PSORIASIS is a chronic, recurring and genetic skin disease. A characteristic feature is increased epidermal proliferation caused by an 8-fold shortening of the duration of the cell cycle, which manifests itself by exfoliating papillary eruptions that disappear without leaving any traces on the skin. It often occurs within the family. The probability of offspring of both affected parents developing psoriasis is about 70%. Type 1 psoriasis begins in young people with extensive skin lesions, but without pustular psoriasis. Type 2 psoriasis is the most frequently occurring type after the age of 50.
THE CAUSES OF PSORIASIS
Genetic and environmental factors, as well as autoimmune processes, lie at the root of psoriasis. Changes appear and disappear for unknown reasons. It is believed that so-called superantigens are the stimulus for their occurrence.
THE SYMPTOMS OF PSORIASIS
Well delimited from the surrounding, dark brown clods with fine-grained peeling of the surface. After scratching the scales, the visible skin is shiny, silvery, often with small spotty blotches. Psoriasis clods vary in size - from the size of a head of the pin to a few centimetres. The efflorescences gradually grow, transforming into changes covered with firmly adhering scales. Skin changes often have the appearance of a ring - they disappear in the middle part, and on the periphery of the lesions, uneven, porous surfaces form. The presence of the so-called Koebner phenomenon means that the disease is active - scratching the skin causes after 6-12 days formation of scales lining up along scratches.
The focal points are covered with thick, gradually growing scales. Changes often affect the skin of the forehead as well. The disease does not cause changes in the hair itself. Psoriasis of the scalp can precede the psoriasis on the body skin by many years.
Nail psoriasis is often the only symptom of the disease or a sign before it occurs. A characteristic symptom are thimble-like depressions in the nails, grooves, subungual keratosis. There is a symptom of the so-called “yellowish drop of oil” under the nail plate. The disease causes yellowing, brittleness and matting of the nails.
VARIETIES OF PSORIASIS
- Exudative – nmost often located near the skin folds (popliteal cavities, underarms, groin)
- Pustular – the most severe form of psoriasis. Small pustules on the basis of acute inflammation, often with symptoms of epidermal slippage.
- Hands and feet – pustular efflorescences on the basis of erythemes with exfoliation affecting the lateral surfaces of the hands and feet.
- Generalized – a severe form of psoriasis, in which lesions affect the entire skin (erythroderma), usually provoked by change or discontinuation of drugs.
- Joints –can occur without skin changes. It is a serious disease with asymmetric involvement of interphalangeal joints of hands and feet, reminiscent of RA. Changes in the joints of the spine give similar symptoms as in ankylosing spondylitis. In joint psoriasis, the HLA-B27 antigen is often present.
The complication of the most severe, pustular form of psoriasis with coexisting joint changes may be severe amyloidosis with renal involvement.
DIFFERENTIATION OF PSORIASIS
Psoriasis-like symptoms are most commonly found in eczematoid seborrhoea (involvement of the scalp causes hair loss), lichen planus (changes are accompanied by itching), skin fungal infections (vesicles around the changes and pruritus) and pityriasis rosea (pale pink, oval or spherical spots with slight exfoliation on circumference, which disappear on their own).
TREATMENT OF PSORIASIS
- photochemotherapy (SUP and PUVA lamps)
- methotrexate (cytostat),
- cyclosporine (an immunosuppressive medication),
- mycophenolic acid and its esters (immunosuppressive and immunomodulatory effects)
- biological drugs,
- ointments, creams, lotions containing 5-10% salicylic acid,
- wood tars, chignolin, synthetic derivatives of vitamin D3,
- corticosteroids (possibility of general complications and posteroid skin atrophies),
- shampoos – SPA treatment (concetrate).
The composition of the medicinal shampoo SPA has been developed on the basis of almost 200 years of experience in the treatment of psoriasis with sulphide waters in the Solec-Zdrój and Busko-Zdrój health resorts. At the health resort Busko-Zdrój, patients are treated in a SPA hospital. The effectiveness of sulphide waters in the treatment of skin diseases has been confirmed in numerous clinical trials. Also studies done on the shampoo SPA have proven its effectiveness in the treatment of psoriasis of the scalp. SPA medicinal shampoo thoroughly cleanses the scalp from the scales, heals the scalp, improves the appearance of the hair. The medication lengthens the periods of the disease’s remission.
HEALTH RESORT AT HOME
Proper care significantly improves the appearance and condition of the skin. The disease is milder, psoriasis efflorescences lasts shorter and the time of disease relapse increases.
SPA products branded by the Pharmaceutical Company SULPHUR ZDRÓJ from Busko-Zdrój, possessing the PERMISSION OF THE MAIN PHARMACEUTICAL INSPECTORATE for the Production of Medicinal Products and the GMP Certificate guarantee the highest quality of these products. They are microbiologically pure, with a constant dose of biologically active substances and made from pharmaceutical raw materials of the highest quality. The most valuable ingredients of sulphide waters contained in the products come from the Shaft of the Solec Health Resort Solec-Zdrój and mineral springs of Busko-Zdrój health resort (Aleksander Shaft).
Busko sulphide SPA – taking a bath or shower with the use of this preparation will make you feel the wonderful properties of this natural mineral literally on your own skin. It will stay moisturised and smooth, and your senses will be spoiled by the scent of the natural essential oil of bergamot and lemon composition.
Busko sulphide mask – (white, without yellow lanolin) - rescue for psoriatic skin and other dermatological problems. Moisturizes, reduces exfoliation and follicular keratosis and cracking of the epidermis. Can be used both in the bath and in the shower.
Mineral SPA shampoo – san effective weapon in the fight against the nuisance of scalp psoriasis. It regulates the exfoliation of the scalp and effectively cleanses it. Strengthen its action using Mineral SPA shampoo .
mineral – liquid form, thoroughly cleanses and moisturises the skin. It reduces follicular keratosis of the epidermis and gently exfoliates it. After cleansing of the skin, use hypoallergenic which strengthens the soap action.
mineral sulphide cream –moisturizes, strengthens the natural lipid barrier of the skin, regulates the process of exfoliation of the epidermis, smoothes, firms and tones, improving its appearance. with vitamin A