Psoriasis (Psoriasis vulgaris)

Seen on the scalp, knees and elbows; It is known as psoriasis because it appears as red colored sores with pearly white scales on it. psoriasis (pearl)society 1-3%affecting and continuing ( permanent) is a skin disease. Psoriasis may have life-long periods of exacerbation and recovery.

For most people, psoriasis tends to be mild. Sometimes it can be so mild that patients do not even know that they have psoriasis. However, psoriasis can be limited to a few rashes, and on the contrary, it can cover large areas of the body. Although psoriasis may show familial characteristics, it is not contagious from person to person.

What Causes Psoriasis?

The exact cause of psoriasis is not known. However, recent studies have found that abnormal function in white blood cells stimulates inflammation in the skin. The immune system is triggered for an unknown reason, accelerating the growth of skin cells.

Normal skin cells mature in 28-30 days and are shed unnoticed from the skin surface. In psoriasis, the skin cells mature in only 3-4 days and the cells accumulate on the surface and form raised red lesions from the skin.

10-14 days after any cut, scrape or burn on the skin, signs of psoriasis begin to appear in these areas. Psoriasis is affected by certain infections, such as throat infections, and by taking certain medications. During the winter months, exacerbations occur due to the drying of the skin and the decrease in sunlight.

What are the Symptoms of Psoriasis (Psoriasis)?

The severity, duration, distribution and shape of psoriasis vary from person to person. Disease in children and disease in adults and the elderly may show different characteristics. Since it has just started in children, small-scale and red-colored, dandruff symptoms are seen.

Psoriasis often begins as light red patches. It expands over time, and scales appear on it. While the scales on the surface can be easily removed, those located below are more adherent to the skin. When these crusts are removed, the skin is sensitive to bleeding.

These red areas can enlarge and cover quite large areas. Knees, elbows, groins and genitals, arms, legs, palms and soles, scalp are common areas of psoriasis. Psoriasis tends to appear in the same areas. Fine pits may occur on the nails. Nails may thicken and separate from the bed.

In the elderly, since the disease has been going on for a long time, it is seen on a larger scale, paler than in children, and as symptoms in case of thickening of the skin. However, during the exacerbation of the disease, red and dandruff symptoms occur even in the elderly. Psoriasis can be mild or moderate, or it can be severe enough to cause disability.

Guttatpsoriasis usually affects children and young adults. It usually appears as small red, scaly dots in the form of raindrops following a throat infection. It regresses spontaneously within weeks or months.

Some people with psoriasis may also have a joint condition. When skin involvement is common, joint findings are also exacerbated. Sometimes, when the skin lesions heal, the joint findings also regress.

Who Gets Psoriasis?

Psoriasis is slightly more common in women than men. It mostly occurs between the ages of 15-35. However, it can occur at any age, including infants and the elderly.

Is Psoriasis Contagious?

No. Psoriasis is not contagious. It is not a disease that you can catch or pass on. Psoriasis lesions may be unsightly, but should not be considered a microbial disease or an open wound. A person with psoriasis does not threaten the health of other people.

Where Does Psoriasis Involve in the Body?

Psoriasis most commonly affects the scalp, knees, elbows and trunk. But nails, palms, soles, genitalia, and face (rare) can be seen everywhere. The lesions are usually symmetrical, meaning they occur in the same place on the right and left sides of the body.

Does Psoriasis Cause Hair Loss?

Psoriasis does not cause hair loss. However, your hair may fall out while trying to remove the very thick crusts surrounding the hair. In addition, some drugs can cause temporary hair loss.

Does Scratching Skin Cause Psoriasis Rash?

Yes. Scratching, rubbing and peeling the skin, especially during exacerbations, can lead to new rashes.

How Does the Sun Affect Psoriasis?

Natural sunlight has a positive effect on psoriasis. However, sunbathing enough to burn can exacerbate psoriasis.

Does Psoriasis Require Special Care During Winter?

Yes. Decreased humidity in winter causes the skin to dry out and become itchy. Scratching can also exacerbate psoriasis. Therefore, it is necessary to use more moisturizing creams and ointments.

Psoriasis and Pregnancy

Psoriasis is not harmful to either the mother or the baby. Psoriasis may improve or worsen during pregnancy.

Can It Be Predicted That A Person Will Get Psoriasis?

Although heredity plays an important role in the development of the disease, it is not possible to predict who will get psoriasis. There is a family history of psoriasis in one-third of cases. However, there is no established pattern of inheritance. Environmental factors such as physical trauma to the skin, infections (pharyngitis), psychological stress, and some medications can cause psoriasis to start even in people who do not have psoriasis in their family.

Can you get psoriasis whose mother and/or father is psoriasis?

A predisposition to psoriasis can be passed from parents to children. However, this does not mean that the child will definitely have psoriasis.

Does Stress Cause Psoriasis?

Psychological stress and distress in people with psoriasis predisposition may initiate psoriasis or increase the existing psoriasis.

Is There a Definitive Treatment for Psoriasis?

No. However, there are many different treatments, both superficial and systemic, that make psoriasis lesions disappear. Some people with psoriasis experience spontaneous recovery that takes months or even years. However, the person’s susceptibility to psoriasis continues. That’s why rashes can appear even years later.

Does Psoriasis Affect Joints?

Psoriasis patients 10-30% Joint disease (arthritis) may develop. Psoriasis arthritis usually affects the fingers and toes and has a mild course.

Does Psoriasis Prevent Working?

Most patients with psoriasis can perform their normal duties. Due to the undesirable appearance of psoriasis, they may sometimes have less self-confidence. Psoriasis is often misunderstood by the society, which makes psoriasis shy in social relationships. Mental problems such as nervousness, anger, shyness and depression can be seen. Psoriasis can affect the patient’s working life if the disease is visible.

How is Psoriasis Diagnosed?

Dermatologists make the diagnosis by examining the skin, nails and scalp. If there is any doubt in the diagnosis, a biopsy is taken.

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