Psoriasis, also known as “psoriasis”, is a common skin disease. When psoriasis comes, the “skin gentleman” suffers from it, but psoriasis has an even more headache, which is the similarity to its name, and may stick to you like psoriasis, and many patients are overwhelmed by it.
It is for this reason that it is particularly important to treat patients clinically with targeted treatment, which needs to be individualized and targeted according to the specific situation. To solve the problem that psoriasis is always prone to recurrence, it is necessary to mention clinical staging diagnosis.
1.The clinical significance of staging diagnosis
Psoriasis is also divided into different types, and there are different periods between different types, and there are differences in the symptoms of different types of patients, and even for patients of the same type, different staging can lead to differences in the symptoms of patients. The main significance of staging diagnosis in clinical practice is to help doctors make more accurate judgments about patients’ conditions, and to formulate more suitable treatments for patients based on these judgments, so as to alleviate patients’ pain and reduce their probability of relapse.
Taking the most common type of psoriasis in clinical practice as an example, patients with psoriasis vulgaris can be divided into three periods: progressive, stationary and regressive.
2.Different stages of psoriasis vulgaris diagnosis
Progressive stage diagnosis
Symptoms of progressive psoriasis
The old skin lesions of psoriasis do not subside in patients in the progressive stage, but new skin lesions are still appearing, infiltration can occur at the site of the skin lesions, inflammatory symptoms are obvious, there can be a red halo around the skin lesions, the scales are thicker, if the lesions are locally damaged by needling, scratching, surgery, etc., it can lead to the appearance of typical psoriasis lesions at the damaged site, which is called isomorphic reaction, that is, after the normal skin is non-specific injury, inducing the same skin lesions as those that already exist. This means that normal skin, after non-specific injury, induces the same skin changes as a pre-existing skin disease.
Diagnosis of the stationary phase
The resting phase can also be interpreted as a period of disease stabilization in which the patient usually does not develop new lesions and the inflammatory response is milder, but more scales are still present.
Diagnosis of the degenerative phase
Patients in the degenerative phase, which can also be interpreted as patients in the recovery phase of the disease, will have reduced or flattened lesions and the skin inflammation will have largely subsided, and hypopigmentation or hyperpigmentation may remain if the lesions have healed.
Symptom picture of degenerative psoriasis vulgaris
In addition to psoriasis vulgaris, there are other types of psoriasis, such as arthritic psoriasis and erythrodermic psoriasis, which have some outstanding features that can be distinguished from psoriasis vulgaris .
3.Diagnosis of other types of psoriasis
Arthritic psoriasis
The unique features of arthritic psoriasis can probably be seen from its name. Patients with this type of disease are usually accompanied by obvious joint damage, commonly swollen joints, pain and restricted movement, and if timely identification and targeted treatment are not carried out, patients may develop joint deformities, seriously endangering their bone health.
Pustular psoriasis
Patients with this type of psoriasis will have pinpoint-sized pustules on their common psoriasis lesions or normal skin, which are usually densely distributed and can fuse into patches. They can also lead to pustules on the fingers or toes and even induce nail clouding and pus accumulation under the nail.
Erythrodermic psoriasis
Patients with this type of psoriasis are relatively rare. In addition to the common skin symptoms of psoriasis, patients may develop fever, lymphomegaly and water-electrolyte disorders. One of the more obvious symptoms is that the patient will have redness of the skin all over the body and a large number of bran-like scales on the lesions, which may be accompanied by itching and painful symptoms.
Patients themselves should have a more in-depth understanding of psoriasis advice, to clarify the type of disease and the identification of different periods of the disease, and then on this basis to obtain better treatment results. And because of the impact of psoriasis on the appearance of patients, many patients may also have low self-esteem, psychological guidance and treatment is as important as the treatment of the disease, need to pay sufficient attention.
In addition, patients’ family members or normal people without the disease should have a proper understanding of this knowledge to reduce the discrimination and prejudice against psoriasis patients in their lives and help them fight the disease better, which is also conducive to the formation of their own health awareness.
References
[1] Zhang XJ, Zheng J. Dermatologic Venereology. 9th edition [M]. Beijing:People’s Health Publishing House.2018.133-136.