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Psoriasis on toenails

10 Apr 18

How to treat nail psoriasis

Psoriasis on the fingernails and toenails causes more discomfort because the limbs are always visible. Therefore, the treatment of fingernail psoriasis requires special attention.

Psoriasis on the nails (photo 1) is a violation of the normal development of the nail itself. Psoriasis of the fingernails causes more discomfort because the hands are always visible. Therefore, the treatment of nail psoriasis is an extremely serious area, including traditional medicine.

Nail psoriasis goes through the same stages as skin psoriasis. Symptoms of nail psoriasis (photo 2) are determined by the nail bed, how infected it is, and the nail plate itself. The nail is a skin appendage, and nail damage in psoriasis occurs according to the standard pattern. Before reaching maturity, the cells divide and grow into non-dead cells, forming elevations and destroying the nails. Nail psoriasis (photo 3) in the initial stage causes slight clouding of the nail. Nail damage due to psoriasis is accompanied by the appearance of grooves on the nails. Nail psoriasis is a rather painful disease.

Psoriasis of fingernails

The definitive cause of fingernail psoriasis (photo 4) has not been identified. Only predisposing factors are identified: psycho-emotional stress, hormonal changes, and so on (for more details, see the article on the causes of psoriasis on our website). Therefore, fingernail psoriasis is considered a multifactorial disease. It is known that nail psoriasis mainly affects young people. Psoriasis of the fingernails often manifests itself as peeling of the nail itself. Psoriasis on the nails worsens much more often in winter.

Psoriasis of toenails

Psoriasis on the toenails is quite similar to the disease on the hands. Only nail psoriasis of the feet (photo 5) has more unbearable itching. External symptoms of nail psoriasis are more pronounced, especially with regard to thickening of the nail plate and its deformation. If not treated properly, toenail psoriasis can be disabling. To make a diagnosis, a biopsy is necessary, since psoriasis on the nails usually does not cause changes in the blood. Severe nail psoriasis causes leukocytosis.

Treatment of toenail psoriasis

Treatment of toenail psoriasis should be mandatory, since there is a real threat to health. Psoriasis on the nails greatly injures and deforms them, making them defenseless against other diseases. Treatment of nail psoriasis comes down to eliminating external symptoms (for more details, see our article on symptoms and photos of psoriasis on our website). Truly effective drugs for the treatment of nail psoriasis still exist, although in very limited quantities. Treatment of toenail psoriasis occurs only comprehensively, after a diagnosis has been made by a specialist.

Treatment of fingernail psoriasis

New drugs have been developed for the treatment of nail psoriasis that affect cell immunity. Nail psoriasis is often chronic, so treatment of fingernail psoriasis should be especially strict. You need to cut your nails short and follow the rules of hygiene. Specific treatment of fingernail psoriasis is based on phototherapy. After analyzing the degree of nail damage, the doctor prescribes hormonal ointments for psoriasis and gives recommendations for proper nutrition. But nail psoriasis can be treated using only antiseptics. Treatment of fingernail psoriasis requires constant use of nourishing moisturizing psoriasis creams for daily care.

How to treat nail psoriasis

Treatment of psoriasis on the nails has several directions. Local mild nail psoriasis In these cases, nail psoriasis ointment represents the main treatment. Glucocorticosteroids are not used in this case.

How to treat nail psoriasis? Systemic treatment of psoriasis involves suppressing the proliferation of nail cells and offers the latest generation of drugs. These are systemic retinoids: Acitretin, Etretinate, Cyclosporine and Methotrexate for psoriasis , which have quite a few contraindications and numerous side effects.

Before treating nail psoriasis with biological drugs, a thorough analysis is necessary. Biological modifiers, such as Rituximab, can be fatal. Alefacept and Infliximab have moderate effectiveness. New drugs are being developed to treat nail psoriasis.

Treatment with folk remedies at home

Treatment of nail psoriasis at home begins with taking general medications. Treatment of nail psoriasis with intolerable itching occurs with antihistamines. Treatment of nail psoriasis with folk remedies involves the use of baths of decoctions and infusions of medicinal herbs. Before going to bed, when treating nail psoriasis at home, you need to apply various oils and creams to your nails. Treatment of nail psoriasis with folk remedies using self-prepared egg oil is quite effective. For more information about home treatment, read the article treatment of psoriasis at home using folk remedies on our website.

Psoriasis on the legs: photo, initial stage, treatment

Psoriasis on the legs looks the same as on the rest of the body: red spots with dry silvery scales on top. Various types of psoriasis can appear on the legs. It is treated with ultraviolet light, ointments and creams, and folk remedies.

Photos of psoriasis on legs

These photographs show spots and psoriatic plaques.

Psoriasis of toenails

Nails affected by psoriasis

Psoriasis on the soles of the feet

Psoriasis on the legs - initial stage (photo)

The initial stage of psoriasis on the legs is red, inflamed spots. Then they are covered with dry silvery scales, which gradually grow and unite.

Psoriasis spots on the legs in the initial stage

Psoriasis on the legs: treatment

Vulgar psoriasis of the hands and feet can be treated with several methods. Let's look at the performance of the most popular ones.

311 nm lamp for the treatment of psoriasis

Ultraviolet radiation affects psoriasis at the cellular level, normalizes metabolic processes, restores normal cell division and metabolic processes in psoriasis.

Research by scientists J. Parrish and T. Fisher showed that the healing spectrum of UV rays lies in the range from 296 to 313 nm, and the most active frequency is 311 nm. In addition, the method is safe (as it does not require the use of drugs) and can be used in adults and children from 3 years of age.

Ultraviolet 311 nm is used in clinics and in the treatment of psoriasis on the legs at home.

To treat with this method, you need to irradiate psoriasis spots from 1 minute to half an hour (this depends on how far the spots have spread). Sessions are held every other day.

some time (depending on the prevalence of the disease).

Excimer laser (308 nm)

Excimer laser against psoriasis

The excimer laser is used for treatment only in clinics, under the supervision of highly qualified personnel. The risk of error here is great. The disadvantage is that only small foci of the disease can be treated .

The laser acts on the foci of the disease locally , therefore it is suitable for treating individual areas of psoriasis, as is the case with psoriasis on the legs. The principle of action is similar to the wavelength of 311 nm - as a result of such irradiation, cells stop excessive division. The plaques on my legs disappear.

The method is safe to use . In addition, the laser acts precisely on the site of the disease, and does not affect areas of healthy skin. Therefore, the risk of skin photoaging is reduced significantly.

Systemic corticosteroids (creams and ointments)

Afloderm - ointment against psoriasis

The drugs compensate for the lack of hormones in the body. At the same time, the excessive formation of substances in the body that are responsible for inflammatory reactions (cytokines) is blocked. The normal reaction of the skin to external irritants and its protective function are restored, plaques disappear.

The method has many side effects and contraindications. Not for use by children, pregnant and nursing mothers. For psoriasis of the legs, it is undesirable to use it unless absolutely necessary, since an addictive effect occurs, and after withdrawal the disease returns with renewed vigor.

Oregano helps with psoriasis of the legs

Medicinal plants must be used comprehensively - inside and out. External agents have an exfoliating, anti-inflammatory, softening effect. Recipes for oral administration increase the body's resistance to adverse effects, calm the nervous system, and normalize the functioning of the adrenal glands.

Traditional medicine recipes are safe to use . Both toenail psoriasis and plantar psoriasis can be treated. The effect is achieved through the systematic use of such funds. This can often be long and difficult: you need to prepare several medications, make ointments yourself and not forget about them.

Psoriasis on the legs - psoriasis localized to the legs, feet, soles, and toenails. Pustular psoriasis, vulgar psoriasis, guttate psoriasis, etc. are found on the legs.

In the initial stage, the disease appears as reddish-pink spots, which then grow and increase in size. They become covered with silvery scales, and the nails thicken.

You can treat psoriasis on the legs and knees using the following methods:

  • Ultraviolet 311 nm is the most effective method, has no side effects, can be used by children from 3 years of age and pregnant women.
  • Excimer laser 308 nm - easy to use and effective. But only in small areas and treatment only in the clinic.
  • Systemic corticosteroids (ointments and creams) - give a quick effect. Use only in case of emergency, as they have many side effects, and after withdrawal the disease returns with renewed vigor.
  • Folk remedies give results and are safe. However, these methods are outdated and difficult to use: you need to choose the right combination of recipes, then prepare decoctions and tinctures, and remember to take it all.
  • So, among all the methods of treating psoriasis of the legs, in terms of the combination of safety, price, and ease of use, the most effective is ultraviolet 311 nm.

    How does toenail psoriasis manifest itself and how to get rid of it?

    Nail psoriasis is a type of skin disease that is non-infectious and occurs in a chronic form.

    The disease is a lesion of the nail plates with scaly lichen; it can be either the first sign of the development of psoriasis of the whole body or a separate disease.

    If you do not seek medical help in a timely manner, the pathology can cause psychological problems and provoke serious complications in the physical condition of the body.

    Causes of the disease

    The main reason for the appearance of psoriasis on the toenails and hands is a malfunction of the body’s immune defense, which is manifested by a disruption in the process of cell formation and breakdown of substances. An incorrect immune response provokes the release, enlargement, and division of skin cells that have not yet matured and the horny part of the nail.

    The immune system recognizes such cells as a dangerous foreign organism, after which a large number of lymphocytes and leukocytes accumulate near the affected areas. This process causes an inflammatory process - during the production of specific antibodies, an attack occurs on the nail plates and skin.

    An additional factor that significantly increases the risk of developing nail psoriasis is hereditary predisposition. In the body of some people there are inherited defective genes that provoke the occurrence of the disease.

    There are other factors, due to the impact of which on the body, the development of pathology can begin:

  • dry, cold weather often becomes a provoking factor for the initial appearance of the disease and its relapses;
  • frequent experience of stressful situations;
  • the presence of viral and bacterial diseases - pharyngitis, tonsillitis, human immunodeficiency virus, papilloma virus;
  • regular damage to the skin;
  • long-term use of certain medications - drugs containing lithium, beta blockers, drugs whose action is aimed at normalizing blood pressure, non-steroidal anti-inflammatory drugs, hormone-containing drugs.
  • The manifestations of nail psoriasis are quite varied and depend on the type of disease. But there are basic signs that appear most often:

  • detection of grooves, depressions in the form of dots, dents on the nail plate;
  • the color of the nails changes - they may acquire a grayish, yellowish, brown tint, the nail plates become dull, crumble, break;
  • the appearance of an inflammatory border along the contour of the nail plate, peeling of the skin of the toes;
  • with psoriasis of the nails, plaques similar to oily yellow spots appear on their surface, peeling and loosening begin;
  • the nail detaches from the bed, and a deep hole forms in its place;
  • the nail plate becomes thinner, through it you can see capillaries and bruises;
  • the occurrence of excessive dryness of the plates and the skin near them, humps and convex growths form, the connective tissue begins to grow, purulent discharge appears;
  • With nail psoriasis, the epidermis of the fingers begins to itch very much. But this symptom is not necessary - in some cases, itching sensations may be completely absent.
  • Depending on the external manifestations, there are several types of nail psoriasis.

    Thimble psoriasis

    This type is considered “classic” and the most common. It is characterized by the appearance of small dots on the plate, thanks to which the nail becomes similar to a thimble.

    This type of nail psoriasis is characterized by their separation from the bed, with no pain or inflammation. The distinctive symptom of this form of the disease is a psoriatic border of yellow or pink color around the affected nail.

    Onycholysis is divided into several subtypes:

  • complete and partial - depending on the degree of damage to the nail;
  • lateral, central and distal - depends on the direction of separation of the nail plate from the bed.
  • With this form of the disease, separation of the plate from the tissues of the bed begins, but the process is more rapid, and the psoriatic border is absent. It is considered one of the most severe types of nail psoriasis, which is practically untreatable.

    Hemorrhages (or subungual hemorrhages)

    This type of illness can manifest itself in the following ways:

  • the appearance of red, pink spots, veins of various sizes and shapes that are visible through the nail;
  • the formation of black or brown streaks in the form of stripes - these symptoms are the result of rupture of large capillaries.
  • This type of disease is manifested by roughening of the nail, the surface becomes rough and uneven. There is a subtype of trachyonychia - koilonychia, which manifests itself with the same symptoms, but is supplemented by thickening of the nail, and then bending of its edges.

    Psoriatic paronychia

    Occurs mainly with a generalized type of illness. The nail folds and the skin around the nails begin to thicken and become inflamed. Skin hyperemia can spread to the entire surface of the toe.

    There are several stages of nail psoriasis, with the onset of which the symptoms of the disease change:

  • Stage one. The nail begins to darken and become cloudy, small vertical and horizontal stripes and depressions appear, and occasionally a kind of mesh appears on the plate.
  • Stage two. The plate thickens and changes color, which may become greyish, yellowish or brown. When hemorrhagic type of nail psoriasis occurs, blood streaks appear under them. In some cases, purulent discharge occurs.
  • Stage three. The nail separates from the toe and may be accompanied by a bacterial or fungal infection. At this stage, the disease is considered advanced. Detachment of the nail may be preceded by the appearance of oily brown-yellow spots and psoriatic plaques.
  • It is impossible to cure psoriasis. Throughout the patient's life, remissions and relapses of the disease can be observed.

    Nail psoriasis is a non-contagious disease, but patients often notice disgust from people around them, which can result in psychological and emotional trauma:

    A severe mental state significantly increases the risk of cancer, diabetes, and heart pathologies, including heart attack. Against the background of nail psoriasis, other chronic ailments worsen.

    With psoriasis, the nail becomes deformed, even severely disfigured. In severe cases of the disease, increased body temperature, weakness, and deterioration in the ability to absorb folic acid may occur.

    In the generalized form of the pathology, Tsumbusch psoriasis can develop, which requires mandatory hospitalization - this type of disease can cause death.

    Diagnosis of nail psoriasis occurs through a visual examination of the patient - changes in blood characteristics occur only when the pathology is severe.

    To confirm the diagnosis, a biopsy of the skin around the affected area or psoriatic plaque is prescribed.

    Treatment of nail psoriasis is a long, labor-intensive process that is based on complex therapy.

    The groups of prescribed drugs depend on the stage, type and characteristics of the course of nail psoriasis.

    At the first and second stages, the use of topical medications is often prescribed for the treatment of psoriasis:

  • Corticosteroid creams and ointments are the mainstay of treatment for nail psoriasis. At the first stage, Triacort, Prednisolone ointment, Triamcinolone are used.
  • Products containing vitamin D3 - Tacalcitol, Daivonex, Calcitriol. The action of these drugs is based on inhibiting the division of cells affected by psoriasis. An increased effect occurs when used simultaneously with Betamethasone.
  • Tar or coal tar are analogs of vitamin D3 preparations that have a less pronounced effect.
  • Dermatotropic drug - Anthralin. Neem slows down the formation of cells affected by psoriasis. The use of this remedy helps to achieve long-term remission.
  • Medicines with retinoids - Tazorac, Tazarotene.
  • Salicylic acid. Helps reduce itching, reduce plaque, get rid of the top layer of scales, and enhance the effect of other medications. The product can be used together with corticosteroids.
  • If treatment of psoriasis with local medications is insufficiently effective, systemic therapy is started, which may contain:

  • immunosuppressive drugs;
  • antimetabolites;
  • systemic retinoids;
  • antidepressants;
  • antihistamines;
  • vitamins and minerals.
  • The use of folk remedies

    Treatment of psoriasis at home often includes the use of traditional medicine recipes:

  • Lotions are made - 0.5 liters of water is mixed with 2 tbsp. l. corn starch and 2 tbsp. l. oatmeal
  • Applying compresses - 4 tbsp. l. cocklebur herb is brewed in 0.5 liters of boiling water. The grass is applied to the affected areas, wrapped in film and left for a quarter of an hour.
  • When identifying symptoms of the disease, it is important not to self-medicate, but to consult a dermatologist so as not to aggravate the course of the disease.

    Psoriasis on the legs: photo

    Psoriasis on the legs, the photo of which eloquently shows the characteristic features of this disease, has recently been observed more and more often. This type of psoriasis with rashes on the lower extremities at the beginning of its development may have manifestations similar to other dermatological pathologies, but as it develops, it increasingly manifests its own character.

    In adult patients, plaque-type disease is more common, aggravated by increased dry skin and inflammatory processes. Psoriasis on the legs has a gradual wave-like course and the appearance of skin lesions depends on the stage of development of the disease.

    What the initial stage looks like, photo

    The onset of the disease manifests itself in the formation of pink spots on the skin of the legs, which are inflammatory in nature. The spots have clear outlines and rise slightly above the healthy one.

    skin. If localized in the knee area, the rash is accompanied by severe itching and pain after scratching.

    Even the most advanced psoriasis can be treated in 2 days!

    With a prolonged course of the disease, swelling in the ankle area may occur, which is a sign of complications. One of the serious complications accompanying psoriasis is arthritis, when in addition to rashes, the inflammatory process affects the joints of the legs. In this case, extensive swelling and pain appear on them, which causes difficulty in moving.

    The development of a disease with rashes on the legs is most often associated with hormonal changes or prolonged stressful situations. Past viral infections or a lack of vitamins can also serve as the beginning of an exacerbation.

    Psoriasis will disappear in 7 days!

    Psoriasis in children, photo

    Psoriasis that manifests its symptoms in children is not considered dangerous if the correct treatment methods are used. Most often, products with exfoliating properties are used for this purpose, which will not have a harmful effect on the child’s body.

    The symptoms of childhood psoriasis differ little from the manifestations of the disease in adult patients; they may experience the same symptoms in the form of itching, the formation of reddish spots on the limbs and other parts of the body. However, all manifestations can occur with greater intensity and more quickly increase the number of affected areas.

    The formation of rashes during the development of psoriasis in childhood can be influenced by the following factors:

  • The main reason for the appearance of psoriasis in children is a hereditary predisposition. Scientists have identified a gene that carries the ability to cause this disease.
  • The disease can be caused by past infections, which include chickenpox, streptococcal infections, and HIV.
  • Chronic diseases can also cause the development of psoriasis in children. These may be obesity, diabetes, hypertension, metabolic disorders.
  • Opinion of our readers

    Depending on the age of the child, psoriasis can manifest itself in various ways:

    • in infants and children under seven years of age, rashes rarely form on the legs; most often they are located on the head and in the folds of the skin and look like weeping papules with liquid;
    • older children have symptoms similar to adult patients, but with greater severity;
    • in one third of sick children with psoriasis, rashes form at the site of skin injury;
    • the disease is almost always accompanied by severe itching;
    • In forty percent, psoriasis on the legs in children also affects the nails.
    • Most often, the development of the disease in children occurs before the age of four, and the main exacerbations occur at the age of seven and when the child’s transition period begins at 15-17 years. At this time, significant hormonal changes occur in the child’s body and it is subjected to severe stress. Treatment for childhood psoriasis depends on the age of the child, as well as the extent of damage caused by the disease.

      Basic treatment methods

      When diagnosing psoriasis, there are no problems with determining the nature of the pathology, since all the manifestations of this disease speak eloquently for themselves. A specialist, through a visual examination, is able to determine the degree of damage and the type of disease itself.

      Changes in test results can occur only in the case of severe psoriasis, accompanied by various complications. When treating psoriasis on the legs, complex methods are used using medical drugs, various types of ointments and traditional medicine recipes.

      It is necessary to understand that it is not yet possible to completely get rid of psoriasis. With the help of proper treatment, you can only reduce the severity of its manifestation and increase periods of calm. Treatment can remove secondary diseases caused by psoriasis, for example, get rid of fungal infections, although this may be enough to significantly alleviate the patient’s condition.

      It is also important to get rid of non-infectious diseases such as colds, kidney diseases, neuroses and other things, to reduce the degree of varicose changes in the legs. In addition to vitamins and sedatives, you need to try to eliminate inflammatory processes on the skin of the legs and get rid of swelling. These pathological changes contribute to the development of severe complications and hinder the positive dynamics of treatment procedures.

      When unbearable itching occurs, ointments or creams that have an exfoliating effect are used, and in case of exacerbations, hormonal agents such as Hydrocortisone or Prednisolone are used. Claritin and Suprastin are used as antihistamines, and Humira or Raptiva as immunomodulators. Hydrocortisone ointment, Sinalar and Triamcinolone are used as a local treatment for psoriasis with rashes on the legs. External remedies for psoriasis are applied in a thin layer to the affected skin for a week.

      Treatment with folk remedies

      Folk experience has many methods for treating psoriasis, including on the legs, which can be successfully applied independently. Such methods allow you to prolong periods of remission and avoid exacerbation of the disease. The recipes use only natural ingredients and have no contraindications, with the exception of isolated cases of individual intolerance. Quite successfully eliminating the symptoms of psoriasis is the use of tar, which has an antibacterial effect, relieves itching and heals damaged skin well.

      To reduce itching on the skin of the feet, it is recommended to use soda baths, as well as baths with decoctions of medicinal plants in the form of chamomile, St. John's wort, celandine, and string. Rubbing and bathing with sea salt are very helpful in the fight against psoriasis on the skin of the feet.

      When starting the fight against psoriasis, which manifests itself as rashes on the legs or knees, you need to prepare yourself for long-term treatment. However, using comprehensive methods, it will be possible to experience positive results and make periods of exacerbation rare and short-lived.

      Prevention of exacerbations of psoriasis

      Rash on the lower legs is considered one of the most common forms of psoriasis. Of course, in this case the skin of the hands or face is not affected, but nevertheless it causes enough inconvenience.

      To prevent the development of such a condition, you need to adhere to certain rules in everyday life:

    • adhere to a healthy lifestyle with a complete rejection of bad habits;
    • to the extent possible, avoid the occurrence of stressful situations and nervous tension;
    • try to increase your body’s defenses;
    • avoid damaging the skin of your feet, wear comfortable, breathable shoes;
    • prevent the occurrence of allergic reactions;
    • eliminate areas of rough skin on the legs using moisturizers;
    • observe hygienic requirements for foot skin care, with daily washing with cool water;
    • use socks made from natural materials;
    • The risk of developing psoriasis is significantly reduced if you follow these recommendations. A positive attitude and good health can prevent periods of exacerbation. In the event that it was not possible to avoid the rash and psoriasis manifested its symptoms, it is necessary to visit a specialist at the first sign and receive an appropriate prescription.

      Make an appointment with a doctor: +7 (499) 116-79-45

      Nail psoriasis is a non-infectious chronic disease characterized by a wavy course. It causes a lot of inconvenience both in terms of health problems and from an aesthetic point of view. The nail plates acquire an unpleasant color, peel, the skin surrounding the nail changes color, becomes covered with small wounds and spots. Pain often occurs.

      Treatment of psoriasis is long and labor-intensive.

      Nail psoriasis is much less common than other types of this disease. It can develop if you are diagnosed with psoriatic arthritis or if certain areas of the skin are affected. In some cases, psoriasis is an independent disease.

      There is still no consensus on the causes of the pathology. The following factors create a favorable background:

    • prolonged stress;
    • violation of metabolic processes;
    • chronic diseases;
    • peripheral circulatory disorders;
    • hypersensitivity to certain environmental factors;
    • hereditary predisposition.
    • Types of nail damage

      With psoriasis, nail lesions can be of the following types:

      1. Pinpoint, in which pinpoint depressions begin to appear on the nail plate. Sometimes there are only a few of them, and they are grouped in certain areas. But sometimes they occupy the entire surface of the nail, as a result of which the plate begins to resemble a thimble in appearance. This type of disease is called “thimble psoriasis.” The size, shape, and depth of the pits vary widely. Accelerated nail growth is observed.
      2. Onycholysis, or peeling of the nail. The plate becomes thinner, loses its shine, becomes cloudy, and due to impaired microcirculation, the color changes. Over time, it separates from the skin. As the disease progresses, the nail undergoes significant deformation and almost disappears - only a small part located near the bed remains.
      3. Toenails in most cases become covered with a striped pattern, grooves, thicken, and sometimes fester. This phenomenon can also be observed on the hands, but much less frequently.

      In appearance, the affected nails resemble diseases of fungal origin. Due to the high sensitivity of the nail plates, in some cases a fungal or bacterial infection is associated with psoriasis.

      How to distinguish the disease?

      The diagnosis is generally made by examining the appearance of the fingernails and toenails.

      If necessary, histological analysis or biopsy of tissue samples from the affected areas is performed.

      Since there are a number of pathologies in which the nails also undergo pathological changes (lichen planus, dermatoses, eczematous lesions, Devergie's disease), differential diagnosis is mandatory.

      As a rule, with psoriasis there are no deviations or changes in blood composition, with the exception of severe disease, in which the analysis reveals leukocytosis, increased ESR, etc.

      The clinical picture of the disease depends on its specific type.

      Psoriatic onychia is characterized by the presence of pitting formations on the surface of the nail. They have sufficient depth and are arranged in a certain order. By pressing on the bottom of the dimple with the tip of a needle, the degree of pain is determined. Intense pain is an indicator of onychia.

      It manifests itself in different forms. In some cases, the nail looks like it has been splintered, in others it looks bent upward and resembles a hook.

      In both options, a certain space is formed between the bed and the nail, which is filled with air bubbles, dust, and particles of the epidermis, leading to the appearance of a putrid odor. The nail changes color: it becomes grayish, brown, etc.

      The distinctive features of this type of psoriasis also include characteristic pink stripes that form a border around the areas of detachment that changes color over time: it can vary from yellow to brownish.

      Another type of nail psoriasis is onycholysis . It is infectious or traumatic in nature. This type is characterized by separation of the nail plate from the nail bed. This process is not accompanied by pain. The nail tissue may separate completely or partially. In the second case, lateral, distal or central detachment is possible.

      Onychodystrophy is another type of psoriatic lesion. It is characterized by separation of the nail plate and impaired nail growth. The difference from onycholysis is that the peeling of the nail tissue occurs in a very short period of time.

      In some cases, psoriasis causes bleeding under the nails. Hemorrhages appear in the form of red or pink spots of different sizes, visible through the nail tissue. This form of psoriatic lesion is called subungual psoriatic erythema . The hemorrhagic variety may appear as dark red dots, also visible through the nail. The reason for their appearance is the rupture of capillaries.

      With trachyonychia , the nail is dull and has a rough surface. No formation of holes is observed. Sometimes trachyonychia is accompanied by the appearance of a saucer-shaped depression on the nail ( koilonychia ). If the disease is not treated, the nails bend upward and become spoon-shaped.

      With the pustular form of , a special lesion of the nail is often manifested - psoriatic paronychia . It is characterized by hyperemia of the nail phalanx and inflammation of the periungual fold. In some cases, the roller suppurates.

      Treatment of nail psoriasis

      Treatment of psoriasis is carried out in a complex.

      Local medications are used: betamethasone, tazarotene, calcipotriene, anthralin, tar.

      It is recommended to use immunomodulatory agents compatible with antibiotics, for example, immunoflazide (Tilorone).

      The effectiveness of their use increases significantly with hardware exposure to UVA.

      If local medications do not give the expected result, proceed to taking medications orally. The most commonly used are cyclosporine, acitretin, and methotrexate.

      Among the new generation of biological products for the treatment of nail psoriasis are efalizumab (Raptiva), alefacept (Ameviv), infliximab (Remicade), etanercept (Enbrel). They have a wide spectrum of action (for example, infliximab is also prescribed for the treatment of psoriatic arthritis), but are expensive.

      Since these medications have a number of side effects, they can only be prescribed by a doctor.

      The greatest results can be achieved through complex treatment.

      In addition to taking medications and their local use, it is necessary to take measures to normalize hormonal levels, eliminate factors of bacterial, fungal, viral and parasitic etiology, and general cleansing of the body.

      Taking vitamins is important. Patients are prescribed multivitamin complexes that normalize the course of immune processes and strengthen the body's defenses.

      For psoriasis, traditional medicine recommends taking infusions of medicinal herbs internally:

      Celandine is most suitable for herbal baths.

      100 mg of herb is poured into 4 liters of cold water and brought to a boil. Cover with a lid and leave for about 1 hour. The finished product can be used both for baths and compresses.

      Rules of conduct for psoriasis

      Patients need to follow certain standards for a quick recovery and to prevent complications.

      Nails should be cut short.

      When using household chemicals and other aggressive agents, you should wear protective gloves.

      If possible, avoid mechanical damage (do not do manicures or pedicures).

      Apply protective varnish to your nails.

      Lubricate your hands daily with nourishing cream.

      Make baths using medicinal herbs, after which you can remove softened tissue.

      If possible, maintain nervous balance and avoid stressful situations.

      Toenail psoriasis: photos and treatment

      Along with rashes on the skin, psoriasis can also affect the nail plates, both on the hands and feet. This brings a lot of trouble to the patient, not only from an aesthetic point of view, but also in terms of health. Psoriasis of toenails is a chronic disease, as a result of which the plates change their color and shape, which can be seen in the photo.

      Causes of toenail damage

      There are many reasons for the development of toenail psoriasis. The most common reasons are:

    • genetic predisposition to the disease;
    • infectious diseases;
    • HIV infection;
    • weakened immunity;
    • dysfunction of the endocrine system;
    • abnormal metabolic processes;
    • nervous tension;
    • emotional turmoil;
    • not fully cured viral diseases such as herpes, HPV, etc.
    • Description of the disease

      Depending on the type of psoriasis, there are different symptoms of this toenail disease. Typically, the affected person experiences the following pathological changes:

    • Thimble psoriasis. The patient has small pits on the nail plates. This form of the disease got its name due to the fact that the nail is similar to the surface of a thimble.
    • Onycholysis. The plate peels off from its bed. This form of the disease does not cause pain, since no inflammatory processes are observed. Over time, the space between the nail and finger increases and becomes filled with dirt and peeling skin. As a result, the plate has a yellowish or grayish tint. A clearly defined border of pink or red color can be seen around the nail.
    • Onychomadesis. This form of the disease is also characterized by the separation of the nail plates from the bed, but this process occurs rapidly. Very difficult to treat.
    • Subungual hemorrhages. It is the appearance of red or brown spots under the affected nails, which are located chaotically.
    • Trachyonychia. The nail plates become rough, their surface becomes uneven, and the edges gradually begin to curl upward.
    • Psoriatic paronychia. Inflammatory processes of the skin around the nails and fingers are observed. There is a significant thickening of the nail plates. This is the most common form of the disease.
    • When psoriasis develops at the root of the nail, the patient is accompanied by the following symptoms:

    • small ulcers or indentations on the nail plates;
    • the appearance of white or yellowish spots;
    • redness at the base of the nail;
    • the nail plates gradually begin to crumble;
    • the appearance of transverse lines of a pathological nature.
    • You can see what the initial stage of psoriasis looks like on the nails in the photo.

      Nail care during treatment

      Affected toenails require hygiene and special rules during the treatment period, which will help get rid of the external manifestations of the disease quickly enough. These are:

      Psoriasis on the legs appears quite often. The disease refers to recurrent inflammatory dermatitis. The main sign of the development of psoriasis on the legs in women and men is the formation of psoriatic rashes of various types. The spots can be round, oval or teardrop-shaped. The shade of the plaques also differs. Depending on the type and course of the disease, they may be pale or, conversely, bright scarlet in color.

      It should also be noted that psoriasis is an incurable disease. Periods of remission are sooner or later replaced by relapse. This happens under the influence of some factors, which we will discuss later in the article. Damage to the nail plates is also common with this disease. Toenail psoriasis can act as an independent disease, or it can develop against the background of damage to other parts of the body.

      Many years of research into psoriasis by world scientists to date have not been able to formulate a clear answer to the question of what are the causes of the disease.

      Photo of psoriasis on the legs

      In modern medical practice, there are several theories suggesting possible provoking factors of the disease. These include:

    • disruption of the body's metabolic processes, mainly lipid;
    • emotional overstrain, stress, psychological stress;
    • disruptions in the body's hormonal balance;
    • heredity;
    • frequent viral and bacterial diseases;
    • injuries and damage to the dermis;
    • hypothermia, excessive amounts of ultraviolet radiation.
    • Important! Psoriasis often occurs in people who abuse alcohol, cigarettes and other bad habits.

      Very often psoriasis develops on the toes, between the legs, psoriasis on the feet or on the soles of the feet (soles), a photo of which you can see below. For the initial stage of the disease, single rashes are common, characterized by itching and a bright pink tint. Plaques protrude 1-2 millimeters above the surface of healthy skin. Most often they have a clear boundary. The entire surface of the plaque is covered with flaky skin - these are the so-called scales. They are easily scraped off the surface of the skin, after which they can crack and bleed.

      The main symptom of psoriasis on the legs and other parts of the body is the presence of the so-called psoriatic triad. The phenomenon implies a combination of the following signs:

    • Stearine stain - peeling of the surface of plaques in psoriasis, looks very similar to stearin.
    • Terminal film - after removing the scales, a smooth shiny film is exposed; it is very thin and easily damaged.
    • Bloody dew - due to damage or artificial removal of the film, drops of blood can be observed on the surface of the affected area of ​​the dermis. In medical practice, this concept is called bloody dew.
    • Important! If you notice the first alarming symptoms on your body, it is recommended to consult a dermatologist. Early diagnosis and timely treatment helps reduce the risk of complications.

      What does psoriasis look like on the legs and the stages of its progression?

      Psoriasis, a photo of the initial stage on the legs, which you can see below, has several stages. Let's figure out how the disease begins in order to detect it early.

      The stages are characterized by their symptoms and course characteristics.

      Photos of psoriasis on the legs of children

      The most difficult stage in its course. Characterized by the appearance of an increasing number of rashes on the legs. The following symptoms are observed:

    • severe itching;
    • peeling;
    • redness;
    • inflammatory process;
    • Often the disease is aggravated by the addition of a bacterial infection.
    • At this stage, the symptoms are somewhat dulled, the growth of plaques stops, but the rash does not disappear. The crusts on the papules dry out, the inflammatory process is less pronounced, and new spots do not appear.

      Important! When the disease enters the stationary stage, it is important to observe hygiene and safety rules. There are often cases of this stage returning to the stage of progress.

      Regressive stage

      It is the final stage before the onset of remission. At this stage, all symptoms disappear, plaque growth is not observed, existing plaques turn pale and disappear altogether. The human skin is completely cleared of rashes.

      Treatment of psoriasis on the legs

      Many patients are interested in the question of how to treat psoriasis on the leg, as well as how to treat psoriasis on the toenails? Next, we will try to find out the main aspects of therapy for this form of pathology.

      Medicines for external use

      In the initial stages of the disease, doctors recommend using preparations in the form of ointments to eliminate symptoms and cleanse the skin of plaques. Ointment for psoriasis on the legs can be hormonal and non-hormonal. Non-hormonal agents are as follows:

      Hormonal drugs include the following:

      The use of hormonal drugs is recommended only in severe cases of pathology, since these drugs can cause a lot of negative consequences.

      Recently, the treatment of psoriasis using physical therapy methods has proven itself well. In complex treatment, the following methods give good results:

    • UFO – ultraviolet irradiation.
    • Selective therapy.
    • PUVA - therapy.
    • Excimer laser treatment.
    • Magnetotherapy.
    • Ultrasound treatment.
    • Important! The method and number of procedures must be chosen exclusively by a specialist, taking into account the characteristics of each patient and the degree of damage to the skin.

      Folk remedies for psoriasis on the legs

      Folk remedies for psoriasis on the legs also bring quite good results. Popular recipes include the following:

      Ointment based on egg yolks

      To prepare the product you will need 2 large homemade eggs. They must be hard-boiled; only the yolks are used. They are placed on a hot frying pan without adding oil. The future ointment must be stirred constantly until an oily liquid forms. This product is used to lubricate plaques 2-3 times a day.

      Compress based on birch tar

      200 g of birch product is placed in a container and placed in a water bath. After softening the product, you need to add 50 g of propolis and 1 tbsp. l. sea ​​buckthorn oil. After cooling, the ointment is applied to the affected areas of the skin.

      Important! It is recommended to discuss the use of all folk remedies with your doctor. This will help eliminate side effects and complications of the disease.

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