When a psoriatic focus develops, a small, sharply defined, inflammatory flushed spot is usually visible. This increases in size and develops silvery scales in a few days. The fully developed psoriasis stove is an inflammatory flushed main area that is slightly above the level of healthy skin and is covered in whitish to silvery shingles. These flocks are also called plaques. These skin spots can be quite small, but also spread over a large area. Some parts of the body are particularly affected: elbows, knees, the sacrum and the hairy head.
In the course of the disease, it does not remain dandruff. Often the skin changes are accompanied by a feeling of tension or tormenting itching. Scratching and rubbing aggravate the disease process. The open skin can penetrate bacteria and fungi and cause inflammation. In addition, new psoriasis can develop on the scratch marks.
Nails are particularly affected
The hairs generally do not suffer from the disease. However, they can temporarily become much thinner and more easily broken if the scalp and treatment are severely affected. Much stronger are the nails affected.
Many Psoriatiker develop so-called Tüpfelnägel - the nail reminds by many small Krater to a thimble. In the nail bed itself can also psoriasis herd emerge. They shimmer through the nail surface and can lift the nails on the edges (oil stains nails). It can even come to a complete destruction of the nail plate (Krümmelnägel).
Other organs may be affected by the disease. Psoriasis arthritis, which is very similar in its appearance to a true rheumatic disease, can be particularly painful. Anyone who suffers from psoriasis and has joint or bone pain, should also visit a rheumatologist.
The psoriasis runs in spurts and can occur again and again. How long the relapses and the symptom-free periods last is very different. The range is between a few weeks and several years. Since the condition can not be treated causally, the goal of any therapy is to alleviate the symptoms and to extend the asynchronous time as far as possible
Treatment of psoriasis
There are numerous treatment approaches that always take into account the individuality and severity of the disease in the individual patient. In most cases, traditional ointment and light therapies help with external application to the skin.
Severe psoriasis patients, on the other hand, depend on systemic (internal) medication. There has been much progress in drug therapy in recent years, based on the growing understanding of disease processes and advances in molecular biology and biotechnology.