse. It is recommended to use soft fabric clothing made from natural materials, preferably in a light color. This will avoid injury to the plaques and reduce pain on the skin. A light color will help make silver scales less noticeable. Linen, cotton and other soft fabrics are optimal for bed linen. You should avoid wearing woolen sweaters and similar irritating materials.
