Psoriasis on the knees itches or not. Psoriasis on the knees, treatment recommendations

The knees and elbows are the most common areas of psoriatic plaques. They are affected symmetrically, involving both limbs at once. Most often, this is how simple or vulgar psoriasis manifests itself.

Features of the course of psoriasis on the elbows and knees

The skin in these places has a similar structure and structure, which is why the manifestation of the disease of these parts of the body is similar in the clinic. Psoriasis has several stages of the development of the disease - progressive, regressive and stationary. Signs are most pronounced in the progressive stage:

The Koebner phenomenon is the appearance of new rashes in the area of \u200b\u200bdamage to the skin.
Peripheral growth corolla.
Area of anemia around the rashes and intense peeling.

During the stationary stage, scales cover the entire surface of psoriasis formations. With the onset of the regressing phase of the disease, papules and plaques become flat, peeling stops and Voronov's rim (pseudo-atrophic) is formed.

The characteristic symptoms of the disease are the tendency to growth of plaques along the periphery and their ability to merge. In addition to rashes, the clinic is accompanied by itching, which causes anxiety and reduces the quality of life.

Treatment of psoriasis without complications

Being a chronic disease, psoriasis causes a lot of trouble. Its standard treatment proceeds for a long time and not always with the proper positive effect. Moreover, with an irrational selection of therapy, a complication in the form of psoriatic erythroderma is possible.

This ailment can occur when using irritating ointments, abrupt withdrawal of glucocorticosteroids, as well as excessive insolation. Bright red spots appear on the skin with swelling and infiltration. The general condition worsens - fever, weakness and malaise. If left untreated, erythroderma may develop dehydration, signs of heart failure, and hypovolemia.

Therefore, more and more often in modern medicine for the treatment of psoriasis of the elbows and knees use non-drug methods- selective phototherapy.

The expert clinic "ALODERM" provides a whole range of services for laser treatment of psoriasis. Modern equipment allows you to transfer the disease to the stage of long-term remission, saving the patient from the aesthetic and physical discomfort of the manifestations of the disease.

A distinctive feature of the treatment used in this Moscow clinic is the absence of side effects, the applied spectrum of ultraviolet rays (280-320 nanometers) is absolutely safe and has no contraindications.

Frequently asked Questions

The main reason is hereditary predisposition, all other factors can only serve as an impetus for the development of the disease.

Provoking factors

1. Physical- various skin lesions resulting from mechanical impact:

cuts, scratches;
thermal burns;
diaper rash, abrasions;
tattoos;
bites of insects, animals.

On a note: psoriasis is a photodependent disease, therefore, it is detected less frequently in summer (in 5% of cases), and 40% of the pathology of these 5% develops against the background of sunburn.

2. Chemical- toxic effect on the skin of irritating substances, including household chemicals.

3. Biological– various diseases:

fungal infections;
lichen;
herpes;
acne (acne);
impetigo;
pyoderma;
dermatoses and allergic dermatitis.

On a note: in dermatological practice, cases have been reported when psoriasis developed after diagnostic skin tests for allergies (“scratches”).

4. Immune- weakening of the body's defenses.

5. Hormonal- violation / change in hormonal levels during puberty, pregnancy and childbirth, menopause.

In addition, factors such as smoking, alcohol abuse, lack of calcium and potassium in the body, and even conventional drug injections can also provoke the development of psoriasis.

This is exposure to a narrow beam of light (installation with ultraviolet radiation), which precisely processes only psoriatic plaques and does not affect the environment. healthy skin.

Psoriasis is a genetic disease skin, manifested by the formation of itchy and flaky spots on the skin. It is quite difficult to get rid of it forever, since treatment with steroid ointments, which is effective in the initial stages, in the following stages, in most cases, does not give the expected result. Therefore, dermatologists usually combine several treatment methods: drug therapy, external therapy, climatotherapy, alternative methods. In the absence of positive dynamics from the ongoing treatment, it is recommended to undergo a course of selective phototherapy, which makes it possible to achieve a guaranteed 100% remission.

Selective phototherapy method- this is exposure to a narrowly directed beam of light (installation with ultraviolet radiation), which specifically processes only psoriatic plaques and does not affect the surrounding healthy skin. The beam focused on the pathological area transfers its energy to the tissues, and at the same time, skin cells begin to interact with the ultraviolet flux. As a result, there is a significant slowdown in the division and growth of skin cells (keratinocytes), as well as a decrease in the intensity of the inflammatory process at the site of the procedure.

psoriasis is not infection, he does not have a pathogen that could pass from one person to another.

There is a misconception that psoriasis is contagious. This is not true! Psoriasis is not an infection! It is caused not by pathogens, but by cells immune system the patient himself, so the disease is not transmitted to others. Neither contact with affected skin, nor patient care, nor the use of common household items, clothing can lead to infection with psoriasis.

Psoriasis is not an infectious disease, it does not have a pathogen that could pass from one person to another. It is impossible to catch psoriasis, the patient is not dangerous to others and does not need to be quarantined. Psoriasis is not spread from person to person through handshakes, sexual intercourse, and even blood transfusions.

The human skin consists of several layers. The outermost and thinnest of them is the epidermis. main reason psoriasis - loss of control over the reproduction of cells of the deepest layer of the epidermis - basal.

The human skin consists of several layers. The outermost and thinnest of them is the epidermis. The main cause of psoriasis is the loss of control over cell reproduction in the deepest layer of the epidermis - the basal layer. Its cells divide not once every twenty-eight days, as it should be normal, but every three to four days, so the epidermis thickens, flakes off, and papules and scales appear on the skin - the main manifestations of psoriasis.

It is believed that the main cause of the manifestations of psoriasis is hereditary predisposition. The risk of occurrence is 25% if one parent has psoriasis, 50% if both. The following factors can provoke the occurrence of psoriasis:

infectious diseases - streptococcal tonsillitis and influenza;
stress, nervous shocks;
diabetes;
diseases thyroid gland, adrenal;
obesity;
alcohol;
certain medications: corticosteroids, beta-blockers, oral contraceptives.

The main symptom of psoriasis is the appearance on the skin of pink raised areas of thickening of the skin, which are called papules. The rash can appear on any part of the body. Gradually, several papules merge together, forming a psoriatic plaque.

Usually rashes are located symmetrically, but most often appear on the extensor surfaces of the arms and legs, elbows, knees. Sometimes psoriasis affects the scalp, especially along the hairline, without the hair itself being affected or falling out.

To diagnose psoriasis, the surface of the plaque is scraped off with a scalpel. In this case, three symptoms are determined (psoriatic triad):

Symptom of stearin stain. As a result of crushing the scales, a white spot appears on the surface of the plaque, resembling stearin.
Terminal film symptom. Subsequently, the scales are separated, exposing the moist surface of the spiny layer of the epidermis.
Blood dew symptom. If you continue to scrape the plaque, small droplets of blood will appear on its surface.

Also, psoriasis is characterized by damage to the nails. Point depressions appear on their surface, the nails become thick, sometimes they exfoliate from the nail bed and fall out. In the stage of progression of psoriasis, you can see the symptom of an “oil spot” - a yellowish nail bed translucent through the nail plate.

Psoriasis can occur at any age, but most often the disease affects children. school age.

Psoriasis can occur at any age, but most often the disease affects school-age children. There are three stages in the course of psoriasis:

Progressive. Small papules appear on the skin - thickening of the skin. If the skin has already had a rash, it spreads, occupying a large area of the skin. Often papules appear in places that experience friction or pressure. Disturbs severe itching of psoriatic plaques.
Stationary. The growth of elements gradually slows down and stops. The plaques flatten, become paler, a rim of normal skin appears around them. Scales completely cover the surface of the papules.
Regressive. Papules become flat, peeling stops. Gradually, normal skin appears in the center of the plaques, causing the rash to become ring-shaped.

The disappearance of plaques indicates that the disease has entered the stage of remission. If, when normal skin appears in the center of the plaque, they continue to grow or new papules appear, then the disease has again passed into the progression stage. How long the next exacerbation of psoriasis will last is impossible to predict. However, the sooner treatment begins, the sooner the positive effect will appear.

The researchers found no link between diet and psoriasis. However, many foods, when consumed, increase the general allergophone in the body, which leads to an exacerbation of the disease.

The researchers found no link between diet and psoriasis. However, many foods, when consumed, increase the overall allergophone in the body, which leads to an exacerbation of the disease. Patients need a good balanced diet with enough nutrients, vitamins and minerals. It is believed that obesity can be one of the causes of psoriasis, so overweight people will benefit from losing weight. But you should not choose your own diet - be sure to consult your doctor about this.

Psoriasis is a chronic disease. It goes through periods of exacerbation and remission. An exacerbation of psoriasis is indicated by the appearance of new papules on the patient's skin, or the growth of existing ones.

Treatment of psoriasis is individual, a regimen that works for one patient may not work for another. Therefore, when a rash appears, you should definitely go to a dermatologist.

Treatment of psoriasis is individual, a regimen that works for one patient may not work for another. Therefore, when a rash appears, you should definitely go to a dermatologist. Do not self-medicate. Although psoriasis is not considered a dangerous disease, it has several complications that lead to serious consequences.

Usually, the patient is prescribed antihistamines to reduce itching and a sparing diet. In the diet, the content of fats and carbohydrates is reduced, alcohol, spicy and salty foods are completely prohibited.

UV treatment is one of the most effective methods. Usually, PUVA therapy (UVA radiation) is used for treatment, in which patients have to take photosensitizers that have harmful effect on the liver. In addition, the entire body is exposed to ultraviolet radiation, which increases the risk of skin cancer.

In the most severe cases, doctors have to use cytostatics - drugs that stop the reproduction of skin cells. However, this treatment method has too many side effects. Cytostatics cause nausea, vomiting, ulcers on the oral mucosa, damage to the liver and kidneys.

We use UVB radiation to treat psoriasis. Its use does not require the use of photosensitizers. In addition, this radiation does not have a carcinogenic effect, it penetrates deeper into the skin and has a more pronounced effect.

The patient is also prescribed vitamins A, E and B6. To improve liver function, hepatoprotectors are prescribed: Essentiale Forte.

The method of treatment with UVB radiation allows in most cases to refuse the use of hormonal ointments, or to minimize their use. They are included in the state standard for the treatment of psoriasis. Hormonal ointments are guaranteed to relieve itching and accelerate the disappearance of plaques. Unfortunately, the effect of their use is short-lived and when the use is stopped, psoriasis quickly returns to its positions.

There are several types of psoriasis:

Vulgar. Occurs in ninety percent of patients. Characterized by plaques of round or oval shape, covered with a loose crust of silvery-white skin scales.
Exudative. It most often affects children and women. From the inner layers of the skin, a liquid comes out to the surface of the plaque, which impregnates the scales, turning them into a dense layer. After removing this layer, a moist surface is exposed, which almost immediately begins to bleed.
Intertriginous. Occurs in children or the elderly, especially those suffering from excess weight or diabetes. Also called “fold psoriasis”. Most often, lesions appear under the armpits, behind the ears, in the folds under the mammary glands, between the buttocks, abdomen and thighs. Peeling is not characteristic of this form. The surface of the foci is red, sometimes with cracks.
Seborrheic. Affects the scalp, chest or nasolabial folds. The rashes are less distinct, the scales are impregnated with sebum and adhere more closely to the surface of the plaques. To distinguish this form of psoriasis from seborrheic dermatitis, it is usually specified whether this is a family case. Seborrhea, unlike psoriasis, is not inherited.
Drop-shaped. Usually occurs in children after a sore throat. A rash appears on the skin of the trunk and extremities from identical small papules, similar to drops of water.
Palmar-plantar. May be combined with psoriasis vulgaris or occur alone. It is manifested by massive layers of horny skin scales resembling corns. Layers can occupy the entire surface of the palm or sole.

Treatment of psoriasis on elbows and knees - Prices

Name of medical service	Prices on medical services in rubles
Consultation, diagnostics
Reception of a doctor of the highest category, Ph.D. Associate Professor, Department of Skin and Venereal Diseases, Faculty of Medicine, First Moscow State Medical University. I. M. Sechenov – Grabovskoy O. V. (examination, consultation)	3 500,00
Primary appointment with a dermatologist (examination, consultation)	2 000,00
Repeated appointment with a dermatologist (if no services have been provided since the initial consultation)	1 500,00
Repeated appointment (examination, consultation) with a dermatologist (if services have been provided since the initial consultation)	500,00
Selection of cosmetics Anna Lotan (home care)	500,00
Prescribing a treatment regimen (up to 1 month)	1 500,00
Prescribing a treatment regimen (more than 1 month)	2 000,00
Dermatoscopy (dermatoscope HEINE DELTA 20 PLUS)	1 000,00
Photodynamic therapy for diseases of the skin, subcutaneous fat, skin appendages treatment of vitiligo, psoriasis, atopic dermatitis, neurodermatitis using Pulsed UV technologies
(Multifunctional laser phototherapy device Harmony XL, Alma Lasers, Ltd.) Israel
Phototherapy for dermatological diseases, up to 100 pulses	2 000,00
Phototherapy for dermatological diseases, from 100 to 150 pulses	2 500,00
Phototherapy for dermatological diseases, 150 to 200 pulses	3 000,00
Phototherapy for dermatological diseases, 200 to 250 pulses	3 500,00
Phototherapy for dermatological diseases, 250 to 300 pulses	4 250,00
Phototherapy for dermatological diseases, 300 to 350 pulses	5 000,00
Phototherapy for dermatological diseases, 350 to 400 pulses	5 500,00
Phototherapy for dermatological diseases, 400 to 450 pulses	6 000,00
Phototherapy for dermatological diseases, 450 to 500 pulses	6 500,00
Phototherapy for dermatological diseases, 500 to 550 pulses	7 500,00
Phototherapy for dermatological diseases, 550 to 600 pulses	8 000,00
Phototherapy for dermatological diseases, 600 to 650 pulses	8 500,00
Phototherapy for dermatological diseases, every subsequent 500 outbreaks	600
Gas-liquid peeling (in the treatment of dermatological diseases)	1 950,00
Dermalight 1000 (Germany) Narrow-band irradiator of medium range UVB-311 nm
Phototherapy for dermatological diseases (1 side up to 6 min. inclusive)	1 300,00
Phototherapy for dermatological diseases (2 sides up to 6 min. inclusive)	1 300,00
Phototherapy for dermatological diseases (every last minute of treatment)	60,00

Scaly lichen is the most common infectious disease that affects the skin. According to statistics, 3.5% of people suffer from this type of dermatosis. Patients who have red plaques, which are not only a medical but also a cosmetic problem, want to know how to treat psoriasis on the elbows. But in order to get rid of the disease, you need to know about its causes and signs, which will significantly improve the condition of the epidermis and prevent the spread of rashes.

The true causes of the appearance of pink scaly plaques have not been established. But scientists identify a number of provoking factors:

Heredity - in 60% of patients in the anamnesis, the presence of a similar ailment is indicated.
Infections - Streptococci are detected in most patients.
Constant stress and emotional upheaval.
Unbalanced nutrition.
Use of certain drugs (beta-blockers, lithium products).
Damage to the skin.
Bad habits.
endocrine disorders.
Sun burns.
Dry and cold climate.

When psoriasis develops on the knees and elbows, the causes of its occurrence lie in an autoimmune disorder in which the body's defenses begin to attack its own cells. This provokes another relapse of the disease. By comparing all the factors and detecting the presence of at least one of them, the patient can understand why psoriasis appears on the elbows and, if possible, eliminate the cause.

There are many varieties of the disease, but their symptoms are mostly similar. Initially, small pink spots may appear on the epidermis of the patient. Gradually, the formations increase in size or merge into groups, capturing large areas of the skin. When the epidermis is exfoliated, itchy silvery scales appear on the affected areas.

Psoriasis on the elbows and knees is easily damaged, causing the rashes to bleed. In these parts of the body, the disease mostly proceeds without complications, but neglected forms cause severe discomfort to the patient, preventing him from sleeping and performing simple actions. The course of the disease is cyclic, exacerbation lasts from two weeks to several months, then a temporary remission occurs. To prevent psoriasis from becoming chronic, it is important to know how to get rid of psoriasis on the elbows using medicinal and folk remedies.

Medical treatment

Therapy of any form of psoriasis should be long and complex. The recommendations of the attending physician boil down to the fact that the affected elbow is smeared with hydrating preparations that soften the skin. In the advanced stages of the disease, corticosteroid ointments are used to eliminate inflammation and itching:

strong means- Betasal, Belosalik, Dermovate;
drugs with average efficiency - Lorinden, Afloderm;
weak drugs - Prednisolone and Hydrocortisone.

If psoriasis on the knees and elbows is not very pronounced, ointments are used with a minimum number of side effects - Cinokal, ichthyol, zinc and salicylic. To improve metabolic processes in the dermis, products with vitamin D and retinol are used. These drugs include Videstim, which improves regeneration, softens plaques and slows down keratinization.

In certain cases, ointments with plant extracts (Kartalin) and grease (Magnipsor) will help cure psoriasis on the elbows. But drug treatment not limited to the use of external agents. As part of complex therapy, doctors prescribe vitamins, immunostimulants, enterosorbents, hepatoprotectors and other drugs that improve the general condition of the body. Even the symptoms of dermatosis are eliminated by physiotherapeutic methods, sedatives, antihistamines and recipes. traditional medicine.

Ways to treat psoriatic rashes at home

The intensity of rashes in the elbow area can be reduced by self-prepared medicines. For this purpose, ointments are made from natural ingredients. People suffering from psoriasis note that the best remedy from the disease - this is birch tar, which increases remission up to 2-3 years.

A natural cure for psoriasis on the elbows is applied to the diseased areas with a cotton swab, left for 10 minutes and washed off tar soap. Every day, the duration of the procedure is increased by 5 minutes. Treatment is carried out once a day in the evening for 2-6 weeks.

Another effective ointment for psoriasis on the elbows is prepared on the basis of eggs and soda. For the mixture you will need:

melted bird fat (170 g);
three yolks;
soap (2 tablespoons);
birch tar (2 tablespoons);
sodium carbonate (1 tsp);
fir oil (10 ml);
bile (2 tablespoons)

All ingredients are mixed and applied to the affected area 2 hours before bedtime. The product is stored in the refrigerator for up to three weeks. The course of therapy depends on the severity of the disease.

When rashes appear on the hands, ointments are used, including May honey (300 g), fried and crushed sowing vetch (160 g), refined sulfur powder (30 g), soda (50 g). The components are mixed and applied to the affected skin. The tool can be taken orally 1 tbsp. l. three times a day.

If there is psoriasis on the elbows, home treatment involves the use of grease. It is applied with a cotton swab to flaky spots for 20 minutes during the week, gradually increasing the time to 45 minutes. Then the black oil is thoroughly washed off with tar soap. The duration of therapy is 30-60 days.

How to smear psoriasis on the elbows when the above remedies were ineffective?

With advanced forms of the disease, not only healers, but also doctors recommend the use of propolis.

50 grams of bee product is crushed and mixed with melted butter (500 g). When the mixture has cooled down, it is poured into glass jar and store in the refrigerator. Before applying the cream, pink spots are treated with hydrogen peroxide, and then gauze soaked in the product is applied for 12 hours.

For psoriasis on the elbows, some folk remedies are prepared on the basis of burnt blue vitriol (50 g), yellow sulfur powder (50 g), pork or goose fat (150 g), crushed celandine and birch tar (25 g each). All components are mixed and briefly languish in a water bath. We get rid of scaly plaques by smearing the affected areas with the resulting mixture once a day before going to bed.

Other folk treatments for psoriasis

For those who have psoriasis on the elbows, the initial stage of which has not yet led to the spread of the rash, herbal infusions will help. To lubricate diseased areas, it is recommended to use horsetail, elecampane, succession and St. John's wort. Plants are mixed or applied separately externally or internally.

Psoriasis on the hands on the elbows is treated by taking baths with decoctions of herbs and turpentine. Water procedures are carried out every other day for 20 minutes. From plants, you can use valerian, juniper leaves, plantain, birch buds.

With scaly lichen, a cream containing oak bark and rosehip branches helps. Ashes (25 g) are prepared from the components and combined with crushed dried celandine and grease (90 g). The medicine is placed in a jar and placed for 14 days in a dark and cold place. The composition is applied to pink spots three times a day, and after 2 hours it is washed off using baby soap. The duration of treatment is 45 days.

How to treat psoriasis on the elbows if it does not go away for a long time? Silver plaques on the skin will quickly disappear if you lubricate them sea buckthorn oil. A five percent greasy solution is applied to spots up to several times a day. In addition to external use, the oil extract can be taken orally at 2 ml per day.

Even if psoriasis on the elbows is difficult to treat, you should not give up. To reduce the frequency and duration of exacerbations, it is necessary to apply an integrated approach, supplementing medicinal methods therapy folk recipes. It is important to follow a diet, enriching the diet with fruits, vegetables, lean meats, fish, low-fat dairy products, herbs and nuts. You also need to avoid stress, relax more and do not forget about regular sports training.

Ointments for psoriasis show high efficiency in the treatment of this chronic illness. Doctors must include them in the course of therapy, because ointments have an effect directly on the focus of inflammation. There are many special ointments that differ in composition and nature of action.

What ointment to choose?

Ointments for psoriasis are divided into hormonal and non-hormonal. The latter are more popular because their use practically does not cause side effects. However, they are quite effective. There are situations when only hormonal drugs that have a more pronounced effect will help get rid of psoriatic papules.

The use of ointments for psoriasis has many advantages:

local action.
Maximum penetration deep into the epidermis.
Minimization of unpleasant symptoms ─ eliminate peeling, itching.
Blocking the development and spread of psoriatic papules.
Prevention of allergic reactions.

To find an effective cream for the treatment of psoriasis, you will need to consult a doctor. Only he will be able to prescribe a drug that will promote the rapid healing of papules. If several medications are used in the course of treatment, the doctor will select a combination of compatible medications.

Hormonal ointments

The composition of hormonal ointments includes hormones that belong to the group of glucocorticosteroids. They act on endocrine system, resulting in a decrease in the activity of hormone production. The patient's condition improves after several applications of the remedy.

Due to the fast effect hormonal ointments are prescribed in the acute period of the disease, when other means do not help. But due to serious side effects, they should not be used for longer than 7 days. Otherwise, the following negative consequences are possible:

Hormonal imbalance ─ the ointment suppresses the production of all hormones. The hormonal background stabilizes after the end of the use of the drug.
The development of kidney stones.
Increasing the amount of cholesterol.
Addiction to the drug, which requires a constant increase in dose.
Skin atrophy, hyperpigmentation and other dermatological disorders.

Manifestations of side effects can be avoided if it is prescribed correct dosage and frequency of ointment application.

Hormonal ointment has the following effect:

Reduces inflammation.
Relieves itching.
Eliminates peeling.
Suppresses the growth of epidermal cells.

Depending on the degree of activity, hormonal drugs are divided into 4 classes

I class

Contains minimum concentration hormones. Ointments inhibit (suspend) the development of connective tissue in areas of the skin affected by papules, fight the initial stages of inflammation, eliminate peeling, itching. They act most gently, therefore they are prescribed for the treatment of a small number of papules located on sensitive areas of the skin: neck, face, groin. Yes, up to 2 years old. This class includes Hydrocortisone, Prednisolone.

II class

They have a more active effect, therefore, they eliminate a pronounced inflammatory process and itching. They have an anti-exudative effect (reduce vascular permeability), which helps to get rid of edema and swelling. This category includes Flumethasone, Flucortolone.

III class

Means are prescribed for the treatment of chronic manifestations of psoriasis. Acute inflammatory processes are quickly eliminated, but ointments of this category can only be used for a strictly limited time, otherwise a secondary infection, skin atrophy may develop. This category includes Triamcinolone, Fluocinolone.

IV class

Category of the most active means. A strong ointment is prescribed when psoriasis spreads on the head, on the body is very extensive and other drugs have proven ineffective. Its active ingredients penetrate as deep as possible into the epidermis, so they act quickly. If used incorrectly, side effects are possible. The most potent drugs are Clobetasol, Betamethasone, Halomethasone.

First, with psoriasis, doctors prescribe less active ointments. If a positive effect is not achieved, a drug of a class higher is used.

In addition to the power of action, different generations of hormonal agents are distinguished. On the this moment 4 generations developed. Early generation drugs are less active and have fewer side effects. New ointment latest generation more powerful but misused modern drugs causes undesirable health effects.

List of the best hormonal ointments

Prednisolone

Hormonal drug Prednisolone (Prednisolone)

The active substance of the ointment, prednisolone, acts locally and has anti-inflammatory, antipruritic, and anti-allergic effects. Apply the product to the surface of psoriatic papules 1-3 times a day. The price of the product is from 100 rubles. per tube 5 ml.

Hydrocortisone ointment

Hydrocortisone ointment (Hydrocortisone)

The composition includes the active substance hydrocortisone acetate, which has a decongestant, anti-inflammatory effect. Also, the ointment helps to get rid of itching, stops the development of psoriatic papules. You need to apply the product 2-3 times a day. The drug is incompatible with barbiturates, salicylates, antihistamines. The cost for a tube of 10 ml ─ from 35 rubles.

Flucinar

Flucinar ointment (Unguentum Flucinar) for external use

A potent ointment, the active ingredient of which is fluocinolone acetonide. Quickly eliminates inflammation and other symptoms of psoriasis. The product is applied 1-2 times a day. For the best effect, a clean bandage can be applied over the ointment. The price for 15 ml of the product is from 240 rubles.

Lorinden

Ointment Lorinden A (Lorinden A), Lorinden C (Lorinden C)

Ointment, which belongs to the group of medium-acting. The active ingredients of the drug are flumethasone, a synthetic glucocorticosteroid. They have antifungal, anti-inflammatory and antibacterial action. The oily base of the product moisturizes dry skin well. Price ─ from 320 rubles. per tube 15 ml.

Sinaflan

Sinaflan ointment (Synaflanum)

A potent ointment, the active ingredient of which is fluocinolone acetonide (sinaflan). Refers to glucocorticosteroids and has a pronounced anti-inflammatory, antipruritic, anti-exudative effect. Quickly reduces the manifestation of psoriasis. Apply the product 2-4 times a day. Price ─ 55 rubles. for 10 ml.

Line of ointments Akriderm: ointment, Genta, GK and SK. (Akriderm) Differ in composition.

Ointment with the active substance betamethasone dipropionate. It has a vasoconstrictive, anti-inflammatory and antipruritic effect. The agent is applied 1-3 times a day. Price ─ from 95 rubles. per tube 15 g.

Celestoderm

Celestoderm-V ointment (Celestoderm-V). Also available with garamycin.

Ointment belonging to the group of potent. The active substance is betamethasone valerate. The remedy relieves irritation and inflammation, reduces vascular permeability, and has an anti-allergic effect. You need to apply 1-2 times a day. Price ─ from 240 rubles. per tube 15 ml.

Dermovate

Dermovate ointment (Dermovate)

A very strong ointment, the active ingredient of which is clobetasol propionate. Eliminates the symptoms of psoriasis: relieves itching, hyperemia, swelling, inflammation. A bandage can be applied over the ointment. The agent is applied 1-2 times a day. The drug is ineffective in the plaque form of the disease. Price for 25 g ─ from 450 rubles.

Chinese ointment "King of the skin"

Cream-ointment from China King of the skin, 7 g.

Contains propionate, ketoconazole in the composition of clobetasol. It has anti-inflammatory, antifungal, disinfectant, bactericidal action, eliminates all symptoms of psoriasis, softens papules. Nourishes the skin with beneficial ingredients, promotes it quick recovery. Price ─ from 250 rubles.

Elocom

Glucorticoid ointment Elokom (Elocom). There is also Elocom C - with the addition of salicylic acid.

A potent drug, the active substance of which is mometasone furoate. Effectively fights the manifestations of psoriasis, providing anti-inflammatory, vasoconstrictive, antipruritic effect. Absorption (absorption) of the ingredients of the drug by the body is negligible. Price ─ from 360 rubles. for 15 ml.

Belosalik

Belosalik ointment (Belosalic)

The drug contains betamethasone, which promotes anti-inflammatory, antipruritic, keratolytic (exfoliation of the stratum corneum of the skin) and antiproliferative (inhibits cell development) action. The drug is 30 times more effective than hydrocortisone. Price ─ from 460 rubles. for 30 ml.

Daivobet

Daivobet ointment for psoriasis (Daivobet). Available in tubes of 15, 30 and 60 g.

The composition contains betamethasone dipropionate, which provides a pronounced anti-inflammatory and antiproliferative (inhibiting cell division) action. Also, the ointment has an immunosuppressive effect. This means that the drug temporarily suppresses the immune system, which helps to accelerate the state of remission. The ointment is applied once a day. Maximum daily dose should not exceed 15 g. The drug can be used if the area of the body affected by papules is not more than 30% of its entire surface. Price ─ from 1000 rubles. for 15 ml.

Other hormonal ointments

Other therapeutic ointments used to eliminate the symptoms of psoriasis, which contain hormones: Flumethasone, Flucortolone, Fluocinolone, Latikort, Lokoid, Advantan, Triakort, Cutiveit, Afloderm.

Non-hormonal ointments

Non-hormonal ointment, which helps with psoriasis, does not act as quickly as hormonal, but its use practically does not cause side effects. They are prescribed and effectively fight the symptoms of psoriasis: eliminate peeling, itching, swelling, irritation and relieve inflammation.

Benefits of non-hormonal ointments:

Not addictive.
Do not put a strain on the liver and kidneys.
Do not violate the hormonal background.
Do not provoke atrophy of the skin even with prolonged use.
Versatility ─ effective in the appearance of papules on the hands, on the body, from nail psoriasis.
Compatible with other medications, including hormonal ointments.
Can be used for prevention.

Of the side effects, only individual intolerance to the ingredients of the drug can manifest itself. The possibility of developing other complications is excluded. The only negative ─ the effect of the remedy is noticeable after 1-2 weeks of regular use.

In the first days of applying the drug, the skin may react negatively. This phenomenon is called pseudo-exacerbation, and it indicates that the epidermis responds positively to the active substance of the ointment.

Not included hormonal drugs contains one, less often two active components that determine the uniqueness of their action. To decide which ointment is better, you need to familiarize yourself with their features.

The main types of non-hormonal ointments

Indifferent ointments

Surface agents. They are created on a lanolin basis or on processed fat and contain a small amount of active ingredients. Such drugs are effective in the progressive stage of the disease. They soften the skin, prevent it from drying out and prevent pollution. This group includes:

Ointment salicylic, ordinary (Salicylic acid)

Keratolytic (exfoliating) agent that provides a softening and antiseptic effect. A powerful anti-inflammatory effect is exerted by salicylic acid, which is the active component of the drug. Price ─ from 25 rubles. for 25 years

Ointment zinc, simple (Unguentum Zinci)

It has an antiseptic, anti-inflammatory, drying and astringent effect. Its active component zinc oxide relieves irritation and uncomfortable symptoms of psoriasis, softens the skin. The drug prevents the spread of papules and activates the regeneration processes of the skin. Its cost is inexpensive ─ from 30 rubles. for 30 years

Zinocap

Cream / ointment Cinocap (Cinocap)

The composition contains pyrithione zinc, which provides anti-inflammatory, antibacterial, antifungal effect. Price ─ from 350 rubles. for 25 years

Tar ointments

They include birch, juniper, pine tar. These substances act as active ingredients and provide anti-inflammatory properties, slow down the rate of cell division. A preparation containing tar can cause irritation, so it must first be applied to small areas of the skin. If tolerance is normal, the amount of ointment used can be increased. It is important to know that tar is phototoxic, which means that in summer ointments with its content can provoke allergic reactions. Effective tar ointments:

Vishnevsky's ointment (balsamic liniment)

Bismuth tribromophenolate + tar - Vishnevsky's ointment, or rather liniment (more liquid substance).

Domestic development, which contains birch tar, as well as castor oil, xeroform. The agent has an antiseptic, drying and astringent effect, reduces vascular permeability, stimulates the resorption of psoriatic infiltrate, but completely. This drug is an additional therapy. Price ─ from 35 rubles. for 40 years

Anthrasulfonic ointment

Promotes the healing of psoriatic papules, has a powerful bactericidal effect. Price ─ from 40 rubles.

Ointments based on tar

Other medicinal ointments based on tar: colloidin, anthrasulfones, anthramin.

Ointments with grease

Kartalin ointment (Kartalin)

Kartolin ointment from Astrofarm (Kartolin)

Contains extracts medicinal herbs, oils, salicylic acid and grease. Softens the skin, activates the process of exfoliation of scales and skin regeneration. Eliminates itching, inflammation associated with psoriasis. The ointment is applied to the papules once a day, should not be washed off for 12 hours. Price ─ from 740 rubles. for 100 ml.

Akrustal

Phytocream Akrustal from "Fitoderm" (Akrustal)

Contains grease, as well as oils and plant extracts. The tool normalizes metabolic processes in skin cells, which contributes to recovery. It has antipruritic, anti-inflammatory and wound healing effects. As a result of the use of this drug, psoriatic plaques disappear completely, even dyschromic spots do not remain. Price ─ from 500 rubles. for 65 ml, from 1250 rubles. for 165 ml.

Other ointments with grease

Solidol ointment, magnpsor, antipsor and cytopsor.

There are also other therapeutic ointments on grease: antipsor, magnipsor, cytopsor, Rybakov, antipsoriasis - large

Ointments with vitamins

Homeopathic ointments

They are produced on the basis of vaseline, lanolin or paraffin with the addition of a microscopic concentration of active substances. This role is played by a matrix tincture extracted from plant materials. Means are effective in combating the manifestations of psoriasis. This group includes:

Psoriatic

Psoriaten - German ointment (Psoriaten). Produced in tubes of 50 g.

Contains a homeopathic extract of holly mahonia. The ointment effectively fights peeling and itching, reduces inflammation and flushing of the skin. The drug is suitable for treatment and prevention, compatible with other drugs. Price ─ from 980 rubles. for 50 g.

Produced on the basis of solid oil. As active substances only herbal extracts are added. The remedy is applied twice a day. The drug is inexpensive, the entire course costs about 400 rubles.
Also, this ointment is known under the name "Voronezh Solidol Ointment".

Produced on the basis of beeswax with the addition of concentrated St. John's wort and calendula oils. It has a powerful antimicrobial, antiseptic, antispasmodic effect. The tool heals wounds and minimizes pain. Price ─ from 300 rubles. for 60 years

Before using any ointment, it is important to verify the individual tolerance of each of its ingredients.

Homemade ointments for psoriasis

A good psoriasis ointment can be prepared at home. There are many that have proven to be effective.

Recipe for psoriasis ointment

1. Beat 2 eggs and then add 1 tbsp. l. sunflower oil and 0.5 tbsp. l acetic acid. Store the mixture in an airtight container in a dark place. This ointment is effective in the initial stages of the disease. It is applied to the affected areas of the skin twice a day. The course of treatment is 2 months.
2. Grind meadowsweet root to a powder consistency to make 1.5 cups of dry matter. Mix it with oil or vaseline. The resulting mixture is placed in a jar, closed and boiled in a water bath for 20-30 minutes. The ointment is applied 2-3 times a day on the surface of psoriatic papules. The course of treatment is 1.5-2 months.

1. It is difficult to navigate independently among the variety of drugs. The best ointment will be appointed by the attending physician, taking into account the current state of the patient.
2. It is important to correctly combine drugs in the course of therapy. Eliminate the simultaneous use of funds that are incompatible with each other, even if some are applied externally, and the second ─ internally.
3. Strictly observe the dosage and duration of the course of treatment, which are indicated in the instructions. Especially when using hormonal drugs.

If you choose the right ointment for psoriasis, it will quickly relieve the symptoms characteristic of this disease and speed up the healing process. Ointments are an obligatory component of complex therapy.

Psoriasis is a disease characterized by the formation of an inflammatory process on the skin. It belongs to chronic diseases. The main symptom of this disease are plaques that appear on various parts of the body. Most often they are localized on the elbows and knees.

The course of psoriasis is undulating. Periods of remission are replaced by relapses when the main symptoms occur. Psoriasis on the elbows and knees (also called vulgar or common) is the most common form of this pathology. It occurs in most patients who visit doctors with skin problems.

Relapses of the disease usually occur due to the influence of certain provoking factors.

These include:

A feature of psoriasis is that its course can differ significantly depending on which patient it is diagnosed in. Moreover, during the life of the patient, pathology also often changes its character. At the first stages of the development of the disease, it manifests itself in the form of small plaques, which grow over time, merging with each other, resulting in an increase in the area of the lesion.

Most recurrences are observed in winter, when the skin is often exposed to low temperatures, and in summer with prolonged exposure to the sun. The periods of exacerbation can last for several days. At the same time, in medical practice, there have been cases when the symptoms do not go away for many years.

Causes

Today, two theories are accepted in medicine to explain why psoriasis occurs. Adherents of the first insist that the disease affects people who have a genetic predisposition to it. That is, the risk group includes those people whose one or both parents suffer from this disease. Such individuals are carriers of a mutated immune system DNA gene, which causes the latter to attack healthy skin cells, which causes an inflammatory process on its surface.

The second theory, explaining the causes of psoriasis, also applies to genetics. However, its adherents believe that changes that have occurred in the genes during a person's life lead to illness. In other words, psoriasis can appear even in people who do not have a hereditary predisposition to it.

It is worth noting that modern medicine does not give an exact answer to the question of why skin pathology occurs.

Symptoms

Psoriasis is primarily characterized by the appearance of red patches on the skin. Peeling occurs on the surface of the plaques, due to which they acquire a whitish tint. Following the rashes, itching appears, which is detected in approximately 80% of patients with the ailment in question.

When combing, the skin begins to flake off. Due to the fact that it becomes thinner as the disease progresses, open wounds with dew-like drops of blood and cracks often appear on the affected areas. This complicates the treatment of the disease, since pathogens often penetrate through the affected areas, re-infecting a person.

Therapy

Since psoriasis is chronic diseases, a complete cure cannot be achieved. Pathology therapy is aimed at suppressing symptoms and increasing the duration of remission. Although in some cases, the patient's recovery is noted for reasons that have not yet been clarified. It is possible that in such situations there was unhealthy reaction body to certain medications or foods.

Psoriasis is treated systemically. Pathology therapy includes taking medications and using local funds, which include all kinds of ointments and lotions. The latter, first of all, are intended to relieve itching and the inflammatory process. Also, ointments help soften the scales, so that they can be separated without damaging the skin.

Most often, with psoriasis, drugs based on coal tar are prescribed. They can be used for a fairly long period of time. True, such means are not always effective. In addition, they are characterized bad smell and can stain clothes.

In addition to tar ointments, preparations containing hormones are prescribed. These products are highly effective: they quickly relieve itching and reduce redness of the skin. At the same time, hormonal ointments have a number of disadvantages. The main one is that such drugs cannot be used for a long time, as the body gets used to their effects. Another serious disadvantage of hormonal drugs is that they lead to thinning of the skin.

It is equally important in the treatment of psoriasis to treat concomitant diseases. Especially when pathologies affect the organs of the gastrointestinal tract. Also, in the treatment of the underlying disease, drugs that suppress the immune system are often prescribed.

Today, in medical practice, synthesized vitamin D3 is prescribed for skin treatment. It improves the metabolism in the epidermis, thereby reducing inflammation.

Among other methods of combating psoriasis is phototherapy, which consists in irradiating the affected areas of the skin with UV rays of medium and long waves. As an addition, they may prescribe a special drug. It provides a more precise effect on the focus of inflammation, making the procedures more effective.

Gaining popularity lately Spa treatment. It ensures the achievement of three goals at once: the elimination of stressful situations that are a provoking factor, exposure to ultraviolet radiation and the restoration of a normal diet. Moreover, it was noted that swimming allows to achieve a stable remission, which lasts for several years.

Psoriasis is a disease, the causes of which have not yet been fully established. It is believed that the impetus for the appearance of skin changes is given by disturbances in the functioning of the immune system, metabolic processes, and psycho-emotional stress. The predisposition to psoriasis is also transmitted at the genetic level.

The initial stage of psoriasis on the elbows is characterized by the formation of single inflamed elements. They are small in size, painted in dark pink color. After a few days, the rashes are covered with a characteristic silvery coating on top - these are dead skin flakes.

The lack of treatment started on time leads to the merging of adjacent elements - a large plaque appears, with clear, but uneven boundaries. These edges are called scalloped, or polycyclic. They arise due to the overlapping and fusion of plaques.

Scaly plaque easily comes off when it is scraped off, but a thin film is also removed with it. Under this film is pinkish-red skin with drops of blood. These are the phenomena of "stearin spot" and "blood dew", pathognomonic for psoriasis. The site of the lesion during the progression of the disease most often extends to the skin of the forearm.

The reverse development of the psoriatic plaque begins from its central part, in place of the resorbed elements, areas of skin changed in color remain. Psoriasis on the knees is manifested by the same changes as the ulnar form of the disease.

The state of health with the defeat of a small area of the body does not suffer. Sometimes severe itching worries, which leads to combing of the elements and, accordingly, worsens the course. Itching speaks of the progression of foci and their increase. In this case, the periphery itches.

How to treat psoriasis on the elbows, learn from a dermatologist immediately after the first signs of skin lesions appear. The appointment of complex therapy using systemic and external agents will stop the further development of psoriatic elements and help keep the disease under control.

Principles of treatment of ulnar psoriasis

If psoriasis occurs on the elbows, treatment will depend on how the pathology manifests itself and whether there are concomitant diseases. Therapy should be comprehensive, this gives a quick elimination of the external symptoms of the pathology and minimizes the likelihood of relapse. Patients with psoriasis, regardless of the form of the disease, are prescribed:

local treatment. The appointment of ointments, creams, emulsions and lotions with anti-inflammatory, regenerating and softening components is necessary, even if psoriatic changes cover a small area of the elbow and do not cause discomfort.
Systemic treatment. Preparations for internal use are selected based on the severity of the disease. In severe cases, the use of hormones, remedies that restore immunity is indicated. In the initial stage, the human body needs more intake vitamin complexes and in the use of drugs that improve metabolic processes.
Hardware methods of treatment. Phototherapy, laser therapy and other methods of physiotherapy improve microcirculation, accelerate healing and reduce inflammation.

The treatment regimen for each patient with ulnar psoriasis should be selected by a doctor. According to statistics, an independent choice of drugs does not give the desired result and sometimes leads to a deterioration in the condition of the skin.

In addition to special medicines, folk methods are also used in the treatment of psoriasis. But they are used as an additional, and not the main method of therapy.

Ointments for elbow psoriasis

Ointments are selected based on the symptoms of elbow psoriasis. If swelling, hyperemia is strongly pronounced, and the rash spreads rapidly and their appearance is accompanied by itching, then agents with glucocorticosteroids are prescribed.

These include ointments: Prednisolone, Hydrocortisone, Belosalik, Mometasone. They should be applied in a short course, observing the nuances of application. Prolonged use can cause serious complications, so only a doctor prescribes them.

It is possible to cure psoriasis at an early stage of the disease with ointments that do not contain hormones. Most often used:

Daivonex. The active component of the ointment is calcipotriol (Vitamin D). Under its influence, the growth of keratocytes stops, the protective function of the skin improves.
Zinocap. The ointment relieves irritation, softens the elbow area, fights fungi and bacteria.
We see. With the help of this ointment, they get rid of dry plaques and improve the restoration of skin tissues.
Ointments with malt. They are used for psoriasis on the elbows to reduce peeling and itching. Known names for ointments of this group are Magnipsor, Antipsor.
Ointments based on birch tar. The natural components of drugs from this group dissolve infiltrates and destroy microbes, preventing skin infection. Tar contains anthramine ointment.

Ointment for psoriasis on the elbows is used until the psoriatic elements disappear completely. In the stage of remission, the elbow and adjacent parts of the body should also be constantly smeared with emollient creams, this prevents the appearance of new plaques.

The medicine for psoriasis on the elbows for external use should not cause allergic reactions and other negative changes in well-being or on the skin. If in the first days of therapy the skin condition worsens, you need to consult a doctor for a review of the prescribed treatment.

Systemic treatment

How to get rid of psoriasis on the elbows using systemic drugs must be explained by the attending physician. On the initial stage pathology, hormonal agents are practically not used. In most cases, appoint:

Enterosorbents. The main property of these drugs is the ability to bind and remove toxins and waste products from the body. cleansing digestive system leads to an improvement in the entire process of digestion and stabilizes metabolic processes, and this has a positive effect on the patient's condition. Sorbents include: activated carbon, Filtrum, Polysorb. They drink these drugs in a course of 2-3 weeks, they can be repeated 2-3 times a year.
Antihistamine medicines. Treatment of psoriasis on the elbows with antihistamines can reduce itching and irritation, which has a positive effect on skin recovery. In the acute stage of the disease, Cetrin, Claritin, Lomilan are prescribed for 7-14 days.
Vitamins. Skin regeneration processes improve if the patient receives vitamins A, E, ascorbic acid, vitamins from group B. With psoriasis on the elbows and knees, it is important to choose the right type and dosage of vitamins, since oversaturation with them can also provoke an exacerbation of the disease.

How to treat psoriasis on the elbows, the duration of systemic therapy and the need to use drugs in the remission stage is decided by the doctor after examining and examining the patient.

Folk methods of treatment

People with elbow psoriasis get rid of the external manifestations of the disease using folk remedies and methods. Such treatment, with the right selection of recipes, is safe and often stops the exacerbation of the disease at the beginning of its development.

But folk methods do not act immediately. To evaluate their effect, it is required to conduct a course of treatment lasting from several days to several months.

When fixing an exacerbation of ulnar psoriasis, baths are made, self-prepared ointments are used and herbal teas are taken, which strengthens the immune system and normalizes metabolic processes.

Baths are prepared from a decoction of celandine, succession, chamomile flowers. To prepare a healing solution, you need to take one part of the plant and 10 parts of water. All herbs can be used individually or combined. The prepared broth is kept for 30 minutes, then the elbow with psoriatic rashes is immersed in it.

The procedure time is until the water cools down. Then the elbow should be carefully dried and, after drying, smeared with an ointment with softening and anti-inflammatory properties. Thus, they get rid of psoriasis for one to two weeks, therapeutic baths are done every day.

With psoriasis, the area of \u200b\u200bthe joints is often smeared with an ointment based on vinegar. To prepare it you will need to take:

one egg;
table vinegar (9%) in the amount of one glass;
one glass of melted butter.

Cooking method:

The ingredients are mixed.
The mixture is poured into a container with a lid.
Keeps in the refrigerator for one week.

Prepared ointment lubricates psoriatic elements 6-8 times a day.

How to cure psoriasis forever and is it possible? Unfortunately, there is no positive answer to it yet. The disease is considered chronic, exacerbations occur up to several times a year.

Just do not forget that the initial signs of psoriasis can be destroyed by also joining a healthy lifestyle. For example, if a person has sharply gained 15-20 kg, then no advice and treatment will help him like the normalization of body weight.