October 28, 2008
Psoriasis and eczema
Psoriasis, skin disorder that statistics show a Western influence among the population varies between 3 and 5 percent with typical flares precisely autumn. Then we will see in this article what psoriasis (not neglecting "trawl" summer like eczema), what are its possible causes and how it is treated by the medical officer and now those who are no longer referred to as alternative but parallel, as homeopathy, acupuncture and psychosomatic medicine.
To understand better what are the mechanisms underlying the disease and psoriasis need Eczema briefly describe what is the skin and what are its functions. The skin is the largest organ of the body with a weight equal to 5 percent of body weight and a surface that, in adults, is about 6 square meters, consists of an upper layer (epidermis), from an intermediate (dermis), and a deeper (or skin disorders) with structures called "skin appendages" consisting of hair, hair, nails, sebaceous glands, sweat and breast implants. The epidermis (the one most affected by diseases such as psoriasis and eczema) is formed in turn by 5 layers representing the bottom surface of a trend that gained baseline or first layer. In particular, the underlying stem cells, multiply and gradually "migrating" upwards until you come to the surface (the one that you can tap) where sfaldandosi (when lava, for the rubbing of tissues, naturally) detach being lost from the body. Well, this maturation - migration from the bottom to the surface, cell loss, new cells, new migration and so on is the life cycle skin with a total duration of 28 days (which is why the summer tan gradually ceases to exist). Ultimately, therefore, the skin we see, touch that, in reality, despite almost always appears the same, thanks to this cycle is never the same skin but still new skin. Throughout the skin then there is a rich capillary network and vascular arterial venous essential for the nourishment of cells and an equally dense network of nerve cells responsible for skin sensitivity tactile, thermal and dolorifica (higher in the palms of hands, in plants feet, on teats, on the penis, on the lips). The skin, then, with nerve cells, with the glands, with blood vessels that carry blood more or less guarantees protection to the body mechanics (thanks elasticita), a chemical (secreted by the glandular bactericides), a knowledge of the world (thanks to the touch), a temperature control (with blood vessels retain heat in winter, it disperses in summer), a purification of toxic substances (with glands) and, not least, a continuous renewal of all life body surface through its cycle, (so much so that when these aging cycle lasts more than 28 days).
So we come to psoriasis, a skin disease known since ancient times so much so that in some Egyptian papyri if they find hints and Hippocrates (considered one of the fathers of Medicina) gives a description which corresponds to the current. We know that psoriasis is not infectious skin disease, a chronic, with moments of flare and an equal number of remission, marked by plaques dry, itchy rarely, well circumscribed, of varying shape and size (a few millimeters to several centimeters), scales with white skin - silver easily scollabili which is under intense redness. The plaques, in general, appear symmetrically in the elbows and knees (tracking more frequent) at the lumbar and sacral back, scalp, on the edges of the nail on the palms of the hands, feet on the plants, and the seat Injury doctors have identified an increase in the number of cells in the basal layer occurring at a rate of migration to the surface of 4-5 days instead of the usual 28. The disease affects men and women equally and can occur at any age but more frequently between 10 and 30 years, has many variations with regard to location and shape of lesions (in the form called "universal" covers almost the entire skin of body); worsens in autumn, winter is stationary, tends to riacutizzarsi improves in spring and summer (even without exposing to the sun) may have (rare) complications joints (knees - even - ankles), has a familiarity in the sense that in about one third of sick people there are one or both parents sick, we do not know the cause, although they have identified certain factors, especially the triggers flares. Vediamoli.
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Direct skin trauma in the headquarters location of psoriasis
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Psychological trauma or emotional stressful events were considered important influence in the history of the disease
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Anti-inflammatory drugs, cortisone, and some antimalarials used for heart or blood pressure and some forms depressive
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Abuse of alcohol, smoking and a diet rich in protein meat
For psoriasis medicine shows more care and in most symptomatic. Vediamone few:
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Emollients. Are local treatments with oils, ointments, creams, to soften and remove the scales psoriasis. We also use tar plant calometano, ditranolo, vitamin D
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Treatment with UVA and / or UVB. They are often used in combination with earlier
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Medication. E 'reserved for cases of psoriasis extended to the possible serious side effects toxic to the liver, kidneys and blood pressure; drugs used are cyclosporin A and metitrexate
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Helium - bath. Takes place in specialized centers mainly on the Dead Sea with sunbathing and sea water with high salt concentrations to achieve significant improvements and remissions of the disease more durable
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Psychotherapy. Despite an acknowledged tendency of people sick of psoriasis to be more or less "vulnerable" by an emotional point of view, does not officially recognize specific "deviations" psychological or psychiatric. But even dermatologists consider psychotherapy as support all'ammalato psoriatic if only for the "management" of great stress that it causes
The eczema is more common psoriasis, the most benign of this but more troublesome. For eczema (synonym for dermatitis) is a superficial skin inflammation characterized by the appearance of blisters, redness (erythema), swelling, leakage of liquid water, normally associated with burning and itching more or less intense (so different from psoriasis ). There are various types of eczema but three are the most frequent contact eczema, atopic eczema, dermatitis seborroica.Eczema from contact. E 'This is a reaction of the skin to irritants or other capable of causing a true allergic reaction. While the first (responsiveness to irritants such as detergents, cleaning agents) just a single skin contact arises because the eczema, for the second (type of allergic reaction) takes 6-10 days because the symptoms appear usually after a second, third contact with the allergenic substance, thus putting difficulties in this case your doctor to identify the cause.Atopic eczema. It 'a superficial inflammation of the skin, chronic and very often pruriginosa related to a personal or family history of diseases such as allergic rhinitis, asthma. Do not know the cause of this dermatitis, but sometimes can be triggered by substances from food or breathe. Dermatitis sometimes begins in the early months of life with a flushing of the face, the scalp in areas covered by diapers, or age in adolescence or adulthood, where the eczema becomes more localized and chronic (behind the knees, neck, wrists, eyelids, fingers of hands). The therapy controls more than heal the atopic eczema and contains, in addition to exclusion of food or not, drugs antihistamines for the itching, climatology as psoriasis, cortisone ointments.Seborroica dermatitis. Characterized by the absence of vesicles, but by a flushing with small scales, dry or greasy, spread to the face, the scalp, sometimes behind the ear and the sternum, with variable intensity of itching, eczema or compare seborroico deteriorating in the autumn - winter. The therapy is based on shampoos, lotions, creams, with substances such as zinc, selenium, sulfur, tar.
Filed under eczema by ivanfields