Is psoriasis contagious? Does psoriasis affect health? Can psoriasis be cured? How should I treat it? What should I pay attention to in normal times?
I. Can psoriasis be cured?
At present, psoriasis cannot be absolutely cured, but it can be well controlled and relieved, and even achieve long-term clinical cure. All the advertisements of “cure”, “cure” and “no recurrence” are all lies. The “genetic”, “blood exchange”, “blood purification”, “ancestral secret recipe”, “special effect pure Chinese medicine” and “special effects” are all fraudulent. The use of “special effect pure Chinese medicine” and some toxic single and experimental prescriptions should be cautious and do not fall for them.
Second, what does psoriasis look like?
Psoriasis of common type accounts for 90%, manifesting as scaly erythematous plaques, which can develop all over the body, mostly symmetrically distributed, with the scalp and extensor side of the limbs more common, especially the elbows, knees and sacral tail. The surface is covered with thick silvery white scales, and after gently scraping off the scales, a smooth film can be seen underneath, and after scraping again, multiple small bleeding spots can appear. The above-mentioned scaling, film and punctate bleeding are the three major clinical features of the disease. In addition to common psoriasis, there are also special types such as pustular, arthritic and erythrodermic types.
Third, can psoriasis grow only on the scalp?
Psoriasis often involves the scalp and manifests itself as dark red scaly plaques beyond the hairline, and the hair is changed in bundles. Some patients with psoriasis can only have scalp involvement and no lesions on other parts of the body, called scalp psoriasis.
Fourth, can psoriasis cause “gray nails”?
Nearly 80% of psoriasis can have nail damage, which can be manifested as turbid thickening of the nail plate, point-like (thimble-like) depression, especially turbid thickening, much like nail fungus (gray nail), experienced doctors can generally distinguish. If necessary, fungus can be checked to exclude, after all, there are also a few psoriasis patients with onychomycosis.
V. Is psoriasis life-threatening?
Psoriasis vulgaris does not affect internal organs and is not life-threatening. It cannot be equated with “skin cancer”. Therefore, it is very important to standardize the treatment, especially not to over-treat. However, pustular, arthritic and erythrodermic psoriasis may affect health and should be actively treated in time.
Can psoriasis be contagious?
Psoriasis is not directly caused by infection, so it is not contagious to others, but infection sometimes becomes the cause of psoriasis (e.g., drippy psoriasis), so it is sometimes treated with antibiotics.
7. Is psoriasis hereditary? Does it affect fertility?
Psoriasis has a hereditary tendency, so people with psoriasis in their families have a significantly higher risk of developing psoriasis than the general population. However, the onset of psoriasis is affected by the interaction of various factors such as genetics and the environment, and in China, the chances of children born to psoriasis patients suffering from psoriasis suffering from psoriasis are not high, so psoriasis patients can get married and have children normally. However, when psoriasis patients consider pregnancy, they should choose the disease is in a mild or stable phase, and drugs that affect embryonic development or have teratogenic effects need to be discontinued for a certain period of time before conception.
Eight, what factors can affect the onset of psoriasis?
(1) Infection: is a common cause of psoriasis, tonsillitis, pharyngitis often trigger psoriasis attacks.
(2) Mental factors: depressive states or stressful events can promote or aggravate psoriasis.
(3) Endocrine factors: low blood calcium is related to the development of psoriasis.
(4) Lifestyle: alcohol consumption, smoking and obesity can all affect the prognosis of psoriasis.
(5) Drugs: unreasonable use of drugs or sudden discontinuation of drugs can lead to psoriasis attacks.
Nine, how to treat psoriasis?
At present, the various treatments for psoriasis can only improve the recent symptoms, reduce the frequency of attacks and prolong the inter-episode period, but cannot prevent recurrence and eradicate it completely. Patients should correctly understand the disease characteristics of psoriasis, lift the mental burden, maintain a good and positive state of mind, and do a good job of daily care and health care. During psoriasis attacks, patients should go to regular hospitals in time and cooperate with physicians for reasonable treatment.
Ten, does psoriasis vulgaris need treatment?
Although common psoriasis does not affect health, recurrent attacks affect the quality of life of patients, and appropriate treatment is still necessary according to the condition.
XI. How to treat psoriasis?
Since psoriasis vulgaris accounts for 90% of psoriasis, only common treatments for psoriasis vulgaris are briefly introduced here.
Mild and moderate psoriasis: external drug treatment is the main treatment, and hormone ointment and vitamin D3 derivatives can be used in combination, and after control, vitamin D3 derivatives are mainly used to maintain the efficacy.
Moderate and severe psoriasis: In addition to topical medication, comprehensive treatment such as phototherapy and systemic medication can be carried out;
Severe psoriasis: biological agents or immunosuppressive agents can be used according to the patient’s own condition.
In addition, the use of irritating topical drugs should be avoided in the progressive stage of common psoriasis and acute punctate psoriasis. The formulation of treatment plan and the selection of drug use need to be carried out under the guidance of physicians and according to the specific conditions and drug characteristics of patients, so as to reduce the occurrence of adverse drug reactions.
Twelve, commonly used drugs and treatment methods
1.Topical drugs
(1) Vitamin D3 derivatives: such as calcipotriol ointment, used for plaque type psoriasis with good efficacy, effective for mild and moderate psoriasis, attention should be paid to avoid using it on the face and skin folds, and each treatment should not exceed 40% of the body surface area. Tacalcitol ointment is relatively less irritating and can be tried on the face and glans.
(2) Glucocorticoids: such as compound flumethasone ointment, halometasone ointment, mometasone furoate ointment, etc., mainly used for persistent lesions, should avoid long-term large area, otherwise it is easy to produce adverse reactions and sudden discontinuation of the “rebound” phenomenon.
(3) Retinoic acid: such as tazarotene ointment, can be used in combination with strong hormones for the treatment of mild to moderate psoriasis, pregnant women, lactating women and women with recent childbirth requirements are prohibited.
(4) Keratin contributing agents or exfoliating agents: such as salicylic acid, coal tar, anthralin, etc., should not be used in the folds because of local irritation.
(5) Immunosuppressants: such as tacrolimus ointment, pimecrolimus ointment, etc., can be used with hormones or vitamin D3 derivatives.
2.Physiotherapy
Narrow-spectrum medium-wave ultraviolet (NB-UVB) therapy, photochemotherapy (PUVA), bath therapy, etc. are available. For limited psoriasis, 308 excimer laser is a good choice.
3.Uniform medication
(1)Retinoic acid: such as Avionics, used for severe common psoriasis, pustular psoriasis, erythrodermic psoriasis, etc. It has more satisfactory efficacy when taken alone or combined with other therapies, but it has teratogenic effect, and elevated blood lipids can appear when taken for a long time, and can be restored by stopping the drug.
(2) Immunosuppressants: such as methotrexate, cyclosporine A and other immunosuppressants, mainly used for severe psoriasis, are not routinely used.
(3) Biological therapy: such as etanercept, infliximab, adalimumab, etc. It is suitable for moderate and severe psoriasis. However, the expensive price limits the application.
(4) Glucocorticoids: This class of drugs should not be used routinely and systematically for common psoriasis, even for erythrodermic, acute arthritic and generalized pustular psoriasis.
(5) Antibiotics: Acute punctate psoriasis is often accompanied by acute tonsillitis or upper respiratory tract infection, and penicillin and erythromycin can be applied. Pan-haemorrhagic pustular psoriasis can be used with methylsulfonamycin, clindamycin, etc.
4.Medical Chinese medicine treatment
Chinese medicines such as compound Qing Dai, compound Glycyrrhizin, and Lei Gong Tang can be applied.