In the article, we will consider the treatment of psoriatic erythroderma and reviews.
Lichen or psoriasis is a chronic dermatological pathology that affects the skin. It has been proven in scientific studies that the disease is inherited. With psoriasis, red, raised and dry spots appear on the epidermis, called papules. When the lichen progresses, the area of the papules also expands, eventually they merge into large spots, that is, plaques.
Psoriatic erythroderma is the most dangerous and severe form of psoriasis. The inflammatory process of the disease in half of the situations is preceded by a pathology that is already present in the body. Treatment requires strict medical supervision, mainly in hospitals.
Essence of pathology
From the point of view of modern dermatology, psoriatic erythroderma is usually divided into twotype: primary and secondary.
The first is characterized by the onset of the disease in a person who has not previously had psoriasis, when the sudden appearance of lichen does not have any prerequisites.
The development of the second occurs on the basis of the disease that was present in a person, and represents its extreme degree. The main irritating factors that cause secondary erythroderma are excessive sun exposure, alcohol intake, certain types of antibiotics, skin mechanical damage and improper methods of treating psoriasis that has already been in the body.
Classification
In addition, erythroderma is classified by type of pathological process.
There are forms such as:
- generalized;
- rotting;
- hyperergic.
The first is characterized by an extensive lesion of almost the entire skin cover. The second is essentially a stage of transition between pustular psoriasis and erythroderma itself. Typical for her is the appearance of abscesses and a pustular rash, except for papules that are already on the skin. At the third, flaky and itchy inflammatory foci are formed on the human body, expanding and causing discomfort.
Psoriatic erythroderma requires mandatory therapy, without which the patient will face numerous life-threatening consequences.
With the intense nature of the disease, the epidermis loses its protective functions. Same processcharacteristic of severe burns, and the skin becomes vulnerable to numerous infectious pathologies.
How does pustular psoriasis or erythroderma psoriatica present?
Signs of disease
Pathology has extensive symptoms. Among the most common signs are:
- strong peeling;
- spreading of plaques over the body;
- chill;
- dehydration;
- fever;
- temperature increase;
- increased size of lymph nodes;
- muscle pain;
- hair loss;
- excessive sweating;
- bundle nails.
If the form is secondary, then the rashes appear separately from the plaques present, merge with them while spreading over the skin.
Diagnosis of disease
If the first symptoms of the disease appear, a person should seek help from a dermatologist as soon as possible, who can make a correct diagnosis. The disease is often diagnosed after a routine medical examination. More rare is its establishment based on the results of a histological examination of the patient.
Treatment of psoriatic erythroderma
Due to the fact that this type of disease is very dangerous, in some cases it can cause death. That is why the patientbeing hospitalized.
What can be learned from a case history of erythroderma psoriatica?
The patient needs specific conditions: the room must be quartzed every few hours, there must be no dust, humidity and temperature are regulated. Therefore, for the convenience of the patient, whenever possible, the medical institution should provide him with special care and a separate room.
The treatment is complicated by the fact that the skin of the whole body is inflamed, while some drugs can only aggravate the situation. If the condition is an exacerbation of the underlying disease or a complication, it should also be treated.
Complex therapy is prescribed individually, taking into account the age of the person, the severity of the pathology, the state of he alth, and includes the following procedures:
- Bed rest. The patient should ideally have his own room, in which excessive dryness of the air can be prevented, as well as temperature indicators can be regulated. When placing a patient in a general ward (in the infectious or combustiology department), you need to change linen several times a day, wipe the dust and quartz the room.
- Replacement treatment. It is necessary to cancel all the drugs that the patient has taken before, and leave only those drugs that are required for his life. Detoxicants (for example, Rheosorbilact, Polidez, Sorbilact, Neogemodez, etc.) and enterosorbents (Sorbogel, Polyphepan, Enterosgel, etc.) used forcleansing the patient's body from tissue decay products. Antimediators that help relieve itching and swelling. Immunosuppressants, reginoids, cytostatics, diuretics, amino acids, vitamins and fat emulsions.
- Plasmapheresis (blood is purified outside the body to improve immunity), hemosorption (toxins are removed by passing blood through an external sorbent), lymphocytopheresis (lymphocytes are removed from the blood), AUFOK (the patient is transfused with his own blood, which has previously undergone laser irradiation), PUVA treatment (therapy with psoralen and ultraviolet radiation). These methods are used in the most difficult situations. Topical preparations: medicinal herbs, salicylic ointment, emollient ointments, corticosteroids.
-
Sleeping pills and sedatives are used when needed. In addition, you need to track the proportion of the allocated and drunk liquid in order to avoid dehydration. The therapy is carried out under the close supervision of a dermatologist who monitors its effectiveness and makes adjustments. If the treatment methods are chosen incorrectly, the patient's condition worsens, complications such as secondary infection, phlegmon and boils develop. Psoriasis is a chronic pathology, therefore, with the development of psoriatic erythroderma against its background, it is almost impossible to recover completely, a return to its typical symptoms occurs, and this takes several weeks.
Pustular psoriasis or psoriatic erythroderma
Folk treatments
With helpfolk remedies this kind of lichen can be treated only in the initial stages. When a person's skin can no longer cope with the spread of plaques throughout the body, and the state of he alth as a whole suddenly worsens, the patient is advised to seek qualified help as soon as possible.
For erythroderma at home, it is recommended to apply soaked oatmeal to plaques to exfoliate faster, and also spread with sea buckthorn oil to partially relieve irritation.
It is advised to take a soothing mint or chamomile tea with a few tablespoons of sea buckthorn oil.
It is advisable to go on a diet, limiting s alty, spicy and fatty foods in your diet.
When hygiene procedures are not recommended to use ordinary soap and gels. It will be much more useful to add a couple of drops of chamomile or lavender essential oil to the water.
A popular recipe that combines eucalyptus tincture, vegetable oil and dry mustard.
The most common folk remedy in the treatment of most skin diseases is celandine. Patients take baths with it, and also lubricate the inflamed skin with tincture.
Photo of psoriatic erythroderma is presented in the article.
Complications of erythroderma
The greatest danger to an organism that is susceptible to this disease lies in the complete or partial loss of the protective functions of the skin cover.
A person is completely open to various kinds of infections, for which it is not difficult to penetrate the body of the patient.
Prevention and medicines
Sorbilact, a decoction of medicinal herbs, salicylic ointment, sedatives, Sorbogel, Cyclosporine, Kaopektat, sleeping pills (if necessary), Acitretin are used in the treatment.
All varieties of psoriasis have winter and autumn exacerbations, and therefore in these seasons you need to visit a doctor for prevention, even if the disease does not manifest itself.
Compliance with the recommended diet will reduce the likelihood of lichen. It is necessary to pay attention to a number of factors that can provoke the disease: an excessive amount of ultraviolet radiation, antibiotic therapy, excessive alcohol consumption, as well as mechanical skin damage.
Reviews on psoriatic erythroderma
Patients say that the symptoms of this disease cause a lot of inconvenience. It is impossible to work and fully be in the society of people. But in general, the disease is treatable, the main thing is to follow all the doctor's recommendations.
Due to complex treatment, it is possible to alleviate the patient's condition and achieve clinical remission.
