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What is Psoriasis? Identify its clinical forms and symptoms

19 Dec
Psoriasis is an inflammatory skin disease a chronic and intermittent; an autoimmune  disease where T cell (immune cells) be activated and produces mediator substances which causes inflammation, proliferation,  and abnormal differentiation skin cells.Psoriasis is derived of  Greek “Psora” which means itchy and not contagious and has been known for a long time. Major incidence is in white  American and European. It is frequently found in Indonesia nowdays. The cause is still not known clearly. Too many influencing, but mostly genetic and immunologic, and the  interactions with environment as the trigger. Exposure to stimuli, such as streptococcus infection in the neck, alcohol, some kind of antimalarial, local irritation or skin damage, can lead to psoriasis in patients who have genetic predisposition. Almost all patients with psoriasis have problem related to cosmetics dan activity. Formerly, Psoriasis is considered as mild
skin diseases.

But along with science development, it turns out that psoriasis can cause internal effects.

When the Psoriasis persist  and not treated it can cause of metabolic syndrome which can be life-threatening. Cholesterol disorders, heart, rise in blood pressure, and diabetes is a few Psoriasis comorbidities. Thus, the Psoriasis should be treated as possible.

The symptoms usually with few complaints of itching, hot, burning, stretched.  The first arises in areas that are easily exposed to trauma such as elbows, knees, buttocks and scalp. The skin abnormality mostly symmetrical with raised red spots with scales layered on top and white rough mica (transparent).

When the scales removed in spots appear underneath bleeding. It’s called the Auspitz sign. Nail abnormalities most commonly seen are nail pitting, grooves on the nails. Other disorders that can be oil spots, onychodystrophy and subungual hyperkeratosis. Nail abnormality in  Psoriasis will  increase with age, duration, and the extent of the disease and arthritis psoriatika. Psoriasis can get at the joints, especially in the toes and hands.

Some Clinical Forms
The first is Psoriasis Guttata. This is Psoriasis a diameter of less than 1 cm. Usually occurs after streptokous infection. This form can heal spontaneously or expand to psoriasis vulgaris. Furthermore, the Psoriasis Vulgaris were found in 90% of patients. The abnormality arise shaped placard with a diameter of more than 1 cm. This type occurs in certain area  such as elbows, knees, buttocks, genetalia, and scalp. Psoriasis Pustulosa is a type of psoriasis containing pus. This type of psoriasis can be localized or spread (generalized). Psoriasis Erytrodermi is the form of wide and redden psoriasis. Red is caused by vasodilatation of blood vessels resulting in disruption regulation of body temperature. And, last is Psoriasis Arthritis, which gets at the joints. It is needed to be treated  because it can cause disability.

The treatment
Because Psoriasis is such of chronic disease, it is important to know the safety of long term treatment. Largely treatment regimens are limited by delivery period as cumulative toxicity or effectiveness reduced (Taksifilaksis). Psoriasis treatment is also depending on the clinical form, area, location, and severity of disease. There are no medicine that can cure psoriasis. If there is only temporary. In anticipation of the metabolic syndrome, then it is advisable to medical check-ups regularly.

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Posted by on December 19, 2011 in Weight Loss Program

 

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