Parapsoriasis is a complex of chronic dermatological diseases, with an unclear etiology. Despite numerous studies, it is still not clear today why this pathology appears. But a number of provoking factors are definitely distinguished: a tendency to allergies, acute chronic diseases, and disturbances in the functioning of the endocrine and immune system. The disease is characterized by the appearance of a pseudo-psoriatic rash on the skin.
Parapsoriasis and Psoriasis
Despite the similarity of names and symptoms, these are completely different diseases. Psoriasis often occurs against the background of bleeding of plaques, neoplasms are constantly increasing in size, they always peel off. Psoriasis is necessarily accompanied by severe itching. It manifests itself most often in the places of the bend and on the scalp, which is not typical for parapsoriasis.
Main reasons
For the first time, parapsoriasis was described back in 1902. It is quite difficult to diagnose the disease, since the symptoms are very close not only with psoriasis, but also very similar to cutaneous tuberculosis, eczema, lichen and syphilis.
Previously it was believed that this ailment appears against the background of infectious diseases, but no one has been able to confirm this hypothesis. Today, it is believed that parapsoriasis has an allergic basis of origin. Although not the last role is played by the presence of infectious colds: tonsillitis, acute respiratory viral infections and influenza. Pyelonephritis, tonsillitis or sinusitis can provoke the appearance of an ailment. Somatic diseases, in particular problems with the liver and gastrointestinal tract, are often a provoking factor for the development of the disease.
Symptoms and types
Experience in the treatment of parapsoriasis shows that this is a seasonal disease that most often appears in summer or spring. The general symptom, regardless of the type, is the appearance of papules and plaques on the skin. As a rule, they have a border around the periphery of the entire spot. Such spots may rise slightly above the surface of the skin and have a pinkish or reddish tint. In some cases, plaques can become covered with silvery scales. Pathology rarely proceeds against a background of itching.
Four types of the disease are distinguished: plaque, lichenoid and teardrop-shaped and acute.
Plaque type
This is the most common form of pathology. Outwardly, the disease resembles pink lichen or mushroom mycosis.
Plaques can be large and small. The large patchy form can degenerate into lymphoma. The spots are pale pink, may be yellow or brown. The shape of the rash is usually oval, from 3 to 5 centimeters in diameter.
Plaques usually do not rise above the surface of the skin; they can appear on the whole body and on the legs. The rash rarely merges, but pityriasis can appear. The skin at the sites of parapsoriasis resembles a crumpled paper sheet. Enlarged vessels can be seen near the plaques, the skin itself loses its natural pigment, and becomes pale.
Teardrop shape
This type of pathology is characterized by the formation of hemispherical plaques, oval and round. They have a flat surface. They are red or brown. Papules grow from 2 to 5 millimeters. Dun scales are usually observed in the middle.
If you try to scrape off the papule, then it will separate completely from the skin - this is a manifestation of the so-called cachet phenomenon. If the plaque is scratched, hemorrhage may begin.
This form of parapsoriasis can manifest itself in a rash on almost any part of the body, not excluding the limb, the trunk on the side and front. Papules may even appear on the mucous membrane, but there they are white.
Treatment for guttate parapsoriasis gives good results. Although the pathology lasts for years, at some point it can completely disappear without leaving the slightest trace on the skin. Most often, the provocateur of this form of the disease are infectious diseases.
Lichenoid form
This is the rarest form of pathology, and in childhood almost never occurs. It is diagnosed in people from 20 to 50 years old.
The treatment of parapsoriasis of this form is very long and complicated. Very often it is this form of the disease that develops into fungal mycosis.
It is characterized by the appearance of a very small rash, literally from the head of a pin. Plaques are flat, cherry, brown, red or even yellow. Quite often, papules are covered with bran-shaped scales, and if slightly scraped off, purple may appear. As a rule, patients do not complain of itching. But after the plaque disappears, a brown spot remains on the skin.
Treatment of lichenoid parapsoriasis is carried out according to the same scheme that is provided for the plaque type. In addition to antibiotic therapy, sanitation of foci of infection is carried out. However, it should be prepared that even the acute form of this pathology can last from several weeks to 6 months.
Haberman-fly
This form has been included in the parapsoriasis group recently. It is believed that this is one of the teardrop-shaped forms with an acute course of the disease. Pathology is characterized by an acute initial stage and the presence of characteristic polymorphic rashes. In this case, the rash can be varied: pustules, papules, necrotic ulcers, vesicles, hemorrhagic fragments.
The disease is accompanied by general malaise, headaches, body temperature rises, lymph nodes can even increase.
The rash can appear not only on the skin, but also on the feet, scalp, and mucous membranes. As a rule, rashes are located symmetrically. After the disappearance of the papules, scars may remain, and purulent papules may appear, but the plaques do not merge.
In this case, it is very important to start treatment for parapsoriasis on time. But if it lasts about 6 months or more, then we can already talk about the chronic form.
Diagnostics
An accurate diagnosis of parapsoriasis is quite difficult. After all, the symptoms of the disease are very similar to many dermatological diseases. Clear laboratory diagnostic techniques have not been developed to this day. A blood test and a biopsy of fragments of the affected areas of the skin are performed in order to differentiate parapsoriasis from other pathologies.
Antibacterial and antihistamine therapy
Treating parapsoriasis is similar to psoriasis. The acute form of the disease is necessarily treated with antibacterial agents. Most often used:
- Tetracycline is a broad-spectrum antibiotic. The medicine is indicated for use in many diseases, including psoriasis and parapsoriasis. However, it is not prescribed during pregnancy, lactation and with liver failure.
- Penicillin is a broad-spectrum antibacterial drug. It is also used in the treatment of many diseases, but is contraindicated for persons with intolerance to G-sodium salt. The drug has the highest safety class, so it is allowed to use it in any trimester of pregnancy.
How to remove the symptoms of parapsoriasis? Treatment should be with antihistamines. These medicines are used to relieve allergic manifestations and eliminate itching:
- Claritin. It has a prolonged antihistamine effect, is not addictive. There are no contraindications for use during lactation and pregnancy, but it is not recommended to use it for children under two years of age.
- "Loratadine." It has an excellent antipruritic and antiexudative effect. Prevents the appearance of edema and relieves spasms. Not addictive.
Plaque Therapy
It is very important to start therapy of this type in time, as it can develop into a chronic form, cause lymphoma or mycosis.
Before starting treatment of plaque parapsoriasis, it is necessary to undergo an examination of the gastrointestinal tract. Since it is precisely violations in the digestive tract that most often provoke the development of pathology. In addition to the prescribed medical course of treatment, you will have to follow a strict diet. Have to give up fried and smoked dishes. It is recommended to eat boiled meat and fish, light soups, cereals, vegetables and fruits.
If the disease is acute, then the treatment of small plaque parapsoriasis is carried out using antibacterial drugs: Penicillin, Erythromycin and others. Nicotinic acid and vitamins are used to improve blood circulation. If the patient suffers from severe itching, then antihistamines are used.
To eliminate the external manifestations of the disease, drugs and ointments with corticosteroids are used. Physiotherapeutic procedures may be prescribed: PUVA therapy, ultraviolet radiation.
The entire course of treatment takes place against a background of observation by a gastroenterologist.
Treatment of a drop-shaped form of the disease
Usually prescribed: "Tavegil" and "Diazolin", they cope well with itching and relieve swelling. Calcium preparations also work - Calcimine and angioprotectors: Troxevasin, Pentoxifylline.
Additionally, nicotinic acid can be prescribed along with vitamins of groups B, A, C and E.
According to reviews, the treatment of parapsoriasis with a severe course of pathology should be carried out using steroid drugs for local use: Diprospana, Prednisolone.
Acute treatment
In addition to antihistamines, nicotinic acid, as well as vascular preparations: “Theonicol” or “Complamin” are necessarily included in the course of treatment. To eliminate itching, use liquid suspensions, which are mixed with anesthesin or menthol.
Treatment of lichenoid parapsoriasis
This type of parapsoriasis is treated in principle by the same method as all other forms of the disease. The emphasis in therapy is only on B vitamins. Tetracycline can be used in pediatrics. If we are talking about a severe course of the disease, then Cyclosporin or Methotrexate is prescribed.
Other treatments
To resolve symptoms as quickly as possible, treatment for parapsoriasis should be based on three fundamental rules:
- Timely seeking medical help.
- Strict and strict observance of the doctor’s recommendations.
- Dietary nutrition.
Ancillary methods of treating parapsoriasis include bathing with sulfur, iodine-bromine or sulfuric carbonate. A course of moderate heliotherapy, phonophoresis and ultraviolet radiation are suitable. But the most pleasant course of treatment can be taken at the Dead Sea. The mud and water of the lake itself has a unique composition of micro- and microelements that will allow you to quickly restore the immune system, endocrine and nervous. It is recommended to sunbathe on the shores of the Dead Sea, since in this place the sun acts most gently on the skin and allows you to quickly get rid of the manifestations of parapsoriasis.
What does traditional medicine offer?
Along with conservative therapy, doctors recommend the use of traditional medicine recipes, especially if the form of the disease is simple and at the initial stage, as below in the photo. Parapsoriasis is treated with herbal baths.
The simplest but very effective recipe, for the preparation of which you will need:
- valerian;
- St. John's wort
- celandine;
- sage;
- a series of.
All herbs are mixed in equal parts. They should be poured with boiling water and insisted for 8 hours. After this, you can strain the broth and add to the bathroom for bathing. This recipe is also suitable for quickly removing annoying itching. If the herbs caused an unexpectedly negative effect and the patient had unpleasant sensations, then instead of grass gathering, you can make a decoction of birch leaves or needles.
To relieve itching, you can take baths with a decoction of juniper berries. For cooking, you need 200 grams of fresh berries, which are poured with boiling water and infused for 5 to 6 hours. Baths with herbs must be taken for 20 minutes. The course of treatment with any of the decoctions described should last from 15 to 20 procedures.
There are also recipes for oral administration that can eliminate the symptoms. According to reviews, the treatment of parapsoriasis can be carried out with Kombucha infusion. First, black tea is brewed, at the rate of 5 grams per 1.5 liters of water, you can add honey or sugar. After the tea has cooled, Kombucha is placed in the container with it. After 4 days, the medicine is ready for use. Before drinking, it should be diluted with clean water. This tool will strengthen immunity in a short time.
To remove the external manifestations of parapsoriasis, doctors recommend using a decoction of birch leaves. Suitable birch tar, which wiped the affected areas of the skin. The duration of the first session should not exceed 20 seconds, the time of subsequent procedures increases gradually.
There are many more folk remedies for the treatment of parapsoriasis, but without adjusting the diet you can not do
Diet food
Regardless of the form of the disease, normalization of the diet will speed up the healing process. First of all, you will have to reduce salt intake, limit the use of fried foods and sweets, and it is best to completely abandon such dishes. In no case can not eat smoked meats. It is recommended to reduce the consumption of fruits and vegetables with a bright color.
For nutrition during treatment, a variety of cereals, greens, lean broths, low-fat varieties of fish and meat are ideal. In addition, doctors recommend eating pumpkin seeds, as they improve intestinal motility. Avoid colds.
Parapsoriasis treatment in Moscow
On average, a appointment with a dermatologist in the capital will cost 1,800 rubles. There are many clinics in the city where you can not only get a consultation, but also undergo a full course of treatment:
- “Doctor is near”, a network medical clinic with branches on Simonovsky Val, in the Losinoostrovsky district, in South Medvedkovo, on Kuzminki, in Northern Tushino and other areas;
- Clinic of Cosmetology and Dermatovenerology on Goncharny passage, 6;
- network international clinic "ON CLINIC", with branches at the metro stations "Tsvetnoy Boulevard", "Taganskaya", "Arbat" and others.
In addition, medical tourism has recently become popular, according to the testimony of a doctor, you can choose a spa treatment in Israel or other countries.