Clinical generally consists unusual type of impetigo, joint disease and red-four types of disease.
(1) Psoriasis
Psoriasis is the most common clinical type. Beginning of a red papules or rash, and then gradually expand or integration, a clear spot-border surface coverage Linxie silver-white, lightly exposed after curettage Linxie smooth film, Zaigua later, there will be a number of small bleeding. Above Linxie, film and the bleeding point of the three major clinical features of the disease. The disease can occur in any part of the body, showing symmetry distribution occurs in the knee, elbow extensor side and head, a small number of patients means (toe) was a point (top acicular) Depression. Clinical progress on the acute phase, and dissipated quiescent period.
Advanced: Features for a sustained bit rash-like, and the bright red color of the rapid development Linxie more easily shed, there are itching feeling. If normal skin stimulated by trauma, such as may be secondary to psoriasis lesions, the same shape as the medical response.
Quiescent: the condition remains static stage, no new measles in the old measles also not dissipated.
Retreat Xingqi: rash reduced gradually disappear. Dissipated after the rash can be left pigment faded or temporary calm spot.
(B) pustular psoriasis, divided into generalized, the limit of two types.
1. Pan, pustular psoriasis clinical rare. The rapid onset type, and general discomfort with flip-systemic symptoms such as high fever and leukocytosis. Lesions of the early acute inflammatory disease, a majority of the surface-to miliary needle size yellow-white light in the small sterile pustules. Pustules can be expanded integration a "pus paste" shape. Pimian often involved the broad masses, or even extending body. Of the reasons for its more with Psoriasis long-term use of corticosteroids after suddenly stopping and disease, or infection, drugs stimulate. The disease heavier,cyclical recurrence of a poor prognosis.
2. Limitations of pustular psoriasis, also known as palmoplantar pustular psoriasis, palmoplantar more limited, and often in the size of the fish or when the foot of the mass majority of yellow needles to a small pustules miliary basement flushing. After about 1 to 2 weeks pustules break down scars, and scaling. After Lin Xie also appeared in the small pustules, when light when heavy. Consciously itch or pain. Can be involved fingernails, a muddy hypertrophy, ridge-like uplift. Patients with other parts of the body often see a psoriatic lesions. Also the first in palmoplantar, after several repeated attacks into generalized nature.
(C) joint disease psoriasis, also known as psoriasis of the joints, often secondary to Psoriasis Psoriasis or deterioration after repeated many times, there can be joint first symptoms or pustular Yinxie Disease and disease psoriasis with red. Joint symptoms and psoriatic lesions parallel relationship, the disease was particularly prevalent in males.
The main clinical features with psoriasis and psoriasis with history or non-symmetrical multi-peripheral arthritis, involving the distal end of small joints, with means (toe) A damage, rheumatoid factor negative. In addition, the reference to X-ray examination can be seen. Identification with rheumatoid arthritis, which nearly ends more violations of small joints, but not associated with psoriasis, rheumatoid factor positive. The disease can be deferred long-term treatment more difficult.
(D) red disease psoriasis. Psoriasis more for a period of acute irritation strong drugs or long-term large-scale application of corticosteroid drugs, withdrawal or reduction caused by improper methods. In addition, pustular psoriasis pustular dissipated in the course of disease may appear red. The disease accounts for about 1% of psoriasis.
At the beginning of the original site in flushing psoriatic lesions rapidly extending into large, the final body showed diffuse flushing infiltration, infiltration in the diffuse flushing, often patchy normal "skin island," the characteristics of this disease one. Accompanied with fever, chills, headache, general discomfort. With the other reasons (such as drug rash, red hair pityriasis) Identification of disease caused by red, the latter no history of psoriasis.
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