Psoriasis on the elbows is an inflammatory process with characteristic skin rashes. Among the provoking factors for the onset of the disease, heredity, various diseases, bad habits, stressful situations and others are distinguished.
Pathology is accompanied by itching, redness, swelling, soreness in the affected areas. To make a diagnosis, tests of urine, blood, feces, biopsy, bakposev for microflora are prescribed. Treatment includes the use of drugs, local remedies, physiotherapy, nutritional adjustments.
Before starting the treatment of psoriasis on the elbows, it is necessary to exclude other pathologies: eczema, fungal infection.
Only after a full examination, specific medications are prescribed, therefore, a preliminary consultation with a dermatologist is necessary.
stages
Psoriasis occurs in several stages, periodically replacing each other.
Initial
The outer surface of the elbow area is covered with small papules. Outwardly, they resemble acne with a random arrangement. After 14-21 days, the formations turn into voluminous plaques covered with scales. Dryness of the skin increases, the surface becomes rough.
progressive
This stage is characterized by the formation of multiple large plaques. Patients complain of peeling, redness in the affected area. The boundaries of the rashes are represented by a well-defined rim. At this stage, the transition of the disease into a period of exacerbation is noted.
Stationary
With a properly selected scheme of therapeutic measures, the clinical picture becomes less pronounced, and the disease goes into a state of rest. The number of psoriatic rashes decreases, new papules are absent.
regressive
This stage is accompanied by a decrease in the severity of symptoms, the number of plaques is markedly reduced. The skin, where the rashes were previously localized, is noticeably pigmented, but at the same time, there are no characteristic scales in the places of lesions, the epidermis does not peel off.
Symptoms
The onset of the development of the pathological process is indicated by the appearance of small red spots of an oval or rounded shape. As the disease progresses, the number of formations increases, they spread to the surrounding healthy areas of the skin.
Psoriasis is an autoimmune disease that cannot be completely cured. However, modern methods help to quickly get rid of the exacerbation of the disease and achieve a long-term remission.
Antihistamines are used; for rashes on the joints, local ointments and creams with corticosteroids, salicylic acid are used.
An important method of treatment is the appointment of a diet and vitamin complexes; a positive effect of some homeopathic preparations has been noted.
The early stage is characterized by a small number of rashes. If at this stage it is time to seek help from a specialist, it is possible to reduce the likelihood of the disease becoming chronic.
The main feature of psoriasis is the formation of scales of a light silvery hue. Under mechanical action, their integrity is violated, as a result of which a smooth surface with bloody cracks appears.
There were also cases when there were no scales on psoriatic plaques.
Patients begin to complain of severe itching, swelling at the site of the lesion, burning. If you palpate the damaged areas, in these places you can notice an increase in temperature and soreness.
Depending on how well the protective functions of the body work, the pathological process is accompanied by the formation of single or multiple plaques, when the disease affects the entire surface of the skin of the upper limb. If appropriate measures are not taken in time, the probability of the transition of the pathology to a neglected form increases several times.
The severity of the clinical picture also depends on the stage of the course of the disease. During the period of remission, the manifested symptoms subside, the patient feels better. A recurrent condition is characterized by the appearance of multiple psoriatic plaques, due to painful symptoms, the general well-being of a person worsens.
Causes
Despite the high prevalence of the disease, it was not possible to fully study and establish the exact factors provoking it. However, experts identify several alleged causes that may contribute to the occurrence of psoriatic lesions on the elbows.
One of the most common factors is genetic predisposition. According to statistics, in 50% of cases, pathology is diagnosed in a person whose relatives were also susceptible to this disease.
The prerequisites for the development of psoriasis are the lack of body resistance to infectious diseases, malnutrition, uncontrolled intake of medications, which has a negative impact on the immune system, thereby contributing to its weakening.
Also among the reasons are:
- endocrine disorders;
- diseases of the digestive system;
- injury to the epidermis;
- frequent stress, neurosis, depression.
Vitamin deficiency and a lack of trace elements in the body can contribute to the manifestation of psoriasis.
Diagnostics
Since the development of psoriasis on the elbows is accompanied by pronounced clinical signs, the detection of pathology is not difficult. First, the dermatologist performs an external examination of the damaged areas of the epidermis and collects the patient's history.
To confirm the preliminary diagnosis, the patient is sent for a laboratory test.
A blood test allows you to determine a possible predisposition to an allergic reaction to certain medications that can be used in the treatment of psoriasis. In addition, the analysis can help in the diagnosis of anemia, which will be accompanied by characteristic deviations in the levels of leukocytes and erythrocytes.
Urinalysis makes it possible to determine the level of water-salt balance, that is, how much salt and water has entered and been removed from the human body.
The study of feces is necessary to identify helminths in them.
When the main methods for making a final diagnosis are not enough, the doctor will prescribe an additional examination:
- biopsy of epidermal samples taken from lesions;
- bakposev on microflora;
- testing with potassium oxide.
If a complicated course of the pathological process is suspected, an X-ray examination is performed, which allows assessing the involvement in the disease of the joints.
If psoriasis develops in women during the period of bearing a child, they are given a referral for a prolactin test.
Additionally, you may need to consult an orthopedist, rheumatologist, venereologist or mammologist.
Treatment Methods
Psoriasis cannot be cured, but flare-ups can be prevented and the remission phase extended. Therapy in this case should be complex. It consists in the use of such methods of treatment:
- usemedicaldrugs inside;
- usagefundslocal action;
- vitamin therapy;
- sanatorium-resorttreatment;
- applicationhomeopathicmedicines.
In addition, it is important to follow a special diet. It includes in the diet foods that contain substances that contribute to the onset of remission, and limits the use of food harmful to psoriasis.
Medications used for psoriasis
In the treatment of the disease, it is important to use drugs for internal administration in the form of capsules, tablets, plates.
Antihistamines may be used to relieve itching.
It is important to remember that only an experienced specialist can prescribe such drugs, taking into account the severity of the disease, the age criterion, as well as the individual characteristics of the patient's body.
Ointments for rashes on the elbows and shins
From psoriasis on the elbows are widely used for external use.
Experts say that the treatment of psoriasis should be comprehensive, so one application of creams will not be enough, since they only eliminate the symptoms of the disease on our skin.
vitamins
In psoriasis, vitamin therapy is considered an important method in complex treatment. In case of damage to the skin of the flexor surface, it is recommended to use vitamins of groups B, E, D, A and ascorbic acid.
To do this, you need to eat right: increase the consumption of foods that contain these substances. In addition, vitamins can be purchased from pharmaceutical establishments. Vitamin solution can be used to lubricate problem skin.
Some ointments contain the necessary substances, so often experts prescribe such medicines for external use.
Vitamin and mineral complexes may be prescribed.
Also prescribed for severe degrees of psoriasis drugs for intramuscular injection.
They are made every day or every other day.
homeopathic remedies
Combined agents are considered the most effective.
The dosage of these drugs is determined by a qualified specialist, taking into account the individual characteristics of the patient's body and the severity of the pathology.
Diet
In a pathological condition, it is important to adhere to dietary nutrition. Therefore, in the diet for psoriasis should be the following products:
- lean fish;
- dairy products;
- vegetable oil;
- fruits and vegetables;
- cereals;
- greenery.
These ingredients enrich the body with useful substances and reduce acidity. In case of illness, it will be useful to establish a drinking regimen. The daily amount of water consumed should be at least 1. 5 liters.
The following products are contraindicated for use in pathology:
- smoked meats;
- spicy seasonings and spices;
- pickles;
- sweet products;
- fatty meats;
- alcoholic drinks;
- sausages;
- coffee;
- citruses;
- chocolate;
- confectionery.
It is necessary to limit the consumption of fried, fatty and salty foods.
In addition, fractional meals are recommended for psoriasis: portions should be small, and the number of meals per day should be increased up to six times.
Spa treatment
With psoriasis, it is recommended to visit resorts that are located in areas with a predominance of hot and dry climatic conditions.
Also desirable is an annual stay in sanatoriums where there are radon or sulfide baths. In such places, the patient can undergo physiotherapy procedures that help eliminate the signs of the disease and prolong the remission stage. These include applications with paraffin or ozocerite, UV radiation, phototherapy, cryotherapy.
These procedures are carried out for 21-29 days daily.
Treatment of psoriasis on the elbows is carried out with an integrated approach. Drug therapy includes the use of funds for internal and external use. It is also important to take vitamins and diet during treatment. It is recommended to stay in sanatoriums and use homeopathic medicines.
Consequences
With a long absence of therapeutic measures, the course of the pathology on the elbows is complicated by the appearance of a number of diseases.
Psoriatic erythroderma may begin. In most cases, it occurs against the background of an abrupt cessation or complete lack of treatment, frequent stressful situations, diseases of an infectious nature of origin that occur in severe form, alcohol abuse.
Pustular generalized psoriasis is a more serious health threat. Such a course of pathology is characterized by a mass association of papules, as a result of which large foci are formed, in the place of localization of which the skin exfoliates, pustular areas are formed.
Another complication is psoriatic arthritis. This is a pathological process that affects the joints, which is accompanied by swelling, severe pain and limited mobility.
Prevention
Since the epidermis in this area is quite dry, regular care of the elbow area is required. To do this, you need to use a special cream with moisturizing properties.
You should also stop smoking and drinking too much alcohol. Strengthening the immune system plays an equally important role. To this end, experts recommend taking vitamin and mineral complexes, playing sports, and spending more time walking in the fresh air.
It is important to protect the skin from mechanical damage, not to expose the body to frequent stress and psychological disorders.
At the first symptoms of the development of an infectious disease, a visit to the doctor should not be postponed to provide timely medical care.