Psoriasis on the head is one of the most common forms of psoriasis.It can be an independent variant of the disease, when the psoriasis rash is only on the head (psoriasis area of the scalp), or may be related to the manifestations of general forms, diffusion, when changing the disease to capture the entire surface of the skin.
Causes of the disease
The causes of psoriasis on the head are like psoriasis of other localities.However, there is no theory of psoriasis recognized globally, and although a large number of studies, the real cause of the disease is not known.However, the elements are distinguished, its role is proved in the development of the disease.
- Hereditary.In about one -third of patients, psoriasis is inherited according to the classical laws of genetics: from parents to children, according to spontaneous dominance.In other cases, psoriasis refers to many factors for diseases, when genetic factors increase the risk of disease when other important effects.
- Immunity, endocrine, metabolic disorders.
- Epidermal disorders: Different changes in the important wonders of skin cells, of which the maximum value is attached to the abnormal proliferation of Keratinocytes cells (accelerating the skin division) and the slowing morphology (ripening and dividing into different cell types).
Main symptoms
The main local symptom of the head psoriasis is thick, clearly clearly defined and pink or bright pink patches with the characteristic silver -white peeling on their surface.Typical localization - forehead and freezing area on the border of the hair development area.At the beginning of the disease, there are usually very few arrays, they are pale and, as if they were deleted, preserved for a long time in the same place.After exposure to stimulating factors (trauma, infection, pregnancy, diet, neurological shock, etc.), progressive development.The plain increases in size, merged, becomes brighter, itching.Hair with psoriasis does not fall, even in the case of serious process and wide lesions of the scalp.
When the surface of the arrays are displayed, you can determine the characteristic trio of symptoms:
- The phenomenon of the stearine point is an increase in peeling with a light props.
- The phenomenon of the terminal membrane - after removing the scale, the surface of the plaque becomes wet, thin, shiny.
- Auspitz symptoms, or a bloody dew phenomenon - with careful spread of the final membrane, point bleeding in the form of small blood without small disease.
In addition to local symptoms, some patients have nail damage and psoriasis.
Treatment
Treatment of psoriasis on the head should be very complicated, including adjusting possible causes and eliminating stimulating factors, dietary therapies, and funds in general and local.Specific recommendations for skin care and medication choice in each case are individuals, and they should give them a dermatologist.
Unfortunately, today do not know how to cure psoriasis completely - this disease is chronic, easy to relapse regularly.However, the thorough implementation of all appointments can provide a long lasting remission, when skin symptoms become unclear or completely disappear.
Diet
The diet of a patient with psoriasis is similar to the diet of an allergic patient, because exactly allergens (histamine and others) support deep evil changes in the skin.Therefore, they are eliminated from the diet:
- Exploiting substances (rich meat and fish broth, smoked meat).
- Spices, spices.
- The product has a large number of artificial flavors and dyes.
- Marinated note, saurerry and salty vegetables, canned foods.
- Mushroom.
- Ale.
- Strange fruit (mango, kiwi, etc.).
Fatty and fried dishes are limited, easy to digest carbohydrates (sweets, pasta, butter grill), salted salt.In the context of seriousness, should conduct daily unloading, with intense rashes - starvation twice a day a week.
Skin care
Even with serious itching, it is advisable to avoid making the skin, because injuries for patches often contribute to the appearance of the new rash (Kobner phenomenon).To reduce itching and remove scales, they wash daily, alternating the use of special shampoos and the shades of anti -inflammatory herbs.The shampoo from the psoriasis of the head may contain:
- Tar;
- Selena sulfide;
- zinc.
The shampoo is used for no more than three times a week, and between these processes, should be washed with a cigarette, calendula, aromatic bucket, pine extract and tea leaves.
Medicine
Treatment of psoriasis on the head in case of severe severe severe can be performed in the hospital, with general corticosteroid prescription (oral or intramuscularly), treated with anti -histamine treatment inside and intramuscularly).Detoxins are performed, injected with intravenous sodium thiosulfate, calcium chloride, calcium gluconate injection (or prescribed inside).
In addition, with serious and moderate psoriasis, it is possible to prescribe the following groups of drugs (completely as directed and individually!):
- Cyxidation (methotrexate, cyclosporin) - to prevent abnormal cell proliferation.
- Retinoids system - to adjust the process of regeneration and differentiation of skin cells.The drug is not combined with cytology and other retinoids.
- Systemic biological agents - reducing the operation of the immune system.
Local Fund
With spacious skin manifestations, especially with acute inflammation factors, the appearance, with the presence of ComBS, local funds are used limited and extremely careful, because the penetration of the activity of the skin is damaged by the development of the body side effects.They began to apply in severe phase, and during partly remission, local drugs formed the basis for the treatment of psoriasis.
In addition to shampoos and anti -inflammatory disinfectants, pastries, ointments, creams, gel, lotion are used.The following drugs are most commonly used:
- Local funds containing Tar are applied to the head twice a day with 1-2 week courses.Do not treat for a long time without interruption, as they can cause excessive dry skin.
- Naphthalan ointment.
- Salicylic ointment.Salicylic acid has keratolytic effect (raw cells dissolved in raw cells), disinfect the surface of the arrays.
- Means with zinc.
- Local forms of glucocorticosteroid.To avoid the development of local skin changes (steroid acne, irritation, thinning, atrophy, atopic dermatitis) and systemic side effects (metabolism, hormonal disorders, etc.) corticosteroids are prescribed by courses every two weeks a month.They should be applied twice a day with a thin layer and only on the patches, the surface has no mechanical damage (comb, erosion).In addition to creams, there are hormonal emulsion and creams sold, easy to wash from hair.
- Similar substances of vitamin D are applied to lesions 2 times a day, they can be used in combination with local steroids.
- Local retinoids are applied to patches per hour per day during courses of 10 days or more, depending on the reaction to treatment (they can cause serious irritation in the application area).
- Anthralin is used up to 4 times a day.Side effects - Stimulating effects (itching, redness), yellow skin in the application place.
- Local remedies combined with modern and highly effective drugs to treat psoriasis.Typically, the combination of glucocorticoids with Tar, salicylic acid is used.A treatment that combines good for psoriasis on the head.
A large number of trade names of local drugs from psoriasis are produced, and only one expert can understand them.Do not give yourself, buy according to the advice of acquaintances or under the influence of any advertising, even the really effective drugs.How to treat psoriasis on the head, a dermatologist should determine, because the local therapy always implies the combination of individual choices and alternating drugs.
Treatment is not treatment
Psoriasis refers to climate dependence.Therefore, natural sunlight is very beneficial for psoriasis, contributing to reducing skin manifestations.The patient is recommended daily, but a short time under the sun (in the morning, closer to the evening).In the winter period, UOF is prescribed.River and sea water have good effects.A durable and complete remission may be achieved after going through a rehabilitation course and treatment at dead seaweeds.
In the treatment of psoriasis of the head, physiotherapy techniques are widely used: Optical therapy of UFV, UFV of a narrow range, ammunition therapy.It should be noted that regular stay in the sun and physical therapy methods to treat psoriasis increases the risk of skin cancer, so physiotherapy is not recommended for children and all other patients need to undergo annual examination tests of cancer doctors.