Psoriasis psoriasis symptoms treatment mooci

Psoriasis is an inflammatory skin disease that typically causes itchy skin rashes over the course of a lifetime. Those affected also often suffer psychologically from discrimination and exclusion by others. Psoriasis is not contagious at all, but is caused by a hereditary predisposition. A cure for psoriasis is not possible – but with the right measures, the course of the disease can be significantly improved. Here you can find out everything you need to know about psoriasis.

Last updated: 6. December, 2021

TABLE OF CONTENTS

What does medicine understand by psoriasis??

Psoriasis – also known as psoriasis – is one of the most common chronic inflammatory skin diseases. It can only occur in people who have a hereditary predisposition to it and is therefore not contagious. Medicine distinguishes between various forms of psoriasis, with psoriasis vulgaris being by far the most widespread type.

What are the symptoms of psoriasis?

Psoriasis usually progresses in phases and manifests itself in red, scaly skin rashes and itching. The so-called plaques can appear anywhere on the body, but mainly on the scalp, arms, legs, back, buttocks and intimate areas. In addition, psoriasis is a great psychological burden for many sufferers.

How to treat psoriasis?

With certain medications for external and internal use, the symptoms can be alleviated and the relapses can be delayed. Common active ingredients include cortisone, dithranol, salicylic acid and acitretin. Phototherapy can also help, as UV rays have a certain positive effect on the skin. However, a complete cure for psoriasis is not possible.

What can I do myself with psoriasis??

Basic for the therapy of psoriasis is good skin care. Protect your tie from unnecessary irritation. Regularly apply moisturizing creams or creams that moisturize the skin. Short sunbaths and a change in diet can also contribute to an improvement in the course of the disease. Many sufferers also talk to psychologists or other sufferers to help them cope better with psoriasis.

What is the prognosis for psoriasis??

Psoriasis often affects not only the skin, but also causes damage inside the body. For example, psoriasis can lead to arthritis, diseases of the cardiovascular system or metabolic disorders. However, these complications are rare, especially if the patient is under medical treatment. But psoriasis is not curable.

What causes psoriasis?

The cause of psoriasis is a genetic predisposition. Due to a defect in the immune system, the epidermis of psoriasis patients renews itself almost ten times faster than in healthy people. The severity of the symptoms and the frequency of relapses depend on certain internal and external risk factors. These include, for example, infections, hormonal changes, skin irritation, obesity and stress.

How to detect psoriasis?

General practitioners and dermatologists can easily recognize psoriasis on the basis of typical symptoms. If punctiform skin bleeding occurs when removing the lowest scale layer of the rash, the suspicion is usually already confirmed. In order to differentiate psoriasis from similar diseases, the analysis of a skin or blood sample can also be useful.

How can I prevent psoriasis??

By certain preventive measures you can reduce the complaints and relapses. Avoiding certain foods, alcohol and nicotine, for example, can have a very positive effect on the course of the disease. You should avoid stressful situations if possible, or at least learn to cope with them better. You can also prevent the outbreak of psoriasis by taking good care of your skin.

Does the health insurance cover the costs of psoriasis treatment??

Whether the health insurance covers the costs for the treatment of psoriasis depends on the severity of the disease and the chosen therapy methods. For many services, the social insurance agency contributes something, but you also have to pay a part of the amount yourself.

Psoriasis is a chronic inflammatory skin disease. It is not contagious, but is caused by a hereditary predisposition and certain risk factors. Psoriasis usually progresses in relapses.

The typical symptoms of psoriasis include itching and sharply defined, red and slightly protruding patches on the skin. For those affected, the disease also often represents a great psychological burden.

Psoriasis is treated with certain medications for external and internal use. Light therapy can also help to alleviate the symptoms. But a complete cure of psoriasis is not possible.

By following certain dietary rules, avoiding stress and abstaining from alcohol and nicotine, you can delay psoriasis flare-ups and avoid worse symptoms.

What does medicine understand by psoriasis??

Psoriasis is known in medical terminology as psoriasis. It is a chronic inflammatory skin disease. It is not contagious – this means that only people who have a hereditary predisposition to psoriasis can develop it. Various internal and external factors can cause psoriasis to break out or worsen. Those affected suffer primarily from episodic skin rashes and severe itching. In addition, the red, scaly patches on the body often represent a great psychological burden for the sufferer. The course of the symptoms can be alleviated by certain behavioral rules and medications – but a complete cure for psoriasis is not yet possible.

How many people have psoriasis?

Psoriasis is one of the most common chronic skin diseases. About
two to three percent of the European population are affected. The predisposition for psoriasis always exists from birth.

This means that already infants and small children can show the typical rashes. As a rule, however, the symptoms only appear between puberty and the age of 40. The first time psoriasis appears at the age of. In some patients, the first outbreak of the disease occurs at an even older age – but this happens rather rarely.

The probability of having a predisposition to psoriasis does not depend on gender. Women and men are equally affected by psoriasis.

Is psoriasis contagious?

Many people believe that psoriasis is contagious and therefore avoid contact with those affected. But this is completely unnecessary, because psoriasis cannot be transmitted from person to person. So it does no good at all to distance yourself from sufferers – this only causes them to suffer even more psychologically.

The actual cause of psoriasis is a hereditary predisposition. If you have them, the disease may break out as a result of various internal and external influences.

What forms of psoriasis are there?

Not all psoriasis is the same – in reality there are several types of the disease. Medicine usually differentiates between these types on the basis of the localization and the severity of the symptoms. Depending on where on the body the symptoms occur and what exactly the affected skin areas look like, doctors therefore distinguish between the following important forms of psoriasis:

Psoriasis vulgaris: The German name for psoriasis vulgaris is common psoriasis. Since it accounts for about 80 percent of cases, it is considered the most common form of the disease. It is manifested by permanently scaly and itchy skin rashes that can reach a diameter of about ten centimeters. These so-called plaques occur mainly on the elbows, the kneecaps and in the buttock crease. If the head is affected, doctors speak of psoriasis capitis. In about 50 percent of cases, this form of psoriasis also leads to damage to the nails. In rare cases, the inflammation can even spread to the entire body – this is called psoriatic erythroderma. Psoriasis vulgaris can also be divided into type I and II – depending on whether it is already in adolescence or only between the 35. and 60. Occurs during the first year of life.

Psoriasis pustulosa: In this rather rare form of psoriasis, pus-filled blisters form on the inflamed areas of the skin. Often psoriasis pustulosa occurs as a result of a bacterial infection. Mostly it primarily affects the hands and feet, but in severe cases the pustules can also spread over the whole body. Psoriasis pustulosa can occur either alone or in combination with common psoriasis.

Psoriasis arthritis: One in five patients with psoriasis vulgaris type I develops inflammation of the joints. These swell, sometimes hurt very badly and can only be moved to a limited extent. Doctors speak of psoriasis arthritis or psoriasis arthropathica in such a clinical picture.

Psoriasis inversa: Psoriasis inversa or intertriginosa occurs mainly in body folds. Therefore, the armpits, the back of the knees, the buttocks and groin folds, as well as the intimate area, among others, are often affected. In women, this form of psoriasis can also appear under the breasts. The diseased areas are reddened, but usually do not have scales, as these fall off due to the permanent friction of the skin.

Psoriasis guttata: This type of psoriasis usually follows an infection with certain bacteria – so-called streptococci. It manifests itself in small red spots, which are spread over large parts of the skin, and severe itching. Psoriasis guttata often affects children and adolescents. Either it heals completely after a few weeks or months, or it subsequently turns into chronic common psoriasis.

What are the symptoms of psoriasis?

In most cases, psoriasis manifests itself in sharply defined, reddish and slightly protruding spots on the skin, which doctors call plaques. At the beginning they are often rather small and punctate, but in the further course they enlarge in many cases.

Then it can sometimes also cause severe itching. The superficial skin flakes off easily, but the deeper ones settle on the tie. If you try to remove them by scratching, small bleedings usually occur.

As a rule, psoriasis does not cause pain. However, those affected often suffer psychologically from the conspicuous rash and the strong itching. In addition, they often have problems with the nails. The psoriasis can cause yellowish or brown discolorations and depressions to form on the skin.

On which parts of the body can psoriasis occur?

Basically, psoriasis can occur anywhere on the body. However, there are certain areas where plaques are more likely to form than others.

These include, for example, the scalp, arms, hands, legs, feet and soles of the feet. On the limbs, symptoms are predominantly seen on the elbows and knees. On the face, the spots often occur on the eyebrows and eyes.

Large rashes often cover the entire back, chest or abdomen. Body folds such as those on the buttocks, in the genital area and under the armpits are particularly affected by psoriasis inversa. In addition, the fingers often suffer as well-. Toenails under psoriasis. In the long term, the skin disease can also have negative effects on the joints, cardiovascular system and internal organs such as the liver.

psoriasis psoriasis symptoms treatment mooci

What is the course of the disease in psoriasis??

The course of the disease can not be described in general terms for psoriasis. The disease can take on very different forms depending on the individual – even within a family. Psoriasis progresses in relapses in most sufferers. The symptoms break out again and again due to various stimuli. In between there are usually also phases in which no symptoms are noticeable. In this clinical picture, doctors speak of a chronic course of the disease. On the other hand, in rare cases psoriasis can occur only once.

How to treat psoriasis?

The course of psoriasis can be improved by medical treatment, so that relapses occur less frequently and the symptom-free phases last longer. In addition, certain active ingredients can help to alleviate the current symptoms, such as the rash and itching. However, a complete cure of psoriasis is not yet possible.

If the symptoms are not so severe in your case, usually only an external form of therapy is required. This means that you get creams, gels, lotions, bath additives or shampoos with which you can treat your skin. The most common active ingredients are cortisone, dithranol, calcipotriol, tacalcitol and calcitriol, salicylic acid, urea, lactic acid as well as primecrolimus and tacrolimus. These slow down the formation of scales. Have an additional anti-inflammatory effect. The doctor decides which remedies are actually used, depending on the individual situation of the patient. Often he has to change the medication after a certain time, because some of the mentioned active substances – for example cortisone – should not be used permanently.

If, on the other hand, you suffer from moderately severe or even very severe psoriasis, external treatment is often not sufficient. In this case, an internal therapy is also necessary, in which you receive medication in the form of tablets or injections. These typically include substances such as acitretin, ciclosporin, methotrexate (MTX), fumaric acid esters, etanercept, uteskinumab, infliximab or adalimumab. The exact mode of action varies depending on the product – but basically all of them help to suppress the onset or worsening of psoriasis.

A common misconception is that tonsillectomy can help with psoriasis. There are no scientific studies that prove a connection between this measure and an improvement of psoriasis.

How does light therapy work for psoriasis??

UV rays often have a positive effect on the symptoms of patients with psoriasis. However, this is only true if the skin is not overexposed to them. Therefore, many doctors recommend controlled light therapy or phototherapy as an effective method against psoriasis. The physician treats the tie with a special device that emits UV rays in a specific wavelength. In order to strengthen the effect of the light therapy, he often orders a bath in salt water beforehand or applies a cream with psoralenes to the affected skin areas. This combination of different methods is called balneo-therapy or photo-brine treatment in medicine.

Another way to improve psoriasis is laser therapy. This is particularly suitable for removing stubborn plaques on demarcated areas of the body. But this procedure is much more costly. More expensive than conventional light therapy. For this reason, health insurance companies do not usually pay for laser therapy. If necessary, you have to bear the costs yourself.

psoriasis psoriasis symptoms treatment mooci

What can I do myself with psoriasis??

You can also do a few things yourself to improve psoriasis. Good skin care is essential. Regularly apply lipid-replenishing or moisturizing ointments to your skin so that the tie never dries out too much. Despite the itching, you should never scrape off the scales of existing rashes – this only aggravates the symptoms.

In addition, you can alleviate the symptoms with the help of sunbathing. UV rays have an anti-inflammatory effect. Support thereby the healing of the skin. But always keep your stay in the sun short. Always use a cream with a high sun protection factor. Otherwise, sunburn can occur, which can lead to new outbreaks of the disease and an increased risk of skin cancer.

Psoriasis can also be psychologically very stressful. Don't be afraid to talk to other people about your condition. You can turn to family members, friends, a psychologist or a self-help group, for example. Many sufferers find the exchange of information with others particularly helpful.

What diet has a positive effect on psoriasis?

If you adhere to certain dietary rules, the symptoms of psoriasis can improve and the outbreaks can be reduced. The optimal diet for psoriasis patients contains hardly any foods and drinks that fuel inflammatory reactions in the body. You should therefore limit your alcohol, nicotine and meat consumption, for example. Fruits and vegetables, legumes, fish and cooking oils with omega-3 fatty acids, on the other hand, can actually have a positive effect on the inflammatory foci.

However, which diet gives the best results varies from person to person. For example, some sufferers are particularly sensitive to citrus fruits or hot spices, which do not cause any problems at all in other patients. To keep track of your body's individual reactions to individual foods, you can keep a food diary.

It is also generally true that being overweight makes psoriasis worse. The fatty tie produces certain messenger substances that stimulate inflammation in the body. Weight loss can accordingly help to alleviate the symptoms. If you do not know how to lose weight, consult a nutritionist or a doctor. These can accompany you on the way to the goal.

How do I care for my skin with psoriasis?? The correct care of the skin is the A. O in the treatment of psoriasis. You should never irritate the tie unnecessarily. Therefore, always use only mild shampoos and care products that do not contain too many fragrances and additives. In case of psoriasis on the head, you should also refrain from hot blow-drying of the hair. If you handle chemicals or cleaning agents, it is also important to wear protective gloves.

To protect your skin from drying out, you can regularly lubricate it with moisturizing creams. For example, preparations with salicylic acid or urea are suitable. You can get such products in the pharmacy – the specialists there will be happy to help you choose the right remedy.

What home remedies help with psoriasis?

On the Internet there are many tips about home remedies, which are supposed to help against psoriasis. For example, some sites recommend aloe vera, tea tree oil, birch bark extracts and CBD oil to relieve the symptoms. From a medical point of view, however, the effect of these home remedies is not fully proven, which is why doctors advise against their use. However, since these remedies are not dangerous, you can still try them – maybe they will have a positive effect on your symptoms.

What is the prognosis for psoriasis?

Psoriasis is not curable. However, with an individually adapted treatment and certain rules of conduct, you can significantly improve the course of psoriasis. Proper therapy not only reduces the disease flare-ups and symptoms, but also the risk of complications.

Without treatment, psoriasis also affects other parts of the body in many people with psoriasis. Often, for example, there is an inflammation of the joints – a so-called psoriatic arthritis. Other possible consequences of psoriasis include diseases of the cardiovascular system such as high blood prere, atherosclerosis, heart attacks and strokes, as well as metabolic disorders such as obesity and diabetes. However, life-threatening complications rarely occur as a result of psoriasis, especially when the patient is receiving medical treatment.

A frequent consequence of psoriasis, on the other hand, are mental illnesses such as depression or anxiety disorders. Many affected people suffer emotionally from the noticeable rashes and itching. In addition, psoriasis patients are often shunned by others because they believe the disease is contagious. Unfortunately, this misconception is still widespread.

What causes psoriasis?

Only people who have a genetic predisposition to psoriasis can develop it. This causes the epidermis to renew itself within three to four days. For comparison: In people without psoriasis, this happens in a period of about four weeks.

The reason for the excessive cell production is an error of the immune system. In a psoriasis flare-up, this reacts like healthy defenses to an injury. It triggers an inflammation. Accelerates the process of skin renewal.

A child has a 60 to 70 percent chance of developing psoriasis if both parents have a genetic predisposition to psoriasis. If only the father or only the mother is affected by the disease, the risk is only one third. But even if you carry the responsible genetic material in you, it does not necessarily have to come to an outbreak of the disease. Symptoms often only develop when certain internal and external risk factors favor a disease flare-up.

Which risk factors favor psoriasis?

There are various internal and external risk factors that can promote an outbreak of psoriasis. The most important triggers for a disease flare-up of psoriasis include:

Infections, for example caused by bacteria such as streptococci

Hormonal fluctuations, such as during pregnancy or menopause

Irritation of the skin, for example by scratching, friction or chemicals

Taking medications such as blood prere or cholesterol-lowering drugs, painkillers, interferon, anti-malarial and anti-rheumatic drugs and certain antibiotics

Excessive consumption of alcohol and nicotine

Which factors are actually responsible for an outbreak of the symptoms, however, varies from person to person. For some people, mild stimuli are sufficient, while for others, stronger influences are needed. A visit to a doctor can provide information about what the relapses depend on in the individual case.

psoriasis psoriasis symptoms treatment mooci

How to diagnose psoriasis?

If you get skin rashes again and again as if from nowhere, the suspicion of psoriasis is obvious. For a clear diagnosis and individual treatment, you should always consult a general practitioner or a dermatologist to be on the safe side.

The doctor will first ask you about your symptoms and any previous illnesses in what is known as an anamnesis interview. He will then take a closer look at your skin and nails. In most cases, he can already determine whether it is psoriasis by this visual diagnosis. In addition, he can perform a simple test: If punctiform skin bleeding occurs when he removes the lowest scaly layer of the affected area, psoriasis is usually present.

From which diseases psoriasis must be differentiated?

There are several diseases that cause similar symptoms to psoriasis. Skin scaling and itching can also be caused by a skin fungus, neurodermatitis, a skin lichen or syphilis, for example. The cause of deformation and discoloration of the nails can be psoriasis or nail fungus. Joint complaints are often due to classic arthritis, which is not associated with psoriasis.

The doctor can usually clarify the situation by taking a skin or blood sample. Send this to a laboratory where specialists will analyze what the disease actually is. In the case of arthritis, imaging procedures such as an X-ray or magnetic resonance imaging (MRI) can also provide a reliable diagnosis.

How to prevent psoriasis?

If you have a genetic predisposition to psoriasis, you cannot prevent the disease. However, you can take certain measures to ensure that the attacks become less frequent and that the symptoms are not so severe. On the whole, prevention is about minimizing the risk factors mentioned above.

First you should adjust your diet. Eliminate inflammation-promoting foods from your diet and observe which other foods are not so good for your skin. By keeping a food diary, you can maintain a good overview. A doctor or dietician can also support you on the way to a suitable diet – especially if you have difficulties losing excess weight.

In addition, you should try to reduce stress as much as possible. Of course, psychologically stressful situations cannot always be avoided, but you can learn to deal with them better. Many patients swear by relaxation exercises, yoga or sports, for example, to reduce stress. Others need the exchange with family, friends or other affected persons, in order to better cope with the mental burden.

Another important point to prevent the outbreaks of the disease is a good care of the skin. Avoid prolonged bathing and hot blow-drying to prevent your ties from drying out quickly. Re-greasing and moisturizing creams, on the other hand, help to keep the skin healthy. You can get suitable remedies at the pharmacy.

Does the health insurance cover the costs for the treatment of psoriasis??

In the case of severe psoriasis, health insurance companies usually cover the majority of the treatment costs. For many services, however, you will have to pay a certain deductible. In the case of special methods such as laser therapy, you may even have to bear the financial costs entirely on your own. If you would like more detailed information on cost coverage in your individual case, it is best to contact your social insurance provider directly.

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