What is Psoriasis | Definition
Psoriasis is among the types of skin disorders that cause skin cells to multiply up to 10 times faster than normal. This makes the skin build up into bumpy red patches covered with white scales. They can grow anywhere, but most appear on the scalp, elbows, knees, and lower back. This skin disorder usually appears in early adulthood.
For most people, it affects just a few areas. In severe cases, it can cover large parts of the body. The patches can heal and then come back throughout a person’s life. Its signs and symptoms vary depending on the type you have.
According to various research and tests, it has been discovered that there are only five official types of psoriasis. Which are:
- psoriatic arthritis.
The main causes of this skin disorder are yet to be understood, but it’s thought to be related to an immune system problem with T cells and other white blood cells, called neutrophils in the normal human body. T cells normally travel through the body to defend against foreign substances, such as viruses or bacteria.
But the Disorder ‘s T cells attack healthy skin cells by mistake as if to heal a wound or to fight infection. Overactive T cells also trigger increased production of healthy skin cells, more T cells and other white blood cells, especially neutrophils. These travel into the skin causing redness and sometimes pus in pustular lesions. Dilated blood vessels in psoriasis-affected areas create warmth and redness in the skin lesions
It typically starts or worsens because of a trigger that you may be able to identify and avoid. Factors that may trigger psoriasis include:
- Infections, such as strep throat or skin infections
- Injury to the skin, such as a cut or scrape, a bug bite, or a severe sunburn
- Heavy alcohol consumption
- Vitamin D deficiency
- Certain medications — including lithium, which is prescribed for bipolar disorder, high blood pressure medications such as beta blockers, antimalarial drugs, and iodides
Anyone can develop psoriasis, but these factors can increase your risk of developing the disease:
- Family history. This is one of the most significant risk factors. Having one parent with psoriasis increases your risk of getting the disease, and having two parents with psoriasis increases your risk even more.
- Viral and bacterial infections. People with HIV are more likely to develop psoriasis than people with healthy immune systems are. Children and young adults with recurring infections, particularly strep throat, also may be at increased risk.
- Stress. Because stress can impact your immune system, high-stress levels may increase your risk of psoriasis.
- Obesity. Excess weight increases the risk of psoriasis. Lesions (plaques) associated with all types of psoriasis often develop in skin creases and folds.
- Smoking. Smoking tobacco not only increases your risk of psoriasis but also may increase the severity of the disease. Smoking may also play a role in the initial development of the disease.
Psoriasis On Face
Facial psoriasis most often affects the eyebrows, the skin between the nose and upper lip, the upper forehead and the hairline. You might need a biopsy to confirm that it is psoriasis.
Psoriasis on and around the face should be treated carefully as the skin here is very sensitive. Occasional use of mild topical steroids, also called corticosteroids, may be effective. Other treatments include Dovonex, Tazorac, keratolytic products (scale removers) and ultraviolet light. Dovonex and Tazorac can be irritating, so you should work with your doctor to find a way to address this concern.
The U.S. Food and Drug Administration (FDA) has approved two drugs, Protopic and Elidel, for the treatment of eczema which many dermatologists have found work well for treating psoriasis on the face or other sensitive areas. Medication used to treat facial psoriasis should apply carefully and sparingly; creams and ointments can irritate eyes. Because facial skin is delicate, prolonged use of steroids may cause it to become thin, shiny and/or prone to enlarged capillaries. Treatment with steroids may be safe if a careful treatment schedule is followed.
Psoriasis PicturesPsoriasis Pictures
Psoriasis On Hands
The hands are attacked by Palmar and plantar psoriasis affects only the palms of your hands and the soles of your feet. If you’re experiencing psoriasis symptoms on your palms, you may have this form of it. This can be accompanied by pus-filled bumps on your hands. Treatment for this includes the aggressive use of topical corticosteroids.
This is a common chronic skin condition which makes a patient typically have patches of raised, red skin with silvery scales. The affected skin may look shiny and red or even have pustules, depending on the type of psoriasis. These skin changes usually occur on the elbows, knees, scalp, and trunk. In the United States, over 3% of people have psoriasis. Psoriasis can also affect the fingernails and toenails, leading to thick fingernails with pitting, ridges in the nails, nail lifting away from the nail bed, and irregular contour of the nail
Psoriasis In Ears
The red or silvery plaques that are common in people with psoriasis can appear on many parts of the body, including the elbows, knees, hands, feet. … The rapid buildup of skin cells inside the ear canal can cause additional symptoms such as ear wax blockage or hearing loss.
This is a form of arthritis that affects some people who have psoriasis and features red patches of skin topped with silvery scales. Most people develop psoriasis first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin lesions appear.
Joint pain, stiffness and swelling are the main symptoms of psoriatic arthritis. They can affect any part of your body, including your fingertips and spine, and can range from relatively mild to severe. In both psoriasis and psoriatic arthritis, disease flares may alternate with periods of remission.
There are medicated shampoos which are often part of the treatment plan. If you have stubborn scalp psoriasis, your dermatologist may prescribe a shampoo that contains clobetasol propionate. This can be quite effective when used in a shampoo. Studies show that patients can safely use this shampoo every day for up to 4 weeks.
Psoriasis Icd 10
The ICD-10-CM Code for L40 Psoriasis include:
- L40.0 Psoriasis vulgaris.
- L40.1 Generalized pustular psoriasis.
- L40.2 Acrodermatitis continua.
- L40.3 Pustulosis palmaris et plantaris.
- L40.4 Guttate psoriasis.
- L40.5 Arthropathic psoriasis.
- L40.50 Arthropathic psoriasis, unspecified BILLABLE. …
- BILLABLE L40.8 psoriasis
There are several medications and drugs that have been formulated to treat this condition. They include etanercept (Enbrel), infliximab (Remicade), adalimumab (Humira), ustekinumab (Stelara), golimumab (Simponi), apremilast (Otezla), secukinumab (Cosentyx) and ixekizumab (Taltz)
Proper treatment includes the following:
- Topical corticosteroids. These drugs are the most frequently prescribed medications for treating mild to moderate psoriasis. …
- Vitamin D analogues. …
- Anthralin. …
- Topical retinoids. …
- Calcineurin inhibitors. …
- Salicylic acid. …
- Coal tar. …
A healthy diet to handle this disorder includes:
- Fruits and veggies, especially berries, cherries, and leafy greens.
- Salmon, sardines, and other fish rich in omega-3 fatty acids.
- Antioxidant-rich herbs and spices, like thyme, sage, cumin, and ginger.
- Heart-healthy sources of fat, like olive oil, seeds, and nuts.
Psoriasis Natural Remedies
The best natural remedies include the following:
- Apple Cider Vinegar. Used by ancient cultures as a disinfectant, apple cider vinegar may help relieve scalp itch from psoriasis
- Capsaicin. Capsaicin is the ingredient in chili peppers that make them hot
- Dead Sea Salts
- Tea tree oil
The following are the best Prevention practices against Psoriasis:
- Use Moisturizing Lotions. …
- Take Care of Your Skin and Scalp. …
- Avoid Dry, Cold Weather. …
- Use a Humidifier. …
- Avoid Medications That Cause Flare-Ups. …
- Avoid Scrapes, Cuts, Bumps, and Infections. …
- Get Some Sun, But Not Too Much. …
- Zap Stress.
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