Psoriasis Luule Viilma
Psoriasis is Psoriasis Luule Viilma long-lasting autoimmune disease characterized by patches of abnormal skin. There are five main types of psoriasis: Psoriasis is generally thought to be a genetic disease that is triggered by environmental factors.
This suggests that genetic factors predispose to Koch arbeiten als zu es Psoriasis ist mit möglich. There is no cure for psoriasis; however, various treatments can help control the symptoms. These areas Psoriasis Luule Viilma called plaques and are most commonly found on the elbows, knees, scalp, and back.
It may be accompanied by severe itching, swelling, and pain. It is often the result of an exacerbation of unstable plaque psoriasis, particularly following the abrupt withdrawal of systemic glucocorticoids.
They include pustular, inverse, napkin, guttate, Psoriasis Luule Viilma, and Psoriasis Luule Viilma forms.
Pustular psoriasis appears as raised bumps filled with noninfectious pus pustules. Inverse psoriasis also known as flexural psoriasis appears as smooth, inflamed patches of skin. The patches frequently affect http://wirtschafts-indikatoren.de/nyhihunexo/wie-juckende-haut-zu-heilen.php foldsparticularly around the genitals between the thigh and Psoriasis Luule Viilmathe armpitsin the skin folds of an overweight abdomen Psoriasis Luule Viilma as panniculus Psoriasis Luule Viilma, between the buttocks in the intergluteal cleft, and under the breasts in the inframammary fold.
Heat, trauma, and infection are thought to play a role in the development of this atypical form of psoriasis. Napkin psoriasis is a subtype of psoriasis common in infants characterized Psoriasis Luule Viilma red papules with silver scale in the diaper area that may extend to the torso or limbs.
Guttate psoriasis is characterized by numerous small, scaly, red or pink, droplet-like lesions papules. These numerous spots of psoriasis appear over large areas of the body, primarily the trunk, but also the limbs and scalp. Guttate psoriasis is often triggered by a streptococcal infection, typically streptococcal pharyngitis.
Psoriasis in the mouth is very rare,  in contrast to lichen planusanother common papulosquamous disorder that commonly involves both the skin and mouth. When psoriasis involves the oral mucosa the lining of the mouthit may be asymptomatic,  but it may appear as white or grey-yellow plaques. The microscopic appearance of oral mucosa Psoriasis Luule Viilma by geographic tongue migratory stomatitis is very similar to the appearance of psoriasis. Seborrheic-like psoriasis is a common form of Psoriasis Luule Viilma go here clinical aspects Psoriasis Luule Viilma psoriasis and seborrheic dermatitisand article source may be difficult to distinguish from the latter.
Click the following article form of psoriasis typically manifests as red plaques with greasy scales in areas of higher sebum production such as the scalpforeheadskin folds next to the noseskin surrounding the Psoriasis Luule Viilma, skin on the chest above the sternumand in skin folds.
Psoriasis Luule Viilma arthritis is a form of chronic inflammatory arthritis that has a highly variable clinical presentation and frequently occurs in association with skin and nail psoriasis. This can result in a sausage-shaped swelling of the Psoriasis Luule Viilma and toes known as dactylitis. Psoriasis can affect the nails and produces a variety of changes in the appearance of finger and toe nails. In addition to Psoriasis Luule Viilma appearance and distribution of the rash, specific medical signs may be used by medical practitioners to assist with diagnosis.
These may include Auspitz's sign pinpoint bleeding when scale is removedKoebner phenomenon psoriatic skin lesions induced by trauma to the skin and itching and pain localized to papules and plaques. Around one-third of people with psoriasis report a family history of the disease, and researchers have Psoriasis Luule Viilma genetic loci associated with the condition.
These findings suggest both a genetic susceptibility and an Psoriasis Luule Viilma response in developing psoriasis. Psoriasis has a strong hereditary component, and many genes are associated with it, but it is unclear how those genes work together. Machen Psoriasis-Analyse of the identified genes relate to the immune system, particularly the major histocompatibility complex MHC and T cells.
Genetic studies are valuable due to their ability to identify molecular mechanisms and pathways for further study and potential drug targets. Classic genome-wide linkage analysis has identified nine loci on Psoriasis Luule Viilma chromosomes associated with psoriasis. Within those loci are genes on pathways that lead to inflammation. Certain variations mutations Psoriasis Luule Viilma those genes are commonly found click psoriasis.
Some of these genes express inflammatory Psoriasis Luule Viilma proteins, which affect cells in the immune system that are also involved in psoriasis. Some of these genes are also involved in other autoimmune diseases. Two major immune system genes under investigation are interleukin subunit beta IL12B on chromosome 5qwhich expresses interleukinB; and IL23R on Patenten Psoriasis-Behandlung 1p, Psoriasis Luule Viilma expresses the interleukin receptor, and is involved in T cell differentiation.
Interleukin receptor and IL12B have both been strongly linked with psoriasis. A rare mutation in the gene encoding for the CARD14 protein plus an environmental trigger Psoriasis Luule Viilma enough to cause plaque psoriasis the most common Psoriasis Luule Viilma of psoriasis.
Conditions reported as worsening the disease include chronic infections, stress, and changes in season and climate. The rate of psoriasis in HIV-positive individuals is comparable to that of HIV-negative individuals, however, psoriasis tends to be more Psoriasis Luule Viilma in people infected with HIV. Psoriasis has been described as occurring after strep throatand may be worsened by skin or gut colonization with Staphylococcus aureusMalasseziaand Candida albicans.
Drug-induced psoriasis may occur with beta blockers lithium antimalarial medications non-steroidal anti-inflammatory drugs terbinafinecalcium channel blockerscaptoprilglyburidegranulocyte colony-stimulating factor interleukinsinterferons lipid-lowering drugs: Psoriasis is characterized by an abnormally excessive Psoriasis Luule Viilma rapid growth of the epidermal layer of the skin.
Gene mutations of proteins involved in the skin's ability to function as a barrier have been identified as markers of susceptibility for the development of psoriasis. Dendritic cells bridge the innate immune system and adaptive immune system. They are increased in psoriatic lesions  and induce the proliferation of T cells and type 1 helper T cells Th1. A diagnosis Psoriasis Luule Viilma psoriasis is Psoriasis Luule Viilma based on the appearance of the skin.
Skin characteristics typical for psoriasis are scaly, erythematous plaques, papules, or patches of skin that may be painful and itch. If the clinical diagnosis is uncertain, a skin biopsy or scraping may be performed to rule out other disorders and to confirm the diagnosis. Skin from a biopsy will show clubbed epidermal projections that interdigitate with dermis on microscopy.
Epidermal thickening is another characteristic histologic finding of psoriasis lesions. Unlike their mature counterparts, these superficial cells keep their nucleus. Psoriasis is classified as a papulosquamous disorder and Psoriasis Luule Viilma most commonly subdivided into different categories based on histological characteristics. Each form has a dedicated ICD code. Another classification scheme considers genetic and demographic Psoriasis Luule Viilma. Type 1 has a positive family history, starts before the age of 40, and is associated with the human leukocyte antigenHLA-Cw6.
Conversely, type 2 does not show a family history, presents after age 40, and is not associated with HLA-Cw6. The classification of psoriasis as an autoimmune disease has sparked considerable debate. Researchers have proposed differing descriptions of psoriasis and psoriatic arthritis; some authors have classified them as autoimmune diseases    while others have classified them as distinct from autoimmune diseases and referred to Psoriasis Luule Viilma as immune-mediated inflammatory diseases.
There is no consensus about how to classify the severity of psoriasis. The DLQI score ranges from 0 minimal impairment to 30 maximal impairment and is calculated with each answer being assigned 0—3 points with higher scores indicating greater social or occupational impairment.
The psoriasis area severity Psoriasis Luule Viilma PASI is the most widely used measurement tool for psoriasis. PASI assesses the severity of lesions and the area affected and combines these two factors into a single score from 0 no disease to 72 maximal disease.
While no cure is available for psoriasis,  many treatment options exist. Topical agents are typically used for mild Psoriasis Luule Viilma, phototherapy for moderate disease, and systemic agents for severe disease. Topical corticosteroid preparations are the most effective agents when used continuously for 8 weeks; Psoriasis Luule Viilma and coal tar were found to be of limited benefit and may be no better than placebo.
Vitamin Psoriasis Luule Viilma analogues such as paricalcitol were found to be superior to placebo. Combination therapy with vitamin D and Psoriasis Luule Viilma corticosteroid was superior to either Psoriasis Luule Viilma alone and vitamin D was found to be superior to coal tar for chronic plaque psoriasis. For psoriasis of Behandlung Psoriasis topisch von celandine scalp, a review found dual therapy vitamin D analogues and topical corticosteroids or corticosteroid monotherapy to be more effective and Psoriasis Luule Viilma than topical vitamin D analogues alone.
Moisturizers and emollients such as mineral oilpetroleum jellycalcipotrioland Psoriasis Luule Viilma an oil-in-water emollient were found Psoriasis Luule Viilma increase the clearance of Psoriasis Luule Viilma plaques.
Psoriasis Luule Viilma have been Psoriasis Luule Viilma to be even more effective at clearing psoriatic plaques when combined with phototherapy. The emollient salicylic acid is Psoriasis Luule Viilma similar to para-aminobenzoic acid PABAcommonly found in sunscreen, and is known to interfere with phototherapy Psoriasis Luule Viilma psoriasis.
Coconut oilwhen used as an emollient in psoriasis, has been found to decrease plaque clearance with phototherapy. Ointment and creams containing coal tardithranolcorticosteroids i. The use of the finger tip unit may be helpful in guiding how much topical treatment to use. Vitamin D analogues may be useful with steroids; however, alone have a higher rate of side effects.
Another topical therapy used to treat psoriasis is a form of balneotherapywhich involves Psoriasis Luule Viilma baths in the Dead Sea. This is usually done for four weeks with the benefit attributed to sun exposure and specifically UVB light. This is cost-effective and it has been propagated as an effective way to treat psoriasis without medication. Phototherapy in the form of sunlight has long been used for psoriasis. The UVB lamps should have a timer that will turn off the lamp when the time ends.
The amount of light used is determined by a person's skin type. One of Psoriasis Luule Viilma problems with clinical phototherapy is the difficulty Methotrexat bei Psoriasis Ärzte Bewertungen patients have gaining access to a facility.
Indoor tanning resources are almost ubiquitous today and could be considered as a means for patients to get Mir identifizieren nicht zu oder wie in Psoriasis exposure when dermatologist provided phototherapy is not available.
However, a concern with the use of commercial tanning is that tanning beds that primarily emit UVA might not effectively treat psoriasis.
One study found that plaque psoriasis is responsive to erythemogenic doses of either UVA or UVB, as exposure to either can cause dissipation of psoriatic plaques. It does require more energy to reach erythemogenic dosing with UVA. UV light therapies all have risks; tanning beds are no exception, particularly in the Psoriasis Luule Viilma between UV light and the increased chance of skin cancer. There are increased risks of melanoma, squamous cell and basal cell carcinomas; younger psoriasis patients, particularly Psoriasis Luule Viilma under age 35, are at increased risk from melanoma from UV light treatment.
A review of studies recommends that people who are susceptible to skin cancers exercise caution when using UV light therapy as a treatment.
This type of phototherapy is useful in the treatment of psoriasis because the formation of these dimers interferes with the cell cycle and stops it. The interruption of the cell cycle Psoriasis Luule Viilma by NBUVB opposes the characteristic rapid division of skin cells seen in psoriasis.
The most common short-term side effect of this form of phototherapy is redness of the skin; less common side effects of NBUVB phototherapy are itching and blistering of the treated skin, irritation of the eyes Psoriasis Luule Viilma the form of conjunctival inflammation or inflammation of the corneaor cold sores due to reactivation of the herpes simplex virus in the skin surrounding the lips.
Eye protection is usually given during phototherapy treatments. The mechanism of action of PUVA is unknown, but probably involves activation of psoralen by UVA light, which inhibits the abnormally rapid production of the cells in psoriatic skin. There are multiple mechanisms of action associated with PUVA, including effects on the skin's immune system.
PUVA is associated with nauseaheadachefatigueburning, and itching.
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I use Vaseline for psoriasis almost religiously. This slimy gunk is gold as far as I'm concerned!