In the article, we consider the treatment of psoriatic erythroderma and reviews.
Lichen or psoriasis is a chronic dermatological pathology that affects the skin. It has been proven in scientific studies that this disease is inherited. With psoriasis, red convex and dry spots called papules appear on the epidermis. When lichen progresses, the area of the papules also expands, as a result, they merge into large spots, that is, plaques.
Psoriatic erythroderma is the most dangerous and severe form of psoriasis. The inflammatory process of the disease in half the situations is preceded by a pathology that already exists in the body. Treatment requires strict medical supervision, mainly in stationary conditions.
The essence of pathology
From the point of view of modern dermatology, psoriatic erythroderma is usually divided into two types: primary and secondary.
The first is characterized by the occurrence of a disease in a person who has not previously had psoriasis, when the sudden onset of lichen does not have any prerequisites.
The development of the second occurs on the basis of a disease that was present in humans, and represents its extreme degree. The main irritating factors that cause secondary erythroderma are excessive exposure to the patient in the sun, drinking alcohol, certain types of antibiotics, mechanical skin lesions and improper methods of treatment for psoriasis that was already in the body.
Classification
In addition, erythroderma is classified by type of pathological process.
There are such forms as:
generalized;
rotting;
hyperergic.
The first is characterized by extensive damage to almost the entire skin cover. The second is essentially the transition between pustular psoriasis and erythroderma proper. Typically for her, the appearance of ulcers and pustular rash, except for the papules that already exist on the skin. With a third, scaly and itchy inflammatory foci form on the human body, expanding and causing discomfort.
Psoriatic erythroderma needs compulsory therapy, without which the patient will face many life-threatening consequences.
With the intense nature of the disease, the epidermis loses its protective function. The same process is typical for severe burns, and the skin becomes vulnerable to numerous infectious pathologies.
How does pustular psoriasis or psoriatic erythroderma manifest itself?
Signs of the disease
Pathology has extensive symptoms. Among the most common signs are:
If the form is secondary, then the rashes appear separately from the present plaques, merge with them during the spread along the skin integument.
Diagnosis of the disease
If the first symptoms of the disease appear, the person needs to seek the help of a dermatologist as soon as possible, who can make the correct diagnosis. The disease is often diagnosed after an ordinary medical examination. More rare is its establishment according to the results of a histological examination of the patient.
Psoriatic erythroderma treatment
Due to the fact that this type of disease is very dangerous, in some cases it can cause death. That is why the patient is hospitalized.
What can be learned from the medical history of psoriatic erythroderma?
The patient needs specific conditions: the room should be quartz every few hours, there should be no dust, humidity and temperature are regulated. Therefore, for the convenience of the patient, if possible, the medical institution should provide him with special care and a separate ward.
The treatment is complicated by the fact that the skin of the whole body is exposed to inflammation, while some drugs can only aggravate the situation. If the condition is an exacerbation of the main disease or a complication, it must also be treated.
Complex therapy is prescribed individually, taking into account the person’s age, the severity of the pathology, state of health, and includes the following procedures:
Bed rest. The patient should ideally have his own room, in which you can prevent excessive dry air, as well as adjust the temperature. When placing the patient in a general ward (in the infectious or combiological department), you need to change clothes several times a day, wipe the dust and quartz the room.
Replacement treatment. It is necessary to cancel all drugs that the patient took before that, and leave only those drugs that are required for his life. Detoxicants (for example, Reosorbilact, Polydez, Sorbilact, Neohemodez, etc.) and enterosorbents (Sorbogel, Polyphepan, Enterosgel, etc.) used to cleanse the patient’s body tissue breakdown products. Anti-mediators to relieve itching and swelling. Immunosuppressants, reginoids, cytostatics, diuretics, amino acids, vitamins and fat emulsions.
Plasmapheresis (blood is cleaned outside the body to increase immunity), hemosorption (removal of toxins by passing blood through an external sorbent), lymphocytopheresis (lymphocytes are removed from the blood), AUFOK (the patient receives his own blood that has previously undergone laser irradiation), PUVA treatment (therapy with psoralen and ultraviolet radiation). These methods are used in the most difficult situations. Local drugs: herbs, salicylic ointment, emollient ointments, corticosteroids.
Hypnotics and sedatives are used if necessary. In addition, you need to monitor the proportion of excreted and drunk fluids to avoid dehydration. The therapy is carried out under the close supervision of a dermatologist who monitors its effectiveness and makes adjustments. If the treatment methods are chosen incorrectly, the patient’s condition worsens, complications such as secondary infection, phlegmon and boils develop. Psoriasis is a chronic pathology, therefore, with the development of psoriatic erythroderma against its background, it is almost impossible to recover, it returns to its typical symptoms, and it takes several weeks.
Alternative methods of treatment
With the help of folk remedies, this type of lichen can be treated only at the initial stages. When the integument of human skin can no longer cope with the spread of plaques throughout the body, and the state of health in general suddenly worsens, the patient is advised to seek qualified help as soon as possible.
With erythroderma at home, it is recommended to apply soaked oatmeal to plaques so that exfoliation occurs faster, as well as spread sea buckthorn oil to partially relieve irritation.
It is advised to take soothing mint or chamomile tea with the addition of several tablespoons of sea buckthorn oil.
It is advisable to go on a diet, limiting in your diet salty, spicy and fatty foods.
For hygienic procedures, it is not recommended to use ordinary soap and gels. It will be much more useful to add a couple drops of chamomile or lavender essential oil to the water.
A recipe that combines eucalyptus tincture, vegetable oil and dry mustard is popular.
The most common folk remedy for the treatment of most skin diseases is celandine. Patients take baths with it, and also lubricate inflamed skin areas with tincture.
A photo of psoriatic erythroderma is presented in the article.
Erythroderma Complications
The greatest danger to the body that is susceptible to this disease lies in the complete or partial loss by the skin of its inherent protective functions.
A person is completely open to various kinds of infections, for which it is not difficult to penetrate the patient’s body.
Prevention and medication
During treatment, “Sorbilact”, a decoction of medicinal herbs, salicylic ointment, sedatives, “Sorbogel”, “Cyclosporin”, “Kaopektat”, sleeping pills (if necessary), “Acitretin” are used.
All types of psoriasis have winter and autumn exacerbations, in connection with which, at these times of the year, you need to visit a doctor for the purpose of prevention, even if the disease has not manifested.
Compliance with the recommended diet will reduce the likelihood of lichen. It is necessary to pay attention to a number of factors that can provoke the disease: excessive amounts of ultraviolet radiation, antibiotic therapy, excessive consumption of alcoholic beverages, as well as mechanical skin lesions.
Psoriatic erythroderma reviews
Patients say that the symptoms of this disease cause a lot of inconvenience. It is impossible to work and be fully in the company of people. But in general, the disease is treatable, the main thing is to comply with all the doctor's recommendations.
Thanks to complex treatment, it is possible to alleviate the patient's condition and achieve clinical remission.