Psoriasis, also known as psoriasis, is a common and recurring chronic inflammatory erythematous scaly skin disease known in Chinese medicine as Bai Huan Yuan, urchin, dry ringworm and loose skin ringworm.
The incidence of psoriasis varies around the world, from 2.84% in the Danish Faroe Islands, 1.5%-2% in Northwest Europe, 2% in the UK, 0.2%-1% in Japan, to an average of 0.123% in China, but with regional differences: 0.05% in Guangxi, 0.28% in Nanjing, 0.3% in Shanghai, and 3.47% in the Yanbian area. However, the overall incidence trend is higher in the north than in the south, higher in urban than in rural areas, higher in cold areas than in warm areas, higher in males than in females, higher in whites than in yellows, and lowest in blacks. Hu Shaoqing, Department of Dermatology, Beijing Hospital, Ministry of Health Yin Lihua, Department of Integrative Medicine, Taixing Dermatological Defense Hospital
Although the etiology and pathogenesis of psoriasis have been studied by researchers and dermatologists around the world for many years, it is still at the stage of doctrine. To sum up, there are genetic theory, viral and bacterial infection, endocrine disorder, metabolic disorder, autoimmune disorder and psychoneurological trauma, etc. There is not yet an accepted pathogenesis. Therefore, there are many methods and drugs in the treatment from each school of thought, but there are also cured and uncured cases, which are prone to relapse even after cured and do not heal for a long time. There are also many cases that are cured for decades without relapse, and it is unclear why there are such different results. The most frequent age group with first occurrence is 20-30 years old, and the age of first occurrence ranges from 10 days after birth to 80-90 years old.
The clinical presentation is often divided into four types: common, pustular, arthritic and erythrodermic, with the common type being the most common, accounting for about 95% or more. The scales are less in the acute damage and more in the chronic damage. When the scales are peeled off, there is a red shiny film underneath, called the film phenomenon, and then the film can be scraped off to appear punctate bleeding, called the punctate bleeding phenomenon. These are the typical features of common psoriasis. According to the development of the disease, it can be divided into progressive, stable and regressive stages.
Pustular psoriasis is less common, with an incidence of less than 1%. One is that on the small erythematous spots on the hands and feet, pustules of the size of a pinhead to a corn soon appear, with a thicker blister skin, which is not easy to break, drying up and crusting after 1-2 weeks, and scales appear after decrusting, and new pustules are formed under the scales, so pustules occur repeatedly. The other one is developed on the lesions of common psoriasis due to pregnancy, infection, corticosteroids and other factors.
Arthritic psoriasis is also less common, accounting for about 1% of psoriasis patients. It is not easily distinguished from rheumatoid arthritis and has the common clinical manifestations of rheumatoid arthritis, and arthritic symptoms are often aggravated or reduced at the same time as skin symptoms. However, the disease is milder, the damage is more asymmetrical, spinal damage is more common, and it is more prevalent in women.
Erythrodermic psoriasis, also known as psoriatic exfoliative dermatitis, is a rare and severe form of psoriasis, accounting for about 1% of psoriasis patients, often caused by improper treatment during the acute progressive phase, the use of more irritating or inappropriate drugs, etc. It is often caused by improper treatment during the acute stage and the use of strong irritating or appropriate drugs. The course of the disease can drag on for a long time without healing or often recur, and it can also kill people due to comorbidities.
Most of the cases do not heal even after years of recurrent attacks in middle and old age, and the performance of the lesions mostly changes from acute erythema to chronic dark erythematous scaly damage, from punctate to patchy, map-like, ring-like, back-like and other shapes of damage, but in middle and old age due to improper treatment can also change from chronic to acute, and even develop into erythrodermic type, so in middle and old age erythrodermic type is relatively more. In the first few years of the disease, there are often obvious seasonality, with more onset in autumn and winter than in summer. After many years, the seasonality is not obvious, and the disease can develop all year round, which may be caused by improper treatment, especially after the application of immunosuppressive drugs and corticosteroids.
The following is about the problems that should be noted in the treatment of psoriasis: As there are many treatment methods for psoriasis, hundreds of methods can be counted, and there is also a Chinese medicine method in China than abroad. These methods are not introduced here one by one, but to remind you of what you should pay attention to when choosing these methods.
1, first of all, we must understand the nature of psoriasis, it is not an infectious disease, will not infect anyone, but there is a part (about 1/3 or so) is a genetic factor, there is a family history. Some people surveyed one parent has psoriasis 30% of its children are patients, both parents have 50% of the children, parents are not, the onset of children accounted for only 8%. It is a chronic erythematous scaling skin disease. Treatment can lead to remission of the disease, elimination of the lesions, or keep the disease from recurring for a longer period of time, or few lesions remain, and a few do not recur. However, it cannot be completely prevented from recurrence, so it is difficult to eradicate the disease, because the cause and pathogenesis have not been clarified.
2, treat the disease correctly, maintain a good state of mind, happy spirit, adhere to, and actively cooperate with the doctor’s treatment. Because a good state of mind, positive, happy spirit on the secretion of neuromediators, endocrine and immune function regulation in the treatment of disease and control of disease have a great role. A large number of psychological studies show that 30-46% of the occurrence and development process of psoriasis is related to neurological and mental factors, mental trauma, high tension, heavy burden of thought, psychological imbalance, etc. may T hair and aggravate psoriasis. It can also prolong the healing time.
3, the choice of treatment methods and drugs should take into account the condition comprehensively, the type, the phase, in that part, the treatment methods and drugs used in the past, how effective they are and the physical condition, whether there is a history of drug allergies, whether there are systemic diseases, how the liver and kidney function, drugs that may have an impact on liver and kidney function, and during the use of drugs should follow the doctor’s instructions for regular checkups and regular treatment. If abnormal reactions occur, do not handle them on your own, and seek medical assistance from your doctor in a timely manner. There are too many treatment methods and drugs for psoriasis, not only western medicine methods, but also Chinese medicine treatment in China, and the medical resources, medication habits and experience of doctors differ from region to region, so there are cases that are cured and not cured. According to the local medical conditions combined with their own situation patient treatment. It’s not a good idea to go around to the doctor, but it’s a lot of work and expense.
4, the acute progressive period to avoid hot water washing, ultraviolet radiation or with irritating topical drugs, so as not to stimulate erysipelas, chronic stable and degenerative lesions should be washed away with warm water soap soak scales, can be used externally strong drugs, but from low to high concentration gradually enhance the concentration of drugs, or even first coated with a small area to observe no strong reaction, and then expand the treatment area. In order to improve the efficacy of local can be used to seal the method. If the lesion area is extensive, pay attention to avoid the absorption of topical drugs cause poisoning.
5, according to different cases of different excitation or triggering factors, to give the corresponding symptomatic treatment to improve the efficacy and prevent recurrence. For example, if stimulated by streptococcal pharyngitis, antibacterial agents can be given to control infection; immune dysfunction can be treated by regulating immune function; those stimulated by psychological factors can be treated with sedatives, antidepressants or psychotherapy.
6, the lesions are generalized, serious people should be given systemic treatment or at the same time add topical drug treatment, lesions limited or residual few lesions can simply be treated with topical drugs, residual few stubborn lesions, not necessarily eliminated, residual point lesions some of the benefits of preventing the lesions from generalizing.
7, in order to prevent or reduce recurrence and prolong the remission period, do not stop treatment immediately when the skin lesions recede and are clinically cured, and continue treatment for 1 – 2 months. Later, in the psoriasis-prone season, prevent treatment for another 1-2 months.
8.Should psoriasis be abstained from eating? Now there are different views, some indiscriminately, eggs, mushrooms, fish and shrimp, beef and mutton and a whole lot of other hair listed in the scope of taboo. The psoriasis lesions shed a lot of scales every day, consuming a lot of proteins, vitamins and trace elements, etc. If not supplemented by dietary intake, it will cause a lack of proteins, vitamins, trace elements and other nutrients over time, which will damage health. It also brings a lot of inconvenience to life. For those elderly people who have already reduced the amount of food they eat, and then limit the amount of food they eat, they will not be able to enjoy the delicious food on earth and have no fun in life, which will bring more serious damage to their bodies than psoriasis. We should be dialectical, no matter what food (including wine, tea, coffee, spicy food) should be based on their own situation, from the practical point of view, life through their own repeated verification, determine with a certain food related to limit the food. Do not add restrictions in general. Pay attention to a balanced, diversified and non-biased diet, which should be low in fat, low in sugar, high in protein and high in vitamins. Occasional skin reactions may be wrongly accused, so be sure to repeat the experiment several times. Make sure that it is caused by a certain food to avoid eating.
Psoriasis is a chronic and stubborn disease. Although there are ways to eliminate the skin lesions and get clinical cure at home and abroad, the recurrence rate is relatively high, which makes many patients seek medical help to relieve the torture of the disease. Some unscrupulous hospitals disregard the psoriasis (psoriasis) advertisements that the Ministry of Health has decreed not to publish, and promise to get rid of the root, no relapse, overcome psoriasis and other false advertisements to solicit business and cheat money. I hope to treat the advertisements with caution and go to a regular hospital.