Psoriasis is a chronic, non-infectious, inflammatory skin lesion that has a negative impact on the patient's quality of life ("Psora"-grade in Greek). Like many other diseases, it was from there that the first findings about psoriasis were described. This term was coined by Galen, one of the key researchers in the medical field.
The skin symptoms of psoriasis caused confusion between people and doctors because leprosy was very common at the time and the consequences were disastrous. Psoriasis patients are under social pressure and should be avoided. They must be isolated. In Europe, such people are forced to ring bells to warn others. Try to use feces, onions, sea salt, oil, and urine for treatment, but all methods are ineffective, and patients with psoriasis are eliminated.
The disease can appear at any age, but it is more common in the 49 to 69 age group. According to reports, the prevalence of psoriasis in various countries is between 0. 09% and 11. 4%, which makes psoriasis a serious global problem.
Although it is generally misunderstood that psoriasis is not as serious as other non-skin diseases, psoriasis can cause a disease burden that extends far beyond skin disease symptoms. Its psychological effects are similar to cancer, heart disease, and diabetes. Psoriasis plaques are usually visible and can negatively affect relationships, school or work success. Not surprisingly, patients with psoriasis have a higher incidence of depression and an increase in suicidal thoughts.
Psoriasis patients are also at risk of serious comorbidities, which will complicate disease control and increase the risk of early death. Cardiovascular disease and metabolic syndrome are more common in patients with psoriasis.
In addition, psoriasis itself is a risk factor for cardiovascular disease, which is three times the relative risk of developing myocardial infarction. Severe psoriasis is also associated with an increased risk of death. Compared with people without psoriasis, the life expectancy of men and women is reduced by 3. 5 years and 4. 4 years, respectively.
There are many theories about the origin of psoriasis. This is due to microbes, viruses, allergies, poor sanitation, the blood supply of the skin is disturbed, and the balance of internal organs is disrupted. When human immune cells attack their own tissues, the autoimmune nature of this disease is currently the most urgentSituation one. Even this hypothesis is still a theory, because so far, no skin-damaging antibodies have been found in psoriasis patients.
Currently, the pathological cause is unclear. But in the process of research, scientists have established factors that can induce psoriasis to a certain extent.
Distinguish the following points:
In 50% of cases, psoriasis will be felt from the head. Psoriasis can appear anywhere on the head. Sometimes small patches are formed that are easy to hide in the hair, but when the entire scalp is covered, it is difficult to cover up the patches.
The appearance of psoriasis on the head will be as follows:
These clinical manifestations can rapidly increase and collapse. This is a separate process. In one patient, the entire pathological process will end on a light spot under the hair, while in another patient there will be many bright foci on the entire top of the head. This is especially affected by the above mentioned triggers.
Many problems that patients may face:
The decision to see a doctor depends on the severity of the patient’s symptoms. However, regardless of the location of the plaque, the best solution is to see a doctor. In order for further treatment to be as successful as possible, an accurate diagnosis must be made even if the symptoms are mild.
In most cases, scalp psoriasis can be diagnosed after physical examination and medical history analysis.
Dermatologists can determine scalp psoriasis by examining the pathological factors of the skin.In special circumstances, patients may be advised to undergo a skin biopsy to rule out other diseases.
Unfortunately, there is currently no cure for this disease. Treatment is needed throughout the life to maintain remission. In addition, caring for patients with psoriasis not only requires skin treatment, but it is also very important to control existing chronic diseases and prevent new diseases.
These conditions will include cardiovascular disease, metabolic disease and mental health.
Traditionally, treatment begins with diet. Foods containing antioxidants, such as vitamin C, E, beta-carotene (vegetables, fruits, sage, ginger, etc. ), and omega-3 fatty acids rich in salmon, sardines and other fish can all play a positive role.
The link between alcohol and psoriasis is unclear, but experts say that people who drink less alcohol respond to treatment, and the relief of psoriasis will continue after quitting. In addition, certain antipsoriatic drugs are incompatible with alcohol.There is a clearer correlation between
and overweight. Generally, in obese people, the pathology progresses faster and the clinical situation is brighter.
Hair makes the treatment of scalp psoriasis particularly difficult. Few people agree that hair loss can more effectively address the clinical manifestations of the disease, especially considering the fact that the defect will be more obvious to others.
Traditional hair care products are not suitable for this situation because they will additionally irritate the scalp and lead to pathological development. Therefore, tar shampoos are used, which have been effective in fighting scalp psoriasis for a long time.
Tar has a "soothing" effect on the epidermis of the scalp and inhibits the formation of scale. In addition, shampoos with phenolic acid are used because of their keratin-solubilizing effect (destroying dense keratinous scales). Plus is used to enhance the permeability of other drugs (including corticosteroids).
When prescribing shampoo, one’s personal hygiene should be considered. For example, some women do not wash their hair every day, so it is best to wash their hair 2-3 times a week, and then wash their hair in the morning.
Phenolic acid can also be used alone as an ointment. The fact that the ointment is applied for a relatively long time increases the effectiveness of its super-corneal properties. For patients who complain that the hair is difficult to separate the scales, applying ointment before showering can help solve this situation.
Coal tar has been used for the treatment of psoriasis for decades due to its anti-proliferative, anti-inflammatory and powerful antipruritic effects.
Although, raw coal tar is the most effective resin. Applying raw stone tar to the scalp is problematic. It is usually recommended to use a resin solution (5-20%) formulated as an emulsion or added to corticosteroids. This therapy helps fight psoriasis, but it has many side effects: hair coloring, thinning hair and a more serious negative effect-carcinogenicity, thus limiting the use of this method.
For example, for this reason, Canada and the European Union prohibit the use of coal tar.
Among all available topical treatments, corticosteroids have been proven to be the most effective in clinical trials for scalp psoriasis, and are the most commonly prescribed treatments. Corticosteroids are also very convenient, because in any case there are a large number of production forms: creams, lotions, ointments, oils, gels, foams, solutions, sprays and shampoos.
In this pathology, please do not underestimate the importance of psychological harmony. Stress can trigger, cause detailed clinical conditions, and inhibit the treatment process. Therefore, patients with internal anxiety are advised to consult a psychotherapist and psychologist.
For patients with psoriasis, it is important to follow the doctor’s advice first, but by following the simple rules described below, you can further improve the quality of life:
By monitoring the progress of psoriasis, it can help patients better control the disease and take necessary measures in time, and improve the productivity of the doctor-patient relationship. Some simple rules can help you:
Although the disease is not spread through contact, the patient's appearance makes those who don't know feel scared. Beauty salons are afraid to provide services. Some taxi drivers do not want to transport such people, and it is difficult to find jobs. Not to mention starting a family, because they are worried that their children will be destined to suffer the same suffering and therefore cannot bear children.
even described the refusal to train psoriasis patients in the Olympic Swimming Reserve due to collective complaints from other athletes. Although they fully understand that this pathology is not contagious, the management still rejected these people.
Due to heavy psychological pressure and the need for interpersonal communication, it is difficult for them to carry out daily activities. For these reasons, societies that protect and support psoriasis patients have been formed in many countries. Companies are deploying to educate outsiders about this disease.
People should judge by their behavior, not by their appearance. Indeed, among patients with this morbidity, there are very professional doctors, police officers, firefighters, athletes and many others whose actions take pride in not only their relatives but also their country.