Sunday, September 21, 2008
The type of psoriasis and psoriatic clinical symptoms
Into the general clinical psoriasis, pustular-based joint disease and disease-red four types. (A) psoriasis vulgaris Clinical psoriasis vulgaris is the most common type. The beginning of red papules or rash, and gradually expand the integration of each other or to form a clear boundary of the patch, covering the surface of silver-white Lin Xie, Lin Xie curettage after the show gently smooth the film, Zaigua may occur after a number of small bleeding points . Lin Xie above, and the film is the point of bleeding shape of the three major clinical features of the disease. The disease can occur in any part of the body, showing the distribution of symmetry, made good on the knee, elbow extensor side of the head and a small number of patients means (toe) was a point (the top needle-like) depression. There are acute clinical progress, regression and quiescent period. Advanced: mostly characterized by a rash-like drop, the bright red color and the rapid development of more Lin Xie, easy off, there is more itching feeling. If normal skin trauma, such as by the stimulation can be referred to as secondary to medical response to the same shape. Quiescent period: to keep the disease in the stationary phase, no new measles, measles old has not subsided. Catagen: rash reduced gradually disappear. Rash subsided, the pigment can be left temporarily reduce or cool spot. (B) pustular psoriasis, is divided into pan-onset, limited to two types of the Board. 1. Generalized pustular psoriasis clinical rare. The rapid-onset, general malaise and relaxation with symptoms such as high fever and leukocytosis. Skin made in the early acute inflammatory erythema, most of the surface-to needle the size of miliary sterile white light yellow in the small pustules. Impetigo can be integrated to form the expansion of "septic paste"-like. Often involving the majority of leather, and even extending to the body. The reasons for his disease psoriasis vulgaris with long-term use of corticosteroid dose, while the incidence of sudden stop, or infection, drug-related boost. This serious disease, Chang Cheng periodic recurrence, poorer prognosis. 2. The limitations of pustular psoriasis, also known as palmoplantar pustular psoriasis, limited to the palms and soles, often the size of the fish or the occasion of the foot most of the occurrence of the Department of bulk yellow needles to the size of miliary pustules, the flushing of the basement. After about 1 to 2 weeks pustules break down scar, and scaling. Lin Xie in the future under small pustules, when the light weight when. Conscious pain or itching. Fingernails can be involved, the turbidity was hypertrophic, ridge-like uplift. Patients with other parts of the body are often visible lesions of psoriasis. Also in the first palmoplantar, repeated several times after the attack into a generalized person. (C) joint psoriasis, also known as psoriatic arthropathy, often secondary to psoriasis vulgaris psoriasis or deterioration of the repeated many times, can also be the first joint symptoms appear or pustular Yinxie Disease and psoriasis complicated by red. Joint symptoms and skin lesions of psoriasis have a parallel relationship, the disease was particularly prevalent in men. The main clinical features as a history of psoriasis vulgaris, or concurrent with the non-symmetry and more peripheral arthritis, involving the distal end of the small joints, with means (toe) A damage, rheumatoid factor-negative. In addition, the reference to the X-ray examination can be seen. With the identification of rheumatoid arthritis, multiple violations, which ends near the small joints, but not associated with psoriasis, rheumatoid factor-positive. This can be a long protracted illness, treatment is more difficult. (D) erythrodermic psoriasis. Psoriasis as a result of more acute period of application for a stronger drug or stimulating a large number of long-term application of corticosteroid drugs, drug withdrawal or reduction caused by improper methods. In addition, pustular psoriasis pustules subside in the process, patients may also appear red. Of the disease accounting for about 1% of psoriasis. In the early hours of the original parts psoriatic flushing occur quickly spread into a large, the last full-body flushing a diffuse infiltration in the diffuse infiltration flushing, often flake normal "skin island", the characteristics of this disease One. There are often accompanied by fever, chills, headache, general malaise, and so on. Should be from other causes (such as drug rash, red hair pityriasis, etc.) to identify disease caused by red, the latter no history of psoriasis.