Psoriasis is medically known as “psoriasis” and has an incidence of 0.4 to 3%, with nearly 80 million people worldwide and about 6 million in China. The disease mostly occurs in young adults. The incidence is highest in Caucasians and lowest in Blacks. Psoriasis is a common erythematous scaling skin disease with a genetic background associated with abnormal immune response. The clinical manifestations are red papules or well-defined plaques covered with silvery-white scales; skin damage can be limited or generalized; the disease is mostly chronic, easily recurring, and there is no curative treatment available; in addition to skin damage, joints, nails, and mucous membranes can also be involved; a small number of non-common psoriasis manifest as pustules, arthritis, and erythrodermatitis. How is psoriasis diagnosed? Some self-testing features Typical psoriasis lesions are characteristic and relatively easy to diagnose, but if they have undergone irregular treatment, such as systematic use of hormones, or if they are in the receding phase, they need the help of an experienced specialist to diagnose them, and a skin pathology examination can help make the diagnosis. Clinical features of psoriasis Skin: The basic rash of psoriasis is a red papule or well-defined plaque covered with loose mica-like silvery-white scales, which may appear as punctate bleeding on the lesions after the scales are scraped away. The lesions may vary in shape and size, and may be small papules or patches of varying sizes; they may be limited or may involve the whole body; they are mostly found on the scalp, knees, elbows, extensor surfaces of the limbs and vulva, and less frequently on the face and palmoplantar areas. Appendages: often involving the nail, there may be needle-like dots on the top of the nail plate, “oil-drop” spots under the nail, nail separation and hyperkeratosis under the nail. In the scalp lesions the hair is in tufts and usually does not lead to hair loss. Mucous membranes: The mucous membranes of the vulva are susceptible to psoriasis lesions. The mucous membranes of the mouth, lips, and cheeks are also susceptible. Guttate tongue and map tongue may be seen. Joints: About 10-30% of psoriasis can involve bone joints (including tendon ligament attachment points) throughout the body, mostly asymmetrically, and involve small joints at the end, showing symptoms of arthritis, which can lead to joint deformities. In psoriasis, the lesions can be visible all over the body, so patients often feel shame, sadness, despair, anger and disappointment, especially in public where they are usually under strong negative pressure. These mental stresses can exacerbate the disease. “Psoriasis”, there are many public misconceptions Myth 1 Psoriasis is a genetic disease Ms. Wu has been married for many years and has a stable relationship with her husband, because she suffers from psoriasis, she has been afraid to have children for fear of passing on psoriasis to her children and suffering like she does. Myth 2 Psoriasis is a contagious disease Lily finally got into college, but the next worry has been troubling her, suffering from psoriasis she did not dare to go to the school bathhouse to take a shower, afraid to infect her classmates. Some of her classmates are also worried about skin disease transmission and deliberately distant from her. Lily over time suffered from autism, had to drop out of school. Myth 3 Hot water can stop the itch Professor Wang retired to take care of his grandson at home, and every autumn and winter his skin disease will be itchy. He thought he had some knowledge and found that every time he scalded his skin with water to stop the itching, he thought he had found a method that worked to stop the itching. When he went to the hospital, his skin was already very dry and his skin was as dark as vellum. He told the doctor that he was now uncomfortable without burning and felt more itchy afterwards, as if he had become an addict, and he didn’t know what to do. Common questions from psoriasis patients 1. Is psoriasis contagious? Psoriasis is a chronic inflammatory disease of the skin caused by disorders of the immune system, and is certainly not contagious. The actual fact is that psoriasis is a very “clean” disease in medical terms, so you don’t have to worry about contagion. 2, psoriasis will be inherited to the next generation? As a result of the many susceptibility loci of psoriasis have not been completely figured out, there is no reliable genetic testing method. 3.Does psoriasis affect marriage and children? 4, psoriasis need to avoid mouth? In the clinic often have patients will ask: doctor, can tell me what things can eat, what things can not eat? In fact, this question is difficult to answer. In addition to tobacco and alcohol is currently a relatively clear triggering factors, other are different from person to person, such as seafood and beef and mutton, etc. on some patients do not have any impact. Therefore, there is no scientific basis for blindly avoiding the mouth, and should be determined according to your own situation. 5.Can psoriasis be eradicated? It is the desire of every patient to be completely cured of the disease and never to have a relapse. The actual fact is that you will not be able to get a good deal on your own. Because the causes and pathogenesis of psoriasis are extremely complex, there is no cure. However, through regular treatment and a healthy lifestyle, psoriasis lesions and accompanying diseases are completely controllable, and patients should build confidence, maintain a good physical and mental state, and undergo long-term standardized treatment. 6.Can sunbathing treat psoriasis? The UV rays can inhibit cell proliferation, reduce inflammation, improve blood circulation and enhance resistance and immunity, so moderate sunbathing or phototherapy is good for psoriasis, but excessive exposure to sunlight is harmful. Treatment needs to be “safe and individualized”, don’t rush to the doctor. Recent statistical studies with large samples have found that psoriasis is associated with metabolic syndrome (hypertension, hyperlipidemia and hyperglycemia) and can increase the risk of heart disease. Early control of psoriasis can be effective in reducing the incidence of these diseases. The cause of psoriasis is not fully understood, but some causative or predisposing factors are better known. Psoriasis is triggered or aggravated by genetic background, environment, trauma, infection, medications, co-morbidities, alcohol consumption, smoking, trauma, stress, endocrine changes, and climatic environment. It is because of the seriousness of the damage and the difficulty in curing it that some patients often listen to the biased prescriptions and seek medical help in a hurry. At present, all kinds of treatment methods should ensure the safety of patients as the first priority. The pursuit of recent efficacy should not lead to the occurrence of serious side effects. It is better for patients to fix their doctors and have regular follow-ups to avoid long-term application of treatments that are harmful to their health without the guidance of doctors. Some patients are eager to seek medical treatment, and they are convinced of the “cure-all” or “one-shot” treatment. In fact, these drugs under the guise of “secret Chinese medicine” and “high-tech technology” often include hormones and anti-tumor drugs, some of which are even medically prohibited for the treatment of psoriasis. As a result of unscientific application, the consequences can be imagined. “Treatment must follow the principle of individualization.” When choosing a treatment plan, it is important to take into account the triggers, severity of the condition, systemic concomitant diseases, treatment needs, affordability, previous treatment history, and side effects of the medication in a rational manner. The doctor will adjust the intensity of treatment according to changes in the severity of the condition and guide the patient to adopt a healthy lifestyle and control the triggers to minimize the recurrence rate. How to prevent psoriasis relapse in autumn and winter? Patients can identify feasible preventive measures based on their common triggers and develop good lifestyle habits, including quitting smoking and drinking, a balanced diet and exercise, all of which can help alleviate symptoms and reduce the recurrence rate, while helping patients regain confidence. 1, prevention of colds: should increase clothing according to weather changes, plainly adhere to exercise, balanced nutrition, in order to improve the body’s ability to resist disease. Once the cold and other symptoms occur to timely treatment. The actual fact is that you will be able to get a lot more than just a few of the most effective and most effective products. 3, pay attention to the regulation of emotions: mental factors have a lot to do with the recurrence of psoriasis, so the correct understanding of the disease, respect for science, do not just seek to get rid of the root, cheer up the spirit, face reality, and cooperate with the doctor for scientific treatment. Choose a formal patient exchange platform to exchange experiences with cheerful and open-minded patients who have overcome the disease and strive for early recovery. 4, good family environment: clinically often encountered some patients due to family chores and do not understand the aggravation of the disease, so patients and family members should communicate and communicate more, together to face the disease. The patient’s relatives, should also have more sympathy and understanding, so that patients reduce the chances of relapse and aggravation. 5, adjusting dietary habits: diet has a certain influence on the relapse and aggravation of some patients, so according to personal circumstances, appropriate control of high-fat food, seafood, beef and mutton, wine and spicy food intake, eat more vegetables, fruits. 6, avoid trauma: trauma stimulation can cause psoriasis aggravation, this reaction in the medical called “isomorphic reaction”, common bruises, insect bites, needles and surgery, etc.. The actual fact is that you will be able to get a lot more than just a few of the most popular and popular items. In fact, every psoriasis patient needs consolidation treatment. The reason is that the fading of the skin lesions only represents the remission of the symptoms, after the clinical cure should continue treatment for at least 2 months to consolidate the efficacy. If there is any sign of relapse, you should seek medical treatment in time.