Category Archives for "Types Of Psoriasis"
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Just like anything in life, knowledge about problems or issues that you might have about anything; makes a great difference. The same goes for psoriasis. It is a sickness that can have major impact on the lives of patients.
So living with psoriasis can be a daunting task for most people but just a minor irritation for some. This is one illness that affects about 7million people in the United States alone and costs about 11.25 billion dollars annually in treatments.
So whichever way you look at it, knowing a bit more about psoriasis will go a long way to help you and your doctor make better decisions on the best psoriasis treatment that’s suits you. Most people actually have only one form of the disease but then after the symptoms are gone, they might experience another psoriasis trigger. Learning the different types of psoriasis will also help to know what causes psoriasis or what in effect triggers psoriasis?
So here are ways by which you can spot the 7 different types of psoriasis and the different signs and symptoms associated with each one of them.
This is the most prevalent form of psoriasis and it’s been estimated that 6 out 8 people that are afflicted with the condition has this form of psoriasis. It is characterised by red skin patches which are inflamed and are covered with silvery what scales. In some people, these patches do itch and burn at the same time. Then after a while, they may crack to become open sores and bleed.
The normally appear in the following areas-
This is a type of psoriasis that seems to cover the whole body surface leaving the whole surface looking burned and red. It is very rear and may occur just once or twice throughout the life time of psoriasis sufferers.
It most often brought about by unstable plaque psoriasis in which the lesions seem to just be all over the place.
This type of psoriasis is:
It has been noted by specialists that this kind of psoriasis could lead to serious complications as a direct result of low protein in the body and loss of fluid. Patients have also been known to experience infections, acute pneumonia and or congestive heart failure.
Erythrodermic Psoriasis triggers includes:
This is a type of psoriasis that is commonly found in children. It is the 2nd most common type of psoriasis right behind plaque psoriasis. They usually show as small reddish sports on the skin. This kind of psoriasis may disappear within a matter of weeks even without being treated. How to cure guttate psoriasis is not that difficult but first, you need to know the symptoms
The parts of the body that are most affected are
– The trunk
-Upper arms and
Guttate psoriasis triggers
The things that trigger guttate psoriasis
This could include-
Pustular psoriasis as the name implies shows up as white pustules or blisters. The pustules normally contain pus made up of white blood cells but are not infectious and also not contagious. The areas around the pustules are always surrounded by red skin.
It normally attacks much more older people and can be a direct result of the following-
-Increased heat rate
Pustular psoriasis triggers include:
-Exposure to some kinds of chemicals found in everyday products or at the work environment.
-The over use of strong topical steroids over a substantial area of the body
-If you suddenly stop any systemic treatments prescribed by your doctor
-Exposure to too much sunlight (Ultraviolet rays) with some form of sun screen protection.
-Certain kinds of stressful situations in your life and
Sometimes called intertriginous psoriasis normally appears in the folds of the skin. They are red lesions and could be smooth and shiny in some patients; sometimes the sufferers will also have other kinds of psoriasis on other parts of their body at the same time. This kind of psoriasis doesn’t produce scales, the locations on which they show up are-
-The skin folds of the genitals
-The skin folds around the buttocks
-For women, the area under the breasts
-The groin as well
This kind of psoriasis afflicts about 23% of all psoriatic patients. You will recognise it by the painful swelling in and around the joints of the body.
In fact it’s a combination of arthritis and psoriasis at the same time. It sometimes causes scally patches of the skin around those joint areas. Close to 90% of psoriatic arthritis sufferers also have nail changes too.
This type usually affects most adults, usually people who are between 30 to 50 years old. In this case, it’s usually very important to be diagnosed early to prevent deformity due to joint and tissue damage.
The common symptoms of psoriatic arthritis include:
-Discoloured warm joints
-Swelling of the fingers and the toes
This are changes to the nails of the fingers and the toes which are normally brought on by some other diseases.
Half of the folks with active psoriasis have this form of psoriasis due to severe pain especially those with psoriatic arthritis. Most times those with this form psoriasis will need to stop certain activities and worse even when combined with psoriatic arthritis. To treat nail psoriasis, one should know its symptoms.
Common symptoms of nail psoriasis include:
-The total crumbling and eventual loss of the entire nail due to weakening of the nail matrix by psoriasis.
-Pitting of the nails due to loss of parakeratotic cells from surface of nail plate.
-The nails will sometimes become tender and very painful
-The nails might turn yellowish-brown.
In This Article
What is Pustular psoriasis? Pustular psoriasis or sometimes referred to as generalised pustular psoriasis is a type of psoriasis that is characterized by skin lesions or blisters filled with pus. The lesions sometimes occur in clusters and could be very painful. The pus is non-contagious and it’s not an infection at all. The skin around the pustules turns red and tender.
The condition is often rear and affects all races, men and women of older age equally with no exceptions. But with children, it affects them between the ages of 2 and 10 years old and tends to show up on boys more than girls
Often times when people ask what is pustular psoriasis? They also want to know how it plays out with other types of psoriasis. We will also be looking at the psoriasis cure as it relates to pustular psoriasis.
Sometimes pustular psoriasis can co-exist with plaque psoriasis or one following after the other but both are very different. The main difference between the two are the white pustules found in pustular psoriasis, these are absent on plaque psoriasis.
Here are some more distinguishing features of pustular psoriasis-
-The skin in and around the pustules is usually red
– It affects mostly the arm, the elbows and the knees, it rarely affects the face
– The pustules may also occur under the nails and as well as on the tongue.
– Apart from the hands, legs and knees, it can also spread very rapidly all over the body.
– The pustules and blisters will eventually turn brown and crusty and peel off later exposing shiny and scally skin.
– The circles of appearing, fusing and peeling off and reappearing again might last for weeks, making the patient uncomfortable and exhausted.
-The ring shaped type of pustular psoriasis is much more common in children than adults with less severe symptoms than in the generalised type of pustular psoriasis.
In the ring shaped plaque psoriasis, the plaques are elevated when they show up. You will find pustules all around the edges of the ring. The edges normally expand and the centre heals.
-In children, pustular psoriasis is often times are mild and you might see other symptoms of psoriasis beside the normal pustular psoriasis symptoms.
-For the palms and soles of the feet, pustular psoriasis in these areas is usually chronic and maybe associated with bone or joint inflammation leading to psoriatic arthritis. Usually when the pustules appear on these areas, they are white and yellow as they fill up with pus.
What causes pustular psoriasis is quite similar to the causes of plaque psoriasis. Though generally, all forms of psoriasis is triggered by a combination of genetic and environmental factors. But below are some factors known to be associated with pustular psoriasis and most are what triggers pustular psoriasis:
1- The use of strong and irritating topical solutions such as creams and soaps containing tar,
anthralin, steroids, and zinc pyrithione in shampoo.
2- Too much exposure to sunlight and phototherapy
3- Suddenly stopping the use of systemic steroids.
4- Taking other medications such as:-
-Salicylates, and compounds made from salicylic acids that are mostly used to treat patients with pain.
-Vitamin D derivatives and Calcipotriol
-Penicillin and some kinds of antibiotics
-Lithium or trazodone, and taking antidepressants
6- Having an unusually low level of calcium in the blood stream; a condition known as Hypocalcemia.
Having dealt with what is pustular psoriasis? There are different types of pustular psoriasis and accompanying psoriasis cure but first the different types include:
Palmer-Plantar Pustulosis (PPP)
This is sometimes called palmoplantar psoriasis. This is usually a localised form of pustular psoriasis that acts on the palms of the hands hence the name. But they are also found on the soles of the feet. This type of pustular psoriasis is more common with people between the ages of 20 and 60 years old and a lot more in people that smoke.
In PPP, when the pustules do show up, they are very large and about 5mm in diameter on the hands and feet such as the thumbs and the sides of the heels. Gradually, the pustules dry up, turn brown and then gradually fade away or peel off. This type is usually cyclical, when they old fade; new ones come up to replace them. Sometimes the skin do crack open in these areas and they are very painful leading to some form of loss of functionality especially in the hands.
Acrodermatitis Continua Of Hallopeau
This is also referred to as Acropustulosis. This form of pustular psoriasis is usually rear than the rest. Like PPP, it appears on the hands, the heels and the toes as well. Here, when the pustules burst, it exposes bright red patches that sometimes ooze.
This type can cause deformity in the toenails and bones of the fingers if left untreated. They are normally triggered by skin injury and sometimes by infections.
Von Zumbuschi Pustular Psoriasis
This is also called generalised pustular psoriasis. This form of pustular psoriasis normally begins with pains on the areas that are affected and those areas turn red. Within a matter of hours, pustules are formed and they dry up within a day or two.
The areas affected are very itchy and the patient may experience fever, chills, and dehydration. This is usually treated as an emergency since it could be life threatening.
Like most other types of psoriasis, this particular type of pustular psoriasis also comes and goes in circles. It most times can lead to weight loss, and its potential complications include, hair loss, nails loss, secondary bacterial infection and as well as liver damage. This type of pustular psoriasis is rear in children.
Pustular psoriasis treatment is very crucial and urgent when it comes to psoriasis cure and most especially pustular psoriasis because this is one form of psoriasis that could be life threatening. In situations like these, patients are normally hospitalised and kept under strict observation.
This is to prevent more dehydration, stabilize body temperature and the restoration of electrolyte imbalance. Most times doctors need to rotate treatments to avoid further complications especially with the stronger medications.
Studies have shown that the combination of of acitretin (brand name Soriatane) and methotrexate is usually very effective in checking pustular psoriasis. Below are the treatments for specific types of pustular psoriasis-
-Generalised Pustular Psoriasis treatment
All forms of pustular psoriasis require immediate medical attention and generalised pustular psoriasis is no exception. The doctors will have to rehydrate the body system after substantial loss of fluids, the patient will need to have his or her temperature stabilised.
Systemic medications for generalised pustular psoriasis include:
-Antibiotics for infections
-Biologic agents like infliximab, etanercept etec
This is one form of pustular psoriasis that has been hard to treat. But a good combination of topical preparations may help. For others, systemic medications may be all they need to get relief.
-Palmoplantar pustular psoriasis treatment
Here doctors find it easier to first use topical treatments before considering other options that are stronger treatments. The other options may include; including PUVA, UVB, acitretin, methotrexate or cyclosporine.
-Pustular Psoriasis Therapies
Apart from the various psoriasis treatments mentioned above, there is still other alternative pustular psoriasis therapies and remedies available. Mostly these are home cure for psoriasis that you can apply at home Some of these psoriasis home remedies may include:
– Diet changes,
-Stress-reducing techniques to help reduce symptoms.
Aside from the fact that psoriasis is a genetically motivated illness which of course means that there is little you can to prevent it; but you can also help by making sure that you stay away from those things that can trigger a flare up for you. And some of these can be applied to general psoriasis treatment are:
-Avoid any environmental factors like too much sun exposure, smoking and too much alcohol intake. These will serve to help you have a stronger immune that will have a better chance at fighting the condition.
-There are really no specific dietary restrictions but generally eating good food and staying as healthy as you should; will save you a lot of pain and heart ache.
When the condition does flare up:
-Seek immediate admission to the hospital
-There should be intensive nursing and care, paying attention to the level of body fluids, and temperature regulation.
-Endeavour to use bland or topical compresses and saline or oatmeal baths. These will help soothe the affected areas and give you some relief.
-Secondary bacterial infection of the skin
-Poor circulation and general toxicity may lead to liver failure.
-Malabsorption and malnutrition may occur
In the United States alone, of the close to 7.5 million people suffering with psoriasis, erythrodermic psoriasis afflicts just about 1 to 2 percent of them.
It afflicts older adults than younger people and it has a male to female ratio of 2:1 to 4:1. More men develop the condition than women. This form of psoriasis sometimes occurs together with pustular psoriasis and those with unstable plaque psoriasis. That shows that the lesions have no clearly defined edges to it. It could best be described as wide spread fiery red patches covering almost the entire skin surface.
Those people with erythrodermic often look like burn victims but the patches are not burns. Because of its fatal nature, doctors advise treating it as a medical emergency. The good news is that it’s very rear and only affects about 3% of those with psoriasis.
Some of the signs and symptoms of psoriasis are
-It’s highly inflammatory
-There is deep skin redness and peeling off of the red scales almost on the entire body area.
-The peeling is always in large sheets unlike small patches peeling in normal psoriasis.
-As the skin peels, it is followed by very deep pain and itching as well.
-The entire body temperature is thrown off balance; the patient’s temperature may rise at short notice.
-The patient heart rate could also spike at any time and especially if the environment around the patient is very hot.
-There could be sever protein loss
-There could also be the loss of fluid
-The loss of fluid may lead to certain areas of the body like the ankles to retain fluid unnaturally causing those areas to swell (Oedema)
– Erythrodermic Psoriasis could also lead to heart failure and pneumonia
-There could also be other infections due to the complete failure of the skins ability to protect itself.
-For those patents with a combination of erythrodermic psoriasis and pustular psoriasis; they may experience zumbusch psoriasis. This is a condition where there is a severe electrolyte imbalance in the body system.
-The imbalance will generally lead to muscle weakness, and even fever itself.
– Erythrodermic psoriasis follows the unset of plaque psoriasis especially in people whose plaque psoriasis is unstable. Though, in rear cases for some people, Erythrodermic psoriasis might be their first ever case of psoriasis eruption.
-Suddenly stopping any systemic treatments
-If there is high degree of calcium deficiency (Hypocalcaemia) in the body
-Suddenly stopping the use of strong coal tar preparations
-Suddenly stopping the excessive use of strong topical corticosteroids
-Severe sunburn could also trigger the condition
-Taking too much alcohol
-Doctors will normally take blood samples, or blood cultures to find out if there is renal failure.
-They also check for inflammatory markers too
-They also run tests to determine if there is anaemia
-Also check for hypoalbuminaemia
The treatment of Erythrodermic psoriasis could be tricky and difficult but it could be managed. The patient must be hospitalized to monitor fluid and protein losses and make sure they are stabilized by giving them intravenous fluids. And also to keep their temperature balanced.
But initially, doctors might start off treatment with the use of less strong topical steroids, moisturizers combined with wet dressings and as well as Oatmeal baths to reduce redness and swelling. This will also sooth the pain and itching. Patients will also need plenty of bed rest.
-Application of Systemic Medications
These are oral medications which are much more effective in bringing severe cases under control. The include-
-Cyclosporin, which is an anti-rejection drug which helps to slow the immune response that causes psoriasis.
-Inflimixab, this is another drug that is used to treat autoimmune diseases just like Cyclosporin above. These two drugs are fast acting drugs.
-Acitretin and cancer drug methrexate are much slow acting drugs but are equally as effective.
Words of caution in using systemic medications; these drugs have potential side effects and must be used under strict supervision. To stop using these drugs also must be gradual; suddenly stopping them can trigger a flare of psoriasis.
Sometimes it pays to combine some or all of these medications in some cases. That is a combination of topical and oral treatments. It’s been known that combining two or more medicines might be more effective than just using one.
The patient may also need to be given pain relievers for comfort, anti-depressants to help patients sleep better and have better mood. Also, doctors may prescribe drugs to help with the itching and antibiotics to help fight other infections or skin infections.
Phototherapy treatment should not be used at least in the early stages of treatment of erythrodermic psoriasis because they may well worsen the condition.
Related Erythrodermic Psoriasis Links
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People who have psoriasis vulgaris better known as plaque psoriasis usually are between 80% to 90% psoriasis sufferers. This makes the most common type of psoriasis that there is. This form of psoriasis is the most common of all types of psoriasis, the technical name “vulgaris” is derived from the word “common”.
Psoriasis vulgaris shows up as inflamed red patches skin and is covered with dead skin cells that are and silvery in nature. When they are dry to a certain a certain extent, they will crack open and bleed. The patches are also very painful and itchy.
Plaque psoriasis normally show up on the limbs, trunks, the knees, scalp (scalp psoriasis), the elbows and as well as the lower back region. These are the most common areas which they normally show up, but they can equally show up on other parts of the body.
One major thing about plaque psoriasis is that the plaques sometimes come to together to form one big patch that spread to cover large areas of the skin. Most people that have plaque psoriasis most often develop nail psoriasis as well.
Just like all other types of psoriasis, plaque psoriasis is also an autoimmune disorder. Doctors theorise that there are certain mutations in the genes that are inherited which lead to the development of psoriasis vulgaris.
When it comes to the nails, you will notice the onset of psoriasis as a result of the following changes-
– First nail discoloration then
-Pitting followed by
-Loosening of the nail from the nail bed
Plaque psoriasis signs and symptoms for the skin; like those that show up on the limbs; the scales might start to fall off and a certain point. If you wake one morning and discover your skin covered in rashes and refused to go away after a couple of days that might be an indication of plaque psoriasis. Then it’s time you paid your doctor a visit.
Psoriasis is most commonly diagnosed based on the appearance alone by dermatologists. But then there are other skin conditions that look similar to psoriasis.
In this case they may need to take samples and run further tests in the lab. Blood tests are not always helpful to determine if a condition is psoriasis. But basically, plaques psoriasis form lesions that later become plaques and sometimes spread.
As mentioned above, there is-
This is plaque psoriasis found on the scalp of the head. This sometimes spread down to the ears of the patient or even to the fore-head and back of the neck also. Sometimes, psoriasis of the scalp will show up without causing any significant changes to the rest of the body.
This is the type that affects the nails and afflicts about 40 to 50 percent all psoriasis vulgaris sufferers.
There are other subtypes of plaque psoriasis and they are-
This when the scales are in form of a cone or limpet
This is the type found where the body robs against itself. In this situation, the scales become very thickened and
This is psoriasis that has inflamed and is very large. The normally affect the legs.
This is psoriasis that appears in the form of a circle or an oyster shell. They usually are very thick
These form in lines on the body.
This is usually form in the areas that are much more exposed to sunlight like the face, arms, neck and forearms. To treat this, you will not use any psoriasis treatment method that involves light. The areas affected must be protected from the rays of the sun at all times.
When it comes to treatments for plaque psoriasis; they can be combined or used separately.
This kind of treatment slows down the rate of skin cell growth and as well as reduce inflammations. It usually is the first choice for doctors before they move on to other stronger treatment regimes.
This is when drugs are prescribed for patients by their doctors. Most times they are used for patients with nail psoriasis or psoriatic arthritis. This kind of treatment me also be applied to people who have moderate to severe psoriasis and who are also not responding to other types of treatments.
There a whole lot of things that people with psoriasis can do at home to relieve the symptoms especially those with mild psoriasis. Patients can apply tar which can be found in many ointments or shampoos which is good for scalp psoriasis.
Other plaque psoriasis home remedies are the application of hydrocortisone to the affected areas which helps to supress mild psoriasis, herbs, vitamins and herbal supplements and creams. There is also water therapy, and homeopathy.