the psoriatic arthritis

Stress caused by psoriatic arthritis is not easy to refute. It occurs due to the interaction between pain, functional impotence, local deformation of joints, and tegumentary manifestations.
Sometimes, patients may feel so frustrated that isolated from others and avoid any contact, especially during exacerbations of lesions. Because the emotional impact of the disease can be very important, patients should not feel alone in this period.
Psoriatic arthritis is not a disease very rare, there are many people who suffer from it, but in presence of correct treatment, health condition can be maintained in optimal parameters and effects becoming increasingly uncommon. Isolation is not a solution.
Whatever the clinical appearance of tegumentary affections, psoriasis is not a communicable disease, the patient is not contagious and can not infect others. Psychological consequences of isolation are unfavorable, because the person gets to feel marginalized, even if it is one that has initiated and maintains this of withdrawal reaction within the social environment and collectivities in which they have activity.
Experts believe that among the most useful in counseling of patients are aid groups with the mixed component: physicians and patients,  alike. In meetings of these groups, patients can share their experience, can advise each other because they best understand each other.
There are such groups for many chronic conditions and their results, in terms of moral support offered participants, are undeniable. Patients do not feel alone and isolated from a world that seems to not understand the disease.
Even if it sometimes seems difficult, people with psoriatic arthritis and psoriasis cutaneous should not avoid contact with family and close friends. They can help you more than expected and have only the best intentions in making the period of illness easier to bear.


Psoriasis at children

Psoriasis is an inflammatory skin disease that can take various forms. The two most frequently that appear at children are:
Plaque psoriasis. This is the most common type. If your child has a pronounced lesion red covered in silvery white husks may, it have psoriasis. Plaques can occur anywhere, nonetheless very frequently occur in the elbows, knees, scalp and back.
Psoriasis gouty. This type of psoriasis is more common at children than at adults. It is not thick or scaly such as the plaques, in contrast appear as small lesions, punctiform, commonly on the trunk and limbs.
Are milder forms with only a few lesions, moderate forms in which 3-10% of the body is covered, and severe forms, in which more than 10% and sometimes the whole body is covered.
Psoriasis does not appear very frequently at children. Are greater possibilities that at this age have a seborrheic dermatitis or a rash, if occurs in the genital area.
Ringworm can produce reddening of the skin and the appearance of scales. Eczema can be difficult to differentiate from psoriasis. These are other possibilities, therefore consult your child's doctor for a diagnosis.
My child will always have psoriasis?
Psoriasis tends to be chronic and cyclic, sometime can have remission and also can recur. In other words, the disease is unpredictable, you can not know when a new outbreak will occur, how long or if is completely healed. With help from a dermatologist you can help your child pass more easily from these episodes.


What is severe psoriasis?

When establishing the severity of disease, it has important impact on the patient quality of life than the area of skin affected by psoriasis.
All patients with psoriasis want to get rid of this condition. Some have one form extended psoriasis but others have psoriatic lesions only on the scalp or only at the knees or elbows. Some patients have a single board on penis.
Which of these has the most severe form of psoriasis?
According to the FDA, severe form of psoriasis is defined when psoriatic plaques affecting more than 20% of total body surface area.
But who is the most severely affected - a patient with psoriatic plaques in 25% of the body that manages to conceal the lesions  under clothing or an patient who has psoriasis plaque on only 1% of the body surface but who hides in the house and refuse invitations  in society, to shame?
In clinical practice, when determining severity of the condition, dermatologists always take into account the impact of psoriasis on quality of life.
Now, a group of experts to validate this concept. In a consensus report, they concluded that physical and mental disabilities should be taken into account when assessing the severity of psoriasis. Psoriasis affects the lives of patients in all aspects: physical, emotional, social, sexual and financial.
Patients affected by psoriasis have trouble sleeping, walking or using arms. They are usually sad, embarrassed and ashamed of their situation. They lose a lot of time and money for various treatments more or less effective. They are socially isolated and generally avoid to meet with other people in public.
This type of patients need "aggressive therapy" even when the skin is affected by small portions. The consensus group shared psoriasis patients in two groups according to the needs of local therapy compared to those who require systemic therapy and phototherapy.
Candidates for local therapy usually have psoriasis in less than 5% of body surface area. Nevertheless some patients with psoriasis on less than 5% of body surface area should be candidates for systemic therapy, phototherapy, or both because of the difficulties related to localization, coexistence psoriatic arthritis or damage physical or mental functions.


psoriasis - natural remedies

The plaque psoriasis is most common type of psoriasis.
This disease causes the affected redness,  skin thickening, scaly skin (silver or white) and patchy skin rashes.
The condition may occur anywhere on the body but most often occurs on the scalp, elbows, knees and the lower back. The disease is not contagious and is more common in adults than in children.
Fortunately, the condition is treatable with medication, but also with natural remedies. These are just a few of these types of treatment and how should you use for an efficient management of psoriasis.
- Expose yourself to sunlight. Sun exposure is a proven remedy to combat psoriasis. More than 80% of people who follow this treatment shows a significant improvement of symptoms of psoriasis. The trick is to overdo not it - excessive exposure to sunlight will not do something other than worsen the disease manifestations.
- Oils and oatmeal. Other natural options for treating psoriasis include the use of oils, aloe vera and tea tree alongside oatmeal baths to relieve itching skin.
- Practice your relaxation techniques. Stress tends to aggravate psoriasis, so relaxation techniques may help reduce symptoms. Any activity that will help you relax, such as walking in the park, yoga, deep breathing and tai chi, may help to ease symptoms.
- Climatotherapy. For decades, people have claimed that the visit to the Dead Sea in Israel, is a highly effective treatment for psoriasis. The sun and water that is 10 times saltier than the oceans are considered to be the perfect combination for healing of psoriasis. It may sound like a myth, but scientific evidence suggests that this form of treatment works. In studies, 80-90% of patients experienced a significant improvement of condition after visiting the Dead Sea. Nearly half of rashes of the subjects have disappeared for the next few months.
- Bathroom in vinegar. Like aloe vera, apple cider vinegar has a long history of use for calming minor burns and other skin inflammation and is also a disinfectant. According to experts, some patients with psoriasis have reported successful treatment of the disease following the use vinegar. Treatment can be done in the form of compresses - cotton towels soaked in vinegar diluted with water. It also, the vinegar diminishes and itchy sensation.
- Wrap with plastic wrap. Doctors already long time knew that the coverage psoriasis


what causes psoriasis

Causes and risk factors

The cause of psoriasis is unknown, but is often a positive family history, suggesting a genetic component in many cases (family antecedents of psoriasis are identified in a third of cases).
Psoriasis mechanism corresponds to accelerated renewals of the epidermis cell  (the top layer of skin) every 4 days, though normal cycle is 28 days. Given because life of the cells is the same, they form and accumulate thick crusts.
Although the cause is not known precisely, we identified factors that triggers psoriasis:
- stress
- streptococcal infection ( Beta-hemolytic )
- Local irritation (Koebner phenomenon)
- stopping treatment with some medications (cortisone)
- some medications (chloroquine, beta blockers, indomethacin, lithium, interferon alpha)
- sunburns
- Ingestion of toxic substances (alcohol, tobacco, etc.)
- Sleep disorders

Risk Factors

- Genetic predisposition - over a third of patients, one or more family members also suffer from psoriasis. If a parent shows this condition, the risk to the child varies between 5 and 10%.
- Immunological reactions against another disease (chickenpox)
- Reaction to a medication (lithium, beta-blockers) or vaccine
- A systemic infection (pharyngitis or streptococcal angina)
- stress
- Skin lesions
- Dry climate
- Prolonged exposure to sunlight or certain chemical substances ( paint thinners or disinfectants)
- Excessive alcohol consumption.

Types of pseoriasis

Psoriasis is a chronic skin disease characterized through the apparition of red wounds, well defined, containing scales and are located in different parts of the body. The scales are thick, pearly-white, adherent to the skin and easily detachable, in the form of lamellae. The disease occurs to approximately 2-3% of the population.
Psoriasis mainly affects some areas of the body, including: scalp, elbows, knees and back. More rarely, armpits, palms and soles (soles) are achieved. In 50% of cases, psoriasis can be localized at the nail level, which thickens and peel, becoming greenish.
Symptoms range from milder forms and reach truly harrowing manifestations (eg, those located in the folds of the joints). On the other hand, the severe forms of psoriasis give rise to  emotional manifestations, the affection, having a negative impact on social relations, personal and emotional. Patients are sometimes so overwhelmed by their illness that they feel isolated and depressed.
The cause of psoriasis is unknown, but one of triggering factors include trauma, infections and certain medications.

Diagnosis is based on the appearance and distribution of lesions. Treatment consists of the use of emollient creams, vitamin D, retinoids, corticosteroids, phototherapy, and in severe cases, methotrexate or immunosuppressive drugs.
Distribution of incidence according to age is bimodal: the first peak occurs in 16 to 22 years, and the second between 57 and 60 years.
Signs and Symptoms
Depending on the look and location of wounds can be defined several types of psoriasis. The most common form is vulgaris psoriasis. Other types are guttate psoriasis (droplets), reversed, erythrodermic and pustular.

Psoriasis vulgaris - is characterized by the presence of red wounds, well-defined, round or oval, covered by thick crusts, white which to peel. They are in general located on the elbows, scalp, knees and buttocks.

Guttate Psoriasis - is manifested by the sudden appearance of the wound with a diameter of 0, 5 -1, 5 mm, especially on the trunk in children and young adults. This form of psoriasis is caused by another disease or medications (eg strep throat)

Psoriasis reversed - the wounds occur inside the joints (in the axillary region, inguinal, near the genitals) and are more wet than dry and sometimes become painful because they are subject to friction.

Erythrodermic psoriasis - is characterized by progressive or sudden appearance of a diffuse erythema (almost all surface of the skin is red and inflamed), and psoriatic wounds are less prominent or even absent. Erythrodermic psoriasis frequently appears in patients with vulgaris psoriazis due to inappropriate use of topical corticosteroids or systemic or phototherapy.

Pustular psoriasis - characterized by the presence of wounds covered by white pustules, especially on the palmar and plantar surfaces.


Psoriasis is contagious?

Whether you have this disorder yourself or you know someone who has, the first question that comes to mind is whether psoriasis is contagious. And the answer is, thankfully, no. Psoriasis is a skin condition that many people suffer life. It is estimated that between 4 and 7 million Americans are diagnosed with psoriasis. Psoriasis is not contagious, because they are thought that it is a problem caused by the body's immune system.
When the body is functioning normally gradually produce new skin cells. Cells from the skin surface need about 30 days to die and fall off, to peel. During this time other cells are produced in the skin depth, and they gradually rise to the surface within 30 days, arriving just in time to replace cells that are ready to fall.
Our immune system reacts to a stimulus in case of psoriasis. These stimuli may include prolonged stress or infection or severe disease. Our body begins to push young cells to the surface faster than It should have normally. In fact, they come to the surface in a few days instead of a month what would have normally. Because the new cells arrive so quickly, the cells already existing on the surface do not have time to die and fall by themselves. So, produces a mixture of these cells, characterized by dry skin and the appearances of red spots disorder known as psoriasis.
Because this, Psoriasis cannot be passed because it is caused by its own immune system.
But if psoriasis is due to a serious disease or infection, it can be transmitted to other people. But not everyone develops psoriasis when getting an infection, so in itself is not contagious, but certain factors that can cause him can be contagious.
Even though psoriasis is not contagious, probably looking for a solution for his healing. Some people suffer from severe forms of psoriasis, which produces great discomfort. Many scientists believe that psoriasis cannot be cured, but suggest some medicines and treatments that help relieves many symptoms of psoriasis.
Alternative treatments for healing psoriasis usually involves treating the body's internal problems. You can reduce inflammation and the itchiness by applying external herbs like aloe vera, but to reduce really or cure psoriasis specialists in phytotherapy believe that you must clean the body of toxins. This may be appealing to some diets, vitamins and minerals that will cleanses the liver, and digestive tract of toxins colonel.