To prevent psoriasis (psoriasis), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet High intake of the omega-6 fatty acid arachidonic acid (animal foods, especially pork and pork products and tuna). Weight gain Consumption of stimulants Alcohol Tobacco (smoking), including passive smoking for children. Psycho-social situation Psychological stress Chemical skin irritation … Psoriasis: Prevention
The clinical picture of psoriasis (psoriasis) is varied: Plaque-type psoriasis – permanently existing, slow-growing plaques; corresponds to psoriasis vulgaris type I. Eruptive psoriasis (psoriasis guttata; guttatus, Latin “drop-shaped”) – rapidly progressive (progressing), exanthematous seeding of papular lesions up to 1 cm in size, often after a streptococcal infection; localization: trunk and proximal (“close to the … Psoriasis: Symptoms, Complaints, Signs
Pathogenesis (disease development) Psoriasis is a multifactorial disease in which genetic factors and exogenous factors (infections, smoking/passive smoking, use of certain medications) interact in the pathogenesis. For children with their typical exanthematous psoriasis, especially streptococcal infections (hemolytic streptococci of groups A, C, and G) are a classic trigger factor. Psoriasis is considered a systemic autoimmune … Psoriasis: Causes
General measures Avoid dehydration and irritation of the skin by balanced skin care. Suitable care products are a greasy skin care in combination with keratolytics (agents to remove the scales). Avoidance of strong mechanical stress on the skin. Avoiding synthetic underwear, this is not very breathable and promotes a damp environment. Instead, wear loose cotton … Psoriasis: Definition and Treatment
Therapy goals Improvement of symptomatology. Low disease activity status. Ideally, remission (temporary or permanent abatement of disease symptoms) should be achieved. Therapy recommendations The therapeutic approach to psoriasis is classic dermatological: it consists of basic therapy, topical (local) therapy and systemic treatment: All severities of psoriasis receive basic therapy: Topical therapy: Oil or salt water … Psoriasis: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Carotid ultrasonography (sonography of the carotids) to determine intima-media thickness and plaque size – for cardiovascular risk stratification. X-ray examination of the spine or other symptomatic jointsIndication: suspected psoriasis … Psoriasis: Diagnostic Tests
An at-risk group indicates the possibility that the disease may be associated with the risk of vital nutrient deficiency. The complaint psoriasis vulgaris indicates a vital nutrient deficiency for Vitamin D Within the framework of micronutrient medicine, the following vital substances (micronutrients) are used for supportive therapy. Omega-3 fatty acid eicosapentaenoic acid (EPA) The above … Psoriasis: Micronutrient Therapy
The anamnesis (medical history) represents an important component in the diagnosis of psoriasis (psoriasis). Family history Are there frequent skin diseases in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Are there any skin lesions present? Appearance … Psoriasis: Medical History
Skin and subcutaneous (L00-L99). Acrodermatitis continua Hallopeau* – focal redness and pustules on the end phalanges of the fingers and toes. Allergic contact dermatitis* (e.g. caused by fragrances or ingredients of wet toilet paper). Alopecia areata – circular hair loss. Hand eczema Irritative contact eczema* (e.g. axillary by aluminum chloride-containing antiperspirants). Neurodermatitis* (atopic eczema) Nummular … Psoriasis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be caused by psoriasis: Eyes and eye appendages (H00-H59). Uveitis (inflammation of the middle skin of the eye). Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus type 2 (insulin resistance). Metabolic syndrome – clinical name for the symptom combination of obesity, hypertension (high blood … Psoriasis: Secondary Diseases
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin Sharply defined inflammatory papules (nodular thickening of the skin) with scaling of the skin, the extent of which can range from punctate solitary changes (guttate … Psoriasis: Examination
Psoriasis is usually diagnosed on the basis of the patient’s history and physical examination findings. Second-order laboratory parameters-depending on the results of the history, physical examination, etc.-for differential diagnostic clarification include Small blood count Fasting glucose (fasting blood glucose) Rheumatism diagnostics – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate); rheumatoid factor (RF), CCP-AK (cyclic … Psoriasis: Test and Diagnosis
