Exudative psoriasis is one of the most severe forms of diseases associated with impaired immune systems. There may be problems with the endocrine sphere. The disease manifests itself with plaques soaked in the collected exudate. There are dense crusts, but only if primary erythema is absent. Therapy is aimed at the use of anti-inflammatory drugs, sometimes antihistamines, as well as vitamins, are prescribed.
Disease Description
Exudative psoriasis is considered a chronic disease characterized by dermatosis. The problem is not considered contagious. Among all cases of psoriasis, this pathology occurs only in 1% of patients. However, even with this, given that the problem is one of the most popular in the world, the exudative form is highly prevalent. Doctors note that smoking and obesity are considered to be provoking factors of the described pathology. Therefore, people from highly developed countries often suffer from psoriasis. The risk of a problem is not affected by climate or race. But it should be noted that widespread exudative psoriasis can be transmitted at the genetic level. The problem is least likely to affect Indians and African Americans. The age category and gender of a person does not affect the development of the disease. Important provocative factors will be disturbed living conditions. If the disease becomes severe, it will lead to death.
Development reasons
Poor lifestyle is considered a factor that provokes exudative psoriasis. Therefore, it is important to consider the causes of the disease. Pathology occurs due to problems with the immune system and in the presence of a certain genetic factor. Stress, infections, hypothermia and so on can lead to a similar illness. Also, problems with the endocrine system can cause, as complications, the development of psoriasis of this form. Now medicine knows about 3 thousand genes, as well as nine loci. Mutation of one of the latter in almost half the cases leads to the development of exudative psoriasis.
It should be noted that the described pathology is not the result of any genetic disorders. The main reason is identified by autoimmune problems. That is why stress and harmful bacteria parasitizing in the body can be called provocative. They affect the functioning of the immune system, activating the production of certain cells. Due to the specific mechanism of the development of the problem, psoriasis is not manifested by inflammation of erythema. In case of a disease, the patient immediately shows the appearance of foci, which are considered plaques. A photo of exudative psoriasis demonstrates how they look.
Classification
In order to conduct the correct treatment of exudative psoriasis, it is necessary to understand the classification of the problem. Separation is carried out according to primary elements, as well as for reasons of occurrence. All doctors rely on this division during treatment, since this allows you to prescribe the correct and effective therapy in the shortest possible time.
Kinds
- Thin-patchy. It is provoked by diabetes and various problems from the endocrine system. It can be a complication of eczema. The doctor should monitor the patient's condition. So you can prevent malignancy of the problem. Be sure to pay attention to the patient's condition and external manifestations.
- Fat plaque. This exudative form of psoriasis, whose photo is shocking to many, is caused by obesity. Most often, men suffer from it. The problem does not have a favorable prognosis. Due to its development, nails are affected, and polyarthritis also occurs. During treatment, body weight should be monitored and the prevention of rheumatoid diseases carried out.
Symptomatology
External manifestations of the disease are specific. On the skin, which previously does not blush and does not hurt, plaques occur. They are able to reach up to 20 cm in diameter. They have clear boundaries. The skin is hot. Unlike other forms of psoriasis, there is no flaking. Due to the fact that exudate accumulates a lot, the focus begins to swell. Over time, the resulting plaques become covered with scales. If the patient tries to get rid of them, then bleeding will begin. As a rule, with such manipulations, a secondary infection may appear.
For exudative psoriasis, pain is a common occurrence. It is caused by irritation of dried crusts. Itching and insomnia may occur. The problem can manifest itself on different parts of the skin, however, most often foci are localized in the folds of the epidermis and on the legs. In the latter case, psoriasis often occurs with varicose veins. If one of the plaques is damaged, it will be difficult to restore the skin. This is due to the fact that the exudative form is active throughout a person’s life. With the help of medications, remission can be achieved, but even during it, skin inflammation continues to develop in a latent form.
Diagnostic measures
In order to make a diagnosis of exudative psoriasis, it is necessary to correctly collect an anamnesis and make tests. It is important to pay attention to external manifestations. The specialist should check the status of the immune system in order to prescribe an effective method of therapy. Given all the possible complications of psoriasis, it is important to immediately diagnose the condition of the joints of patients. Surveys of biochemical and radiological types are prescribed. The doctor can direct for ultrasound and arthroscopy. It is important to pay attention to the condition of the bones. Be sure to visit the surgeon, rheumatologist and directly the endocrinologist.
Treatment methods
It should be understood that it is impossible to cure the disease, however, due to the correctly selected treatment methods, it will be possible to alleviate manifestations and stop the development.
It is important to comprehensively approach the solution of the problem. It is necessary to use several methods at once:
- Diet. All patients who suffer from exudative psoriasis should eat according to a certain regimen. It is necessary to refuse salty, spicy, sour, smoked and spicy. Alcohol and fatty are also prohibited. Vegetables and fruits, ginger, fish will be useful.
- Physiotherapy. Such procedures are based on ultraviolet radiation. They can be prescribed not only to affect the affected areas, but on the whole body. Patients can also be referred for paraffin therapy. Photosensitizers have a good effect.
- Systemic treatment of exudative psoriasis. The specialist should prescribe drugs that affect the immune system, and hormones. Diuretics and antihistamines are also prescribed. They will help relieve itching and remove excess fluid in the body. Vitamin complexes will be useful for many patients. To improve metabolism, you should drink vitamins A, groups B, E, P and others.
- Local treatment. It is necessary to use various ointments and creams. The most effective result will bring those that contain hormones of the corticosteroid type. Many drugs can reduce itching and other unpleasant sensations. They also kill bacteria and fungi. When injuring the focus, the ointment will avoid infection. If plaques begin to get wet, you can use special lotions with special solutions. The main thing is to consult with your doctor beforehand. You can use folk methods in the form of baths or herbal decoctions.
Clinic treatment
Many clinics specializing in the treatment of exudative psoriasis present a hardware therapy service. The most popular procedures are hemosorption and plasmapheresis. They affect the immune system and cleanse the patient's body of toxins that have accumulated. The procedures are not painful. All substances enter the patient through catheters. The session lasts 90 minutes. The course should consist of at least 3 procedures if the disease is acute, and 6 in chronic.
Folk remedies
In order to achieve the maximum effect of therapeutic therapy, it is necessary to pay attention to alternative methods:
- Baths with the addition of celandine or horsetail show themselves excellently. They have a good effect on the foci of inflammation with the development of a progressive stage of exudative psoriasis.
- Common symptoms of pathology (pain and itching) can be removed using trays of soda or salt. The first is also allowed to be added to compresses. Need to take 2 tbsp. tablespoons of substance and dilute in water to a state of gruel. Once every 7 days, such a compress should be applied to inflamed areas. A bath of salt should be taken no more than 15 minutes.
- A good effect on plaques is provided by honey mixed with glycerin ointment. The first is taken in the amount of 1 tbsp. spoons, the second - 2 tbsp. l
- Every day, foci should be lubricated with iodine or hydrogen peroxide. The course should last no more than 1.5 months.
- Gunpowder should be diluted in petroleum jelly (100 ml). Such a mixture should be applied once a day to inflamed areas. Do this for 6 months.
- You can use a combination of propolis and butter. You need to take the ingredients in a ratio of 15 to 100 grams. Vitamin A should be added to the mixed mixture. Next, apply it to the plaques.
- Tar can lubricate inflamed areas. You need to hold the compress for an hour, then rinse it with water. Additionally, you can grease with celandine. The course of such treatment is no more than two weeks.
Prevention
You need to understand that exudative psoriasis cannot be cured, but if you adhere to preventive measures, you can achieve an increase in the duration of remissions.
It is necessary to strictly follow a diet. The living room must have a sufficient level of humidity. Stress and colds are triggering factors, so they should be avoided. Clothing should be made of natural materials. It is advisable to take a shower instead of a bath, and wipe the body with a soft sponge. The latter will avoid plaque injury.