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Glossy psoriasis is a chronic inflammatory disease, which can occur in any age group, most commonly between the ages of 15 and 35 years old. According to the National Psoriasis Foundation (NPF), about 10% of people with psoriasis develop globular psoriasis.
1. What is droplet psoriasis?
Guttate psoriasis is an autoimmune disease, appearing when skin cells on the body increase their natural growth rate, scattered all over the body, covered with thin, milky white droplet psoriasis when shaved. the scab flakes off and crumbles like chalk.
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2. Causes of Psoriasis
The cause of psoriasis is still unknown. However, scientists think that there are two main factors that cause psoriasis: Genetics and the immune system.
The genetic factor that causes psoriasis is located on chromosome 6 and is related to HLA, DR7, B13, B17, BW57, CW6. Skin metabolic disorders: Skin oxygen utilization index in psoriasis is markedly increased, sometimes more than 400% compared with normal skin condition, The meiotic activity and DNA synthesis of the basal layer increase 8 times, the proliferation of epidermal cells, typically the basal layer and the spinous layer, leads to a disorder of the keratinization process (too horny and parakeratosis) causing psoriasis. In addition, psoriasis is also affected by a number of factors such as:
Prolonged stress related to disease onset and progression. When having psoriasis, psoriasis belongs to the nervous type that is easily excitable, or anxious... Infectious factors: Localized infections are involved in the development and development of psoriasis (rhinitis) pharyngitis, tonsillitis, ...), which are mainly caused by streptococci. The role of reverse transcriptase viruses in the formation of abnormal immune complexes has not been agreed. Physical-mechanical trauma: Influence on disease occurrence (14%).
3. Symptoms of droplet psoriasis
Common symptoms of droplet psoriasis include red, scaly skin that looks like a drop of water.
3.1 Signs of skin redness Red skin patches with different sizes and sizes of a few millimeters - a few centimeters, in some cases tens of centimeters Clear limits, slightly raised, hard background, more or less infiltrated (inflammation, indurated) Sometimes, white psoriasis takes up most of the red background, leaving only a red border around it that is wider than the psoriasis layer. Number of clusters: A few clusters to several dozen, hundreds of lesions depend on each case. 3.2. White scales White scales cover the surface of the red, opaque white scales slightly shiny like nacre, like white candles. Droplet psoriasis forms many layers, easy to peel, when scraped, the scabs crumble like white powder, like chalk, like candle marks, scattered. Droplet psoriasis regenerates very quickly, when one layer is shed, another layer is extruded. The number of psoriasis is high.
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4. Treatment of droplet psoriasis
Treatment of psoriasis can use a drug or a combination of drugs to increase the effectiveness of the treatment and reduce the side effects of the drug.
Drugs used in the treatment of psoriasis usually include the following:
Anti-streptococcal antibiotics, topical drugs and possibly photochemotherapy, PUVA (8-methoxypsoralen oral and radiotherapy) UVA rays). Recently, narrow band UVB rays are very valuable in treatment, with fewer unwanted effects. Corticosteroid drug group (Betamethasone, clobetasol....): a group of drugs commonly used in the treatment of psoriasis, with anti-inflammatory, anti-allergic effects, reducing inflammation, itching and reducing skin cell proliferation. When used for a long time, this group of drugs can cause unwanted effects such as skin atrophy, osteoporosis, kidney failure, immune system suppression... The group of retinoid drugs (acitretin, tazarotene...) usually Used in the treatment of severe psoriasis that is resistant to other medications. Vitamin D3 derivative drugs (calcipotriol, calcitriol...): commonly used in the treatment of droplet psoriasis or plaque psoriasis. This group of drugs causes skin irritation and should be avoided when having psoriasis on the face. Immunosuppressive drugs (cyclosporin, methotrexate, adalimumab...), are often used in cases of severe, widespread psoriasis that does not respond to conventional therapies. Methoxsalen: A light catching agent used in combination with sunlight or UV light in the treatment of advanced globular psoriasis. Salicylic Acid: Has a keratolytic effect, helps to peel off scales easily and normalizes the stratum corneum in the skin. Polytar: A preparation containing coal tar, which relieves itching and reduces excessive skin proliferation. Polytar causes skin irritation and staining, has an unpleasant smell, so it is necessary to thoroughly wash the droplet psoriasis skin after use. The drugs used in the treatment of psoriasis have many side effects, so it is necessary to have a prescription and close monitoring of a dermatologist.
Glossy psoriasis is a chronic disease. The disease has the potential to thrive and is difficult to treat. Therefore, as soon as the skin appears red with white scales, the patient should go to the hospital soon for diagnosis. Also consult with a specialist to determine the appropriate treatment.
At Vinmec International General Hospital, there is a package of examination and advice on treatment of atopic dermatitis for all customers of all ages. Customers are at risk such as allergies, being affected by ambient conditions such as weather, climate, and humidity.
When registering for a package of examination and consultation for treatment of atopic dermatitis, customers will receive:
Dermatological examination (without appointment) Perform tests such as: IgE quantification, fresh mycobacteria, specific amount of IgE for respiratory and food allergens (Panel 1 Viet), Rida Allergy Screen test (panel 1) Outstanding advantages when examining at Vinmec are:
Medical team - doctors are experts Leading experts, highly qualified, dedicated and wholeheartedly for the benefit of patients Comprehensive and professional medical examination, consultation and treatment service Modern equipment system, supporting diagnosis and treatment effective
If there are abnormal symptoms, you should be examined and consulted with a specialist.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
