The term psoriasis is called a complex range of expressions and clinical inflammatory iperproliferative genetically determined, typically but not necessarily involving the skin lesions with erythema with squamous-onset mainly in the II-III decade of life, of varying lengths (mostly Chronic) and unpredictable developments (mostly recidivist).
Clinical Definition
The clinical manifestations of psoriasis vary widely as to distinguish a bet or follicular, guttata, nummulare, a large spots, rupioide, elephant, pustular localized (palmar-plantar chronic, acute-foot palm, and continues acrodermatite forms extra-acrali localized generalized pustular psoriasis), generalized pustular (acute, and circini ring, child and youth), premenstrual pregnant, unstable, erythroderma, arthropathy (similreumatoide-symmetrical, arthritis-like mono-oligoartritica, interphalangeal, mutilating hands and feet , Axial spondilitica-sacroileitica, temporomandibolare, cervical-like arthritis, sternal). Arthropathy injuries are found in 6-34% of patients psoriasis.
Finally forms are distinguished characteristics of certain anatomical areas: the inverse psoriasis or folds a well-defined edges that look "painted", the sebopsoriasi, affecting areas seborroiche "and its genitals in childhood with the appearance of" napkin psoriasis, psoriasis of the penis, scalp, nail, mucous membranes, eye, palm plantar of the face and ear.
E ‘evident in the face of this broad and diversified spectrum of events, a major difficulty in defining clinically psoriasis. Therefore, especially to a useful prognostic evaluation and appropriate treatment choices, it tends to propose a clinical definition comprising five main forms: guttata psoriasis, chronic psoriasis in spots, pustular psoriasis, erythroderma psoriasis, psoriasis arthropathy.
These various clinical expressions seem to match specific genetic alterations that could make it possible to single out various syndromes in the very near future, pathogenetic mechanisms qualitatively or quantitatively different and, finally, different therapeutic approaches.
The possible therapeutic approaches are innumerable and sometimes very good, however, any treatment must be confronted with the problem of the chronic nature of this disorder and then with local side effects and systemic, acute and chronic.
How to deal
The treatment of psoriasis are divided into topical and systemic depending on whether the drug is used on the skin surface or systemic. In some cases may also be useful therapeutic approaches without drugs.
It is for the medical specialist in dermatology establish a proper treatment for psoriasis. Some treatments can only be ineffective, but many others are certainly dangerous and can even aggravate psoriasis itself if used for long or without correct information.