Psoriasis is an autoimmune disease that causes raised, red, scaly patches to appear on the skin. Pustular psoriasis can occur on any part of the body, but occurs most often on the hands or feet. The most common type of psoriasis in the genital region is inverse psoriasis, but other forms of psoriasis can appear on the genitals, especially in men. Genital psoriasis requires careful treatment and care. Symptoms include pitting and discoloration of the nails, severe scalp scaling, diaper dermatitis or plaques similar to that of adult psoriasis on the trunk and extremities. Psoriasis is a chronic (long-lasting) skin disease of scaling and inflammation that affects greater than 3 percent of the U.S. People with moderate to severe psoriasis may feel self-conscious about their appearance and have a poor self-image that stems from fear of public rejection and concerns about intimate relationships. Psoriasis is a skin disorder driven by the immune system, especially involving a type of white blood cell called a T cell. In the case of psoriasis, T cells are put into action by mistake and become so active that they trigger other immune responses, which lead to inflammation and to rapid turnover of skin cells. Psoriasis is a chronic skin disorder that causes areas of thickened, inflamed, red skin, often covered with silvery scales. The skin is made up of several layers (figure 1). Symptoms can include fever and abnormal blood levels of white blood cells and calcium.
Treatment with various creams or ointments can often clear or reduce patches (plaques) of psoriasis. Special light therapy and/or powerful medication are treatment options for severe cases where creams and ointments have not worked very well. Psoriasis signs and symptoms can vary from person to person but may include one or more of the following:. Generalized pustular psoriasis can also cause fever, chills, severe itching and diarrhea. Although the disease usually isn’t as crippling as other forms of arthritis, it can cause stiffness and progressive joint damage that in the most serious cases may lead to permanent deformity. Atypical forms include guttate, pustular, erythrodermic, and inverse psoriasis. Management of psoriasis must be individualized and may involve combinations of different medications and phototherapy.
Four clinical variants of psoriasis (Guttate psoriasis, psoriasis vulgaris, C. Pustular psoriasis, and exfoliative dermatitis or psoriatic erythroderma), but plaque type (psoriasis vulgaris) is the most common. Plaque-type psoriasis, or psoriasis vulgaris, is the most common form, occurring in about 80 of all psoriasis patients. In addition to physical trauma (Koebner phenomenon), other causes of cutaneous injury such as viral exanthems or sunburn may elicit the formation of any type of psoriatic lesion. Patients with early onset, or type I psoriasis, tended to have more relatives affected and more severe disease than patients who have a later onset of disease or type II psoriasis. Other papulosquamous diseases that may be considered in the differential diagnosis include tinea infections, pityriasis rosea, and lichen planus. (guttate psoriasis) to pustules (pustular psoriasis) and generalised erythema and scale (erythrodermic psoriasis). To watch the entire video, which includes inspiring tips from Jerry Mathers, who lives with psoriasis and is best known as the Beaver in the TV show Leave it to Beaver, visit the Psoriasis video library. People who have psoriasis also have an increased risk for developing heart disease, diabetes, and other diseases, so taking good care of yourself is essential.
Psoriasis At Patient. Symptoms And Treatment For Psoriasis
The IFPA puts the figure as high as 30 to 50 percent. As with other types of arthritis, symptoms include stiffness and swelling of the joints. Guttate psoriasis: Guttate psoriasis can be triggered by bacterial infection. It generally strikes children and young adults. Plaque psoriasis can develop on any part of the body, but most often occurs on the elbows, knees, scalp, and trunk. One-third report sleeping problems, disruptions with their normal routine, and negative self-image because of the disease. There may be a red drop-like rash (guttate psoriasis) or patches of scaly skin that crack and ooze pus (pustular psoriasis). Image courtesy of Hon Pak, MD. Individuals with psoriatic arthritis have inflammation in their joints and may have other arthritic symptoms. Sometimes plaque psoriasis can evolve into more inflammatory disease, such as pustular psoriasis or erythrodermic psoriasis. People with pustular psoriasis have clearly defined, raised bumps on the skin that are filled with pus (pustules). Click to view larger image. Pustular psoriasis is classified into one of several types, depending on symptoms. Far more common forms of psoriasis are plaque psoriasis and guttate psoriasis, which account for over 90 of psoriasis. Dermatologists distinguish different forms of psoriasis according to what part of the body is affected, how severe symptoms are, how long they last, and the pattern formed by the scales. Often found on the arms, legs, and trunk and sometimes in the scalp, guttate psoriasis can clear up without treatment or disappear and resurface in the form of plaque psoriasis. Pustular psoriasis, which can be limited to one part of the body (localized) or can be widespread, may be the first symptom of psoriasis or develop in a patient with chronic plaque psoriasis. Other medications used to treat severe psoriasis include etrentinate (Tegison) and isotretinoin (Accutane), whose chemical properties are similar to those of vitamin A. Afebrile (except in pustular or erythrodermic psoriasis, in which the patient may have high fever). Chronic stationary psoriasis (psoriasis vulgaris): Most common type of psoriasis; involves the scalp, extensor surfaces, genitals, umbilicus, and lumbosacral and retroauricular regions.
This brief overview explains the main types of psoriasis that affect your skin, nails, and joints. Most people only have one type at a time. Plaque psoriasis causes raised, inflamed, red skin covered with silvery, white scales. Guttate psoriasis causes small, pink-red spots on your skin. It causes pus-filled bumps (pustules) surrounded by red skin. Topical medicine (ointments you put on your skin) or systemic medicine (drugs that treat your whole body), especially steroids. Learn more from WebMD about guttate psoriasis and its link to illnesses like strep throat and tonsilitis. Usually there is a fine scale on the drop-like lesion that is much finer than the scales in plaque psoriasis, which is the most common type of psoriasis. This type of psoriasis can also be chronic and can be triggered by infections other than those from streptococcal bacteria. Factors that may trigger guttate psoriasis include the following:. Increased levels of certain antibodies are present in more than one half of patients. 1. Introduction. Psoriasis is a genetically determined chronic inflammatory disorder seen in 3.5 of US population (Kurd and Gelfand, 2009). Psoriasis vulgaris (also called plaque psoriasis) is the most common form of the disease, affecting 8590 of the patients 2. Other types of psoriasis include erythrodermic psoriasis, guttate psoriasis, and pustular psoriasis (Figure 1).
Individuals with psoriasis are at an increased risk of developing other chronic and serious health diseases. 2.2.2. Plaque-type psoriasis: Chronic plaque psoriasis. Typical plaque of Psoriasis Vulgaris. Figure 1. Typical plaque of Psoriasis Vulgaris. Psoriasis vulgaris or plaque psoriasis accounts for almost 90 of the dermatological presentation of the disease, but several other forms, including guttate, inverse, erythrodermal, pustular, and palmoplantar psoriasis may occur, as well as nail involvement. Under the heading of plaque psoriasis, it is proposed to include, as subdivisions, a new, more logical nomenclature of phenotypes associated with specific anatomical sites, distribution, size and thickness of plaques 8. The most common type of psoriasis is psoriasis vulgaris, often termed ‘plaque psoriasis’. Other sites affected include the scalp, nails, flexures and palms. Palmoplantar pustulosis (PPP) is a relatively rare form of psoriasis that affects the hands and soles of the feet. Lesions range from 1 cm to several centimetres in diameter and scale is present.3 Other types of psoriasis include the following:. Acute unstable psoriasis (urgent referral) and erythrodermic or rarely generalised pustular psoriasis (emergency referral).