Despite the unknown ethylic etiology of Psoriasis and the factors that incited it, the stages of development were well studied.On stage, the classification of psoriasis facilitates the evaluation of the protest of the disease, helps to identify sensitivity to a certain treatment and determine the tactics of patients.
Psoriasis are classified depending on the nature of the exacerbation (or inflammation process) and the nature of the violence.
Stages of psoriasis depending on the acceleration
Psoriasis is a disease with a 3-stage:
- progressive;
- inpatient;
- Retrogressive;
- Remission.
Symptoms of progressive stage
This stage is characterized by the open signs of exacerbation.A lot of rashes appear in the skin in the shape of red nodules (papules, tubercles) with an oval or round shape.They are combined and occupied a wide area, and the surfaces are actively peeled, and at the same time, the patient is severe and sometimes burning sensation.Itching, the patient is not only in common life, but even in a dream, even in a dream, even in touch with clothes, can be worried with itching.After the delay in the scales, the surface can be hydrated and can become a food environment for the promotion of bacteria.
The main manifestations of progressive phase are:
- the appearance of the papules on the limbs and the expansion of the body;
- The combination of the papules (board "), has a colorful color;
- Peeling of the surface of the conglomerates;
- There is no scales on the edges of the boards in the region, but are a hypermic ring;
- The edges of the boards are squeezed;
- Kebner phenomenon: Mechanically damaged (cut, reset) in unusual skin appears to appear in place, a new psorial plaque.
The redness of the skin, which is closer during a progressive stage, the inflammatory process is more active.The most dangerous consequence of Psoriasis is a psorial arthritis, although severe articular pain occurs, joints are deformed.
Symptoms of stationary stage
With the start of the stationary stage, the transaction of the operating process gradually occurs.At the same time, the papules faded, they become pink, and new rashes are not visible during this period.The node surface is the "board" in the form of a "plaque", tightened in a crust, which is represented by numerous dried skin scales.The nature of the papules recovery begins peripherally from the center.The presence of a stationary phase of psoriasis confirms the effectiveness of treatment.
The main manifestations of this stage are:
- lack of rash of new papules;
- existing boards stop growth;
- Covered with surface scales of the plates;
- Red Rome disappears around the flake boards;
- Kebner's phenomenon disappears.
Symptoms of the regression stage
In the regression stage, the process is the presence of the process."Plaque" is resolved by forming areas of skin diskment.The skin's itch is gradually disappearing, the signs of peeling.
Signs of Psoriasis regression:
- There is a ring of Voronov around the boards (the dense faced layers located around psorial boards);
- peeling and gradually disappear;
- The plaque is in place, depicmentation areas (white or dark).
In the stage of the regression, the boards disappear completely, the remains of the boards are possible in the area: knees, elbows, abdomen.
Remission
Remission is a clear recovery phase.During the remission, the psoriasis is in a "sleep", but it does not disappear from the body.The psoriasis remission continues until the next exacerbation (progressive stage).
It should be noted that if the extraction of a person does not change the general condition of the psoriasis, he goes to work and deals with familiar household issues.Psoriasis only brings an aesthetic and cosmetic defect to one person
Phasing stages depending on the territory of the lesion
Psoriasis's violence depends on the territory of skin lesions.Thus, in a slight stage, only 3% of the skin surface is more than 10% of the average of 3 to 10% and 10%.The psoriasis, which damaged the compounds, is a serious degree, in which case the area of skin lesions is not taken into account.You can measure the area of the damage yourself.For this purpose, an open palm rule is used (the area of the skin in accordance with the human palm region is 1% of the whole surface of the body).
Pasi index
The general system is assessed to evaluate the severity of Psoriasis, preference and violence, as well as using the Pasi index, which includes the severity of the disease.This figure is estimated from 0 to 72 to 72.The moderate rate of Psoriasis is calculated from the level of less than 10, from the average - 10 to 20 to 20, and the clinical effectiveness of treatment.
In addition to different stages, psoriasis may have different types: seboreic, extrudive, plantar, crafts, old, rupioid, nail and mucous membranes psoriasis.Psoriasis is not completely treated, but you can achieve a long remission.This is the purpose of modern treatment.