The psoriasis on the head is one of the most common forms of psoriasis.It can be an independent variant of the disease, when the psoracy writers are only on the head (regional psoriasis of the scalp), or may refer to the events of generalized, diffuse shapes, when pathological changes catch the entire skin surface.
Causes of disease
The causes of the psoriasis on the head are the same as from the psoriasis of other localizations.However, none of the many psoriasis theories are universally recognized, and despite the huge number of studies, the true causes of the disease are still unknown.However, the factors differ, the role of which is proven in the development of the disease.
- Heredity.In about a third of patients, psoriasis is inherited in accordance with the classic genetics laws: from parents to offspring, according to the automatic dominant mechanism.In other cases, psoriasis refers to multifacritorial for diseases, when hereditary factors increase the risk of disease in the presence of other significant effects.
- Immune, endocrine, metabolic disorders.
- Epidermal disorders: Various types of changes in the vital skin cell cycle, including the maximum value attached to abnormal keratinocytes (acceleration of skin division) and slowing morphological differentiation (ripening and division into different types of cells).
Main symptoms
The main local symptom of psoriasis heads is thickened, clearly limited pink pedals and plaques with a characteristic silver white scrub on their surface.Typical localization - forehead and freezing space on the border of hair growth zones.At the beginning of the disease, they are usually a little plaque, they are pale and, as, deleted, preserved in the same places.After exposure causing factors (trauma, infection, pregnancy, diet, nerve shock, etc.), the rash progresses.It is planned to increase in size, merge, become brighter, itchy.Hair with psoriasis does not turn out, even in case of heavy courses and extensive scalp lesions.
When the plate surface is displayed, you can specify the characteristic triad symptoms:
- The phenomenon of sports stearin is an increase in peeling with mild props.
- The phenomenon of the terminal film - after removal of the scales, the plaque area becomes wet, thin, shiny.
- ASPITZ symptom or the phenomenon of the bloody rose - with carefully expanding the terminal film, a bleeding point in the form of small non-accidental drops of blood appear.
In addition to local symptoms, some of the patients develop nail lesions and psoriatic arthritis.
Treatment
Treatment of psoriasis on the head should be complex, including correction of possible causes and elimination of provocating factors, dietary and general and local funds.Specific skin care recommendations and drug selection in any case are individual, and they should give them a dermatologist.
Unfortunately, today it is not known how to cure psoriasis completely - the disease is chronic, prone to frequent relapses.However, the thorough fulfillment of all appointments can provide long-term remission, when the skin symptoms become inconspicuous or completely disappear.
Diet
Diet patients with psoriasis is similar to a diet patient with allergies, because allergic mediators (histamine and others) who support acutely enchanted changes in the skin.So they are excluded from the diet:
- Extractive substances (rich meat and fish heart, smoked meat).
- Spices, spices.
- Products with a large number of artificial flavors, colors.
- Marinades, Sauprem and salt vegetables, canned food.
- Mushrooms.
- Alcohol.
- Exotic fruit (mango, kiwi, etc.).
Fatty and fried dishes are limited, easily digestible carbohydrates (sweets, pasta, baking butter), table salt.Against the deterioration background, the behavior of the day of the day is recommended, with an intense itinerary rash - one-day smooth twice a week.
Skin care
Even with strong itches, skin waiting should be avoided, because the injury to the plaque often contributes to the appearance of new rashes (Kobner phenomenon).To mitigate the overthrow and remove the scales, the head washes everyday, alternating use of special shampoos and decoctions of anti-inflammatory plants.Shampoo from Psoriasis heads may contain:
- Tar;
- Selena sulfide;
- Zinc.
Shampoos are not used no more than three times a week, and among these procedures, it is recommended to wash your head with chamomile decoction, calendula, sage, pine and tea drain.
Cure
The treatment of psoriasis on the head in the case of heavy drives can be carried out in the hospital, with the prescription of systemic corticosteroids (oral or intramuscular), desensitizing therapy (antihistamines within and intramuscular).Detoxification, intravenous application of sodium-thysulphate, calcium chloride, intramuscular injections of calcium gluconants (or prescribed from within).
In addition, with heavy and moderate psoriasis, it is possible to prescribe the following drug groups (strictly according to indication and individually!):
- Cytostatics (methotrexate, cyclosporine) - to suppress abnormal cell proliferation.
- Retinoidi system - to regulate the process of regeneration and leather cell differentiation.The drug is not combined with cytostatics and other retinoids.
- Systemic biological agents - Reduce the activity of the immune system.
Local funds
With extensive skin events, especially with the elements of acute inflammation, the cording of the cord, local funds are used limited and extremely carefully, as it is possible to act active substance using damaged skin with system side effects.They start applying in the aggravation phase, and during the period of partial remission, local medications form the basis for the treatment of psoriasis.
In addition to therapeutic shampoons and anti-Irric decections, pastes, fats, creams, gels, lotions are used.The following medications are most commonly used:
- Local funds containing TAR apply to the scalp twice daily courses of 1-2 weeks.It is not recommended that they are treated for long without interruption, as they can cause excessive dry skin.
- Naphthalous fat.
- Salicyl fat.Salicylic acid has a keratolitical effect ("dissolves" rough cells), disinfects the surface of the plaque.
- Means with zinc.
- Local forms of glucocorticosteroids.In order to avoid the development of local skin changes (steroid acne, irritation, thinner, atrophy, allergic side effects (metabolic, hormonal disorders, etc.) corticosteroids are prescribed by courses within two weeks 1 time per month.They should be applied twice a day with a thin layer and only on the platters, whose surface has no mechanical damage (combs, erosion).In addition to the cream, there are hormonal emulsions and lotions, which is easier to wash off your hair.
- Vitamin D analogues are applied to lesions 2 times a day, they can be used in combination with local steroids.
- Local retinoids are applied to plaques every hour every day of 10 days or more, depending on the reaction to treatment (can cause serious irritation in the application).
- Anthulin is used up to 4 times a day.Side effects - Irritant effect (itching, redness), yellow skin color in the site.
- Combined local medications are modern and highly efficient drugs to treat psoriasis.Dead combinations with tar, salicylic acid are most commonly used.Another good combined cure for psoriasis on the head.
A huge number of trading names of local drugs from Psoriasis is produced, and only they can understand only specialists.Do not self-boot, shop with the tips of the acquaintance or under the influence of advertising any, even really effective drugs.How to treat psoriasis on the head - only a dermatologist should be determined because local therapy always implies individually selected combinations and alternate medications.
Treatment of the heartless
Psoriasis refers to the disease dependent on the climat.Therefore, natural solar light is very useful for psoriasis, contributing to reducing skin manifestations.Patients are recommended daily, but a short stay in the sun (in the morning, closer to the evening).UOF was prescribed in the autumn-winter periods.Rijeka and seawater have a good effect.Permanent and sufficiently complete remission can be achieved after it is in line with the rehabilitation and treatment of the exchange rate in the Sanatoriums on the Dead Sea.
In the treatment of psoriasis head, physiotherapy techniques are widely used: phototherapy of UFV, UFV narrow range, bullet-therapy.It should be borne in mind that the frequent stay in the sun and physiotherapy methods for the treatment of psoriasis increases the risk of skin cancer, so physiotherapy is not recommended for children, and all other groups of patients should undergo previously oncologists per year.