1.What is psoriasis?
Psoriasis, also known as “psoriasis”, is a chronic recurrent inflammatory skin disease. It can patronize any part of the body, including the head and face, chest and back, belly, arms and legs, and even private parts. In addition to a block, a circle of red spots, the top also accumulated a layer of “white snow”, a strip of clothes, simply bunker, dander rustling down. Severe patients also have painful and deformed joints (arthritic psoriasis), dense pustules all over the body (pustular psoriasis), and large red patches (erythrodermic psoriasis). Although the doctor told me that with psoriasis, I should live for 99 years, and still live for 99 years, without delaying to eat or drink. But people who don’t know are afraid of contagion and avoid me far away (in fact, not contagious). It makes me unmotivated to work, afraid to go out, is really suffering.
2. How do I get psoriasis?
The cause of psoriasis is very complex. At present, it is believed that the result of a combination of genetic factors (hereditary chance: 10-20%) and environmental factors. It is often triggered by infections (such as colds, upper respiratory infections, inflammation of the tonsils, etc.), mental stress (I have seen two families suffering from the disease at the same time due to layoffs and anxiety), cold and certain drugs. Recently, it has been found that psoriasis occurs in patients with fat, diabetes, thyroid, and thymoma. It seems that metabolic disorders and endocrine imbalance can also lead to psoriasis.
3. Is psoriasis contagious?
Psoriasis is never contagious! Shaking hands, hugging, and close contact are not contagious. Not as scary as hepatitis.
4.How high is the prevalence of psoriasis?
The textbook says: the prevalence of psoriasis among Chinese is about 0.1%, while the prevalence of white people in Europe and America is as high as 2%. Once secretly celebrated for the second, or our race has the advantage! According to a recent community-based stratified sampling survey in Shanghai, the chance of Chinese people suffering from psoriasis is also about 2%. In other words, one in every 50 people has psoriasis. The incidence is significantly higher in the north than in the south. Interestingly: after the patients from the north moved to the south, some people’s psoriasis started to improve without treatment, and even sank. It seems that psoriasis likes heat but not cold. If you can’t settle in the south, bubble more hot springs and dress warmly.
5. Can psoriasis be passed on to my son? If my boyfriend has psoriasis, can my son inherit the disease?
Psoriasis has a certain degree of heritability, but the mode and probability of inheritance are not clear yet, according to current statistics, it is about 10-20%.
6.Where is psoriasis likely to occur?
Psoriasis occurs on the scalp and the extensor side of the limbs, such as the elbow, knee, shin front of the lower leg, etc. It can also develop all over the body during the acute progressive stage, while it rarely develops on exposed parts such as the face. A few patients with psoriasis may have changes in finger and toe nails, and develop in the external genitalia and oral mucosa.
7.How to diagnose psoriasis?
The diagnosis is mainly made by observing the shape of the lesions (erythema and scales). The doctor may have to take a slide and scrape the scales to see if there are the typical three phenomena of psoriasis (wax drip line phenomenon, film phenomenon, and punctate bleeding). In addition, skin CT can often help the doctor identify it from other diseases. If the diagnosis is still not confirmed, skin pathology is needed.
8.How to treat psoriasis?
There are several treatment options for psoriasis, and the choice of option depends on the type and severity of the disease. Medications include: topical medications, systemic medications, phototherapy, hydrotherapy, Chinese medicine, etc. Please be sure to consult your doctor for specific instructions.
Commonly used topical medications: hormones (very safe to use under the guidance of a doctor, with much less side effects than oral medications, such as calcipotriol betamethasone, halometasone, denide, etc.), vitamin D3 derivatives (such as carbostriol), tacalcitol (Moeve), moisturizers (don’t underestimate moisturizers, which can accelerate the repair of skin lesions), salicylic acid (helps to loosen hypertrophic keratin, such as boric acid salicylic acid), tar preparations, etc;
Systemic drugs: immunomodulatory drugs (MTX, retinoids, cyclosporine, cyclophosphamide), compound glycyrrhizin, Chinese herbal medicines such as Yujin Yinchuan tablets, compound Qingdian pill, etc., biological agents (such as etanercept);
Phototherapy: including psoralen plus long-wave ultraviolet (PUVA), narrow-spectrum medium-wave ultraviolet (NB-UVB), 308nm excimer light or laser.
9.Can psoriasis be completely cured? No! Never believe in small posters and advertisements! As long as they claim to “cure and package”, it must be a trap to cheat people!
If you have psoriasis, you must get regular treatment and never believe in the small stickers on the telephone poles and toilet doors, as well as the so-called “experts”, “ancestral famous doctors” and various “gods” in the newspapers. “The actual “7-day cure for psoriasis” and other false advertisements. You can’t cure psoriasis, and all the ones that claim to “cure” psoriasis are all fraudulent! Don’t be fooled, folks? The “miracle drug” they prescribe is often hormones or ethylene double morpholine, although hormones can temporarily control the condition, but after stopping the drug, the skin lesions are often heavier, and even make the common psoriasis into erythrodermic or pustular psoriasis. Ethidium morpholine can cause leukemia (just ask your hematologist, there are so many tragic cases). Even more horrific is arsenic, or “arsenic”, although it has some therapeutic effect, but can lead to chronic arsenic dermatitis, skin cancer, kidney damage. Think of Mei Chaofeng often take arsenic, forcing poison practice, and finally people do not look like people, ghosts do not look like ghosts look, you know how terrible arsenic.
10.With psoriasis, why should the tonsils be removed?
The onset of acute punctate psoriasis is related to the infection of streptococcus. If each offense is related to inflammation of the tonsils, once the tonsils are removed to prevent upper sensation, there may be no more recurrence. It’s still worth a try.
11. Do psoriasis patients need to avoid eating?
Psoriasis is not an allergic disease, so there is no need to strictly avoid eating in general. However, as an inflammatory disease, during the period of skin lesions, you should avoid spicy and stimulating diet, avoid smoking and alcohol, and eat less fishy things such as seafood, beef and mutton. Once the skin lesions subside, then feast on them.