Psoriasis on the hands - how to treat, causes and symptoms of the disease

Author

: Grachev Ilya Illarionovich
Editor
: Efremov Mikhail Mikhailovich

Date of publication: 09/25/2018 Date of update: 06/08/2020

Treatment methods

Unique methods of our clinic

Very often, the manifestations of psoriasis on the skin of the hands are local in nature, without spreading to the surrounding tissues. With this course, many patients do not pay attention to the rash and do not rush to consult a doctor. But in vain, because in the presence of provoking factors, a “fire” can break out instantly in the form of severe complications, the treatment of which is far from as simple as single psoriatic plaques. Doctors at the Moscow Paramita clinic are well aware of how and how to treat psoriasis on the hands. From this article you can learn how this disease is treated at the initial stage and in severe cases.

Why does psoriasis start on the hands?

Psoriasis on the hands in the form of single regular plaques is only a seemingly local pathological process. In fact, even 1-2 elements of the rash indicate the presence of a chronic inflammatory skin disease. Medicine has not yet been able to unravel all the mysteries of this disease. The exact causes of psoriasis have not been identified. It is only known that the pathological process is based on burdened heredity and immune disorders.

Currently, the genes responsible for the hereditary transmission of predisposition to psoriasis, including on the hands, are being identified and studied. Under the influence of genes, a change in metabolism occurs and a decrease in the content of enzymes that destroy substances involved in inflammatory reactions.

Immunity is also impaired, which leads to a multiple acceleration of cell division in the surface layers of the skin. The cells do not have time to mature when new underlying cells push them to the surface. This is another cause of psoriasis on the hands.

Psoriasis of any localization can spread throughout the body, so do not delay treatment.
See how easily the disease can be cured in 10-12 sessions.

Such changes lead to the appearance of characteristic symptoms of the disease. What does psoriasis look like on the hands? Initially, a scaly spot appears on the hands, sometimes on other parts of the body, which quickly turns into a papule with a raised inflammatory base. The papules grow and merge, forming huge plaques.

But not all genetically predisposed people develop the disease. The reason is the lack of exposure (or minor exposure) to provoking factors. If you avoid these factors, you may never get sick, even if both parents have psoriasis.

Discography

Albums

Bomb Romantics
(2004)
Lies lover lies
(2006)
Turn your face to me
(2011)
Endless nights
(2013)
Kick them in the sunglasses
(2016)

E.P.

Demo 4 songs
(2004)
All my love songs
(2010)

Singles

"Do I have your attention?" (2005)
"Say Yes" (2005)
"A Suspicious Character" (2006) - UK No. 62
"Angela" (2007)
"Do I have your attention?" (with French singer Anaïs) (2007)
"She's a Guillotine" (2011)
"Relentless Love" (2011)
"Midnight Moan" (2013)
"Matter of the Heart" (2013)

Factors that provoke the onset of psoriasis on the hands

Factors that contribute to the development of hand psoriasis are divided into general and local. Common factors include:

sedentary lifestyle, overweight, obesity;
hormonal imbalances; the hormonal system is one and a failure in one link will certainly lead to numerous disorders in the body, including metabolic and immune disorders;
improper irregular nutrition, consumption of large amounts of high-calorie food, meat, sweets;
bad habits – smoking, alcohol abuse;
prolonged stress, high mental and physical stress;
What matters are long-term chronic diseases and foci of infection that contribute to the development of intoxication, under the influence of which metabolism is disrupted.

Red spots on the skin after stress

Diagnosis of skin diseases

Very often, psoriasis on the hands is provoked by the following local factors:

constant mechanical injury to the skin of the hands - abrasions, scratches, wounds;
frequent exposure of the skin to various chemicals: household chemicals, industrial hazards, etc.;
constant exposure to the cold - this leads to spasm of small blood vessels and disruption of skin nutrition; therefore, disruption of metabolic processes is only a matter of time;
any skin infections - bacterial, fungal, viral.

In what cases should you consult a doctor if you have numbness?

If the numbness has a physiological cause, that is, caused by a temporary disruption of the local blood supply, then it is enough to change the position and rub the numb area, and sensitivity will be restored. If the numbness does not go away, then the cause is more serious and you should consult a doctor.

It is necessary to get emergency medical help if numbness is accompanied by symptoms of damage to the central nervous system:

headache, dizziness, attacks of weakness, double vision, loss of coordination;
unexpected bowel movements or sudden urination;
speech problems.

These symptoms may occur after a head, neck, or back injury.

You should also consult a doctor if:

numbness occurs periodically and without an obvious reason;
thermal perception is impaired (for example, the ability to distinguish between warm and cold water is impaired);
Numbness is preceded by pain and loss of range of motion in one of the joints.

Symptoms of psoriasis on the hands

The disease can begin and progress differently depending on the form. Symptoms of psoriasis on the hands can also vary.

Vulgar form

This is the most common form. On the hands, the skin of the extensor area of the joints, as well as the forearms, wrists, dorsum of the hands, and fingers are usually affected. In the area of the elbows, so-called standby plaques appear on both sides, which can remain in the same state for years without progressing. On the back of the hands, the disease progresses more often, since the skin in these areas is constantly exposed to various influences. Psoriasis often appears on the fingers. In case of damage to the little fingers and thumbs, the risk of injury to psoriatic elements increases.

The first signs of psoriasis on the hands are the appearance of one or more scaly spots, which quickly turn into papules with a raised inflammatory base. If you scratch the top of such a papule, a number of characteristic symptoms appear:

type of stearin drop - multiple white flakes;
if you scrape off all the scales, a transparent film will be visible;
Slightly scraping the film leads to the appearance of droplets of blood on it.

These symptoms are the hallmark of a psoriatic rash. In the future, the primary symptoms of the disease may progress, with the papules increasing in size, merging with each other and forming large plaques, and new elements appear. Possible damage to nails. Over time, the progression stops, after which the recovery process begins: the rash slowly turns pale and disappears.

Exudative form

This form of the disease is less common. The skin on the back of the hands is usually affected. Often this type of psoriasis also affects the fingers. Characterized by the appearance of swelling, exudate on the surface of the rash elements, severe itching and a constant feeling of discomfort. As a result, the scales stick together to form grayish-yellowish crusts on the surface of the papules on the skin of the hands and fingers. In this case, peeling is not very noticeable, but the risk of bacterial infection increases. What exudative psoriasis looks like on the hands can be seen in the photo:

Palm shape

Psoriasis on the palms can occur in the form of plaque-fan-shaped, horny and pustular forms.

The plaque-fan-shaped form is characterized by the formation at the initial stage of rash elements in the form of scaly papules, merging into large plaques. The rashes are localized mainly on the palms and fingers. It often recurs and is difficult to treat. The reason for this is the constant exposure to various external factors. The skin between the fingers is affected. They turn red, swell, and become covered with cracks and scales. Often such rashes spread to the fingertips and nail plates.

The horny form is manifested by dry skin, thickening on the palms, the appearance of cracks and dry calluses.

Psoriasis on the palms of the hands may look like pustules. This is the so-called Barber pustular psoriasis. Purulent blisters appear on the surface of the palms, which can merge with each other, forming purulent lakes. The contents of the pustules are sterile. Photo:

Treatment methods for psoriasis on the hands

How to treat psoriasis on the hands? This problem arises immediately after diagnosis. Experts recommend comprehensive treatment, which includes:

changing lifestyle, daily routine;
getting rid of bad habits;
proper nutrition;

Lifestyle recommendations

Patients with psoriasis localized on the hands need to:

regulate wakefulness and sleep patterns;
engage in feasible sports; Activities such as outdoor running, swimming, tennis are welcome; avoid contact sports (wrestling);
important: after playing sports, be sure to take a shower - sweat irritates the skin and can provoke an exacerbation of the pathological process;
wash only with soft washcloths using hypoallergenic detergents;
After a shower, apply moisturizer to your body;
use underwear made from cotton fabrics;
in the cold season, wear gloves (mittens) with flannel lining;
Avoid contact with household chemicals and any other chemicals.

Drug therapy

Good to know

Treatment of psoriasis on the head
Treatment of psoriasis on the elbows
Treatment of psoriasis on the legs
Treatment of psoriasis on nails
Treatment of psoriasis on the face
Treatment of palmoplantar psoriasis

In mild cases, psoriasis on the hands is treated locally, using various external agents and procedures. Prescribed:

keratolytics - medicinal ointments and creams that dissolve surface layers of dead epithelial cells (salicylic acid);
emollients (tar-based psoriasis ointment);
synthetic analogues of vitamin D (calcipotriol);
synthetic analogues of vitamin A (retinoids);
glucocorticosteroid (GCS) hormones - allow you to treat all forms of hand psoriasis;
combination products that include GCS + salicylic acid (Diprosalik) or GCS and calcipotriol (Daivobet);
creams and ointments with active zinc;
medicinal baths with herbs (celandine, chamomile, calendula).

If the symptoms of psoriasis on the hands do not go away, the disease progresses, and general therapy must be prescribed. It should be carried out in a hospital setting:

droppers with medicinal solutions that eliminate intoxication;
injections of drugs that remove toxins (Unitiol, magnesium sulfate);
desensitizing (eliminating allergies) and sedatives; 1st generation antihistamines (Suprastin, Tavegil) are most suitable;
glucocorticoids - taken orally or by injection - have a pronounced anti-inflammatory and desensitizing effect, relieve itching;
cytostatics - drugs that suppress too frequent division of epithelial cells;
Immunosuppressants are medications that suppress the excessive sensitivity of the immune system.

Solo projects

Valdez co-founded the group Everyone was part of the French Resistance... Now! with singer Eddie Argos Art Brut, in which the pair wrote reviews of popular songs. Album Fixin' the Charts, Vol. 1

, for which she composed all the music and played most of the instruments, was released in 2010 on Cooking Vinyl and is supported by a world tour. She currently also plays keyboards in a famous German indie band. Die Sterne.

Fregoso released a solo album entitled Thee Nathaniel Fregoso & the Bountiful Hearts on Duchess Box Records in 2014. The lead single, "Transatlantic Panic Attack", became a radio hit on rock station Flux FM in Berlin.[20]

Unique methods for treating psoriasis on the hands

The Moscow Paramita Clinic is a leader in the treatment of such a complex form of the disease as psoriasis on the hands. Experienced specialists who have undergone all the necessary training in the treatment of this disease try to take an individual approach to the treatment of each patient, using the most effective methods.

PRP therapy is a method that has been used relatively recently, but has already gained well-deserved popularity, as it is very effective and safe; the method consists of enriching the patient’s blood taken from a vein with platelets and injecting it into the affected areas on the skin of the hands;
autohemotherapy is a method that has been tested for decades: blood is taken from the patient’s vein and injected intramuscularly; excellent stimulating effect;
herbal medicine – the use of medicinal plants using modern methods;
reflexology – exposure to certain points on the body using various methods (acupuncture, massage, cauterization, etc.); exposure to one point or another has a reflex effect on the condition of the skin;
vacuum therapy is one of the types of reflexology, when certain points and zones are affected using vacuum.

The clinic’s dermatologists prescribe complex therapy taking into account the patient’s age, general condition, the presence of certain concomitant diseases, as well as the nature of the course of psoriasis. As a result of this approach, the patient receives the necessary treatment for psoriasis in Moscow without side effects, which allows him to get rid of the symptoms of the disease for a long time.

To avoid relapses, it is necessary to eliminate the cause of the disease.
Read more about our unique method of treating psoriasis

Patients return to the clinic again and again for maintenance anti-relapse treatment and live for years without exacerbations. In the reviews, they note the high professionalism and attentive attitude of the doctors.

Features of treatment

Treatment of skin diseases of an allergic nature requires an integrated approach. First of all, therapy should be aimed at the absolute exclusion of harmful pathogens, as well as at improving symptoms. Itching, swelling and redness cause patients severe discomfort, both physiological and emotional. Itchy spots make it difficult to sleep and work fully. In addition, the affected areas disrupt the aesthetics of the skin, so patients often hide them under clothing, which can only aggravate the situation. In addition, allergic reactions on the skin cannot be wetted, so patients are deprived of the opportunity to take a bath, visit the pool or sauna.

To eliminate a rash on the hands, it is necessary to use topical external agents in the form of ointments or creams. In the treatment of allergic dermatoses, drugs based on topical glucocorticosteroids have proven themselves to be effective.[10] Such products have wide application possibilities, since they have several effects on the inflammatory focus:

anti-inflammatory effect;
antiallergic effect;
vasoconstrictor properties;
antipruritic effect.

One of the representatives of local glucocorticosteroids prescribed for the treatment of allergic dermatoses are the drugs "Akriderm GK".

Stages of hand psoriasis

The disease occurs in alternating phases of relapses and remissions. The course can be severe, moderate or mild. During an exacerbation, the disease goes through several stages. Psoriasis on the hands, stages:

the initial stage of progression - a psoriatic rash appears, the symptoms of the disease quickly increase;
stationary – no new elements appear, the rashes do not fade or become smaller;
regressing - the rash turns pale, swelling subsides, all signs of exacerbation disappear, and gradually only white or brownish spots remain on the skin, which also disappear over time.

Any form of the disease, in the absence of adequate treatment, can be complicated by joint damage and erythroderma - inflammation of large areas of skin with severe swelling and redness.

How to eat healthy

Nutrition is of particular importance as it affects metabolism, the disturbances of which underlie the disease. It is useless to treat psoriasis without following a diet. Important: in the patient’s diet, 70% should be products of plant origin and only 30% should be animal products. Recommended to use:

any fruits and vegetables (fresh, boiled, stewed) except those prohibited;
fresh juices; Citrus juices are especially useful; lemon juice can be used as a salad dressing;
more clean water.

Limit consumption (no more than a few times a week):

lean meat and fish;
low-fat cottage cheese and fermented milk products;
cereals;
some fruits and berries: plums, currants, cranberries, blueberries.

Exclude from the diet:

fat meat;
fatty dairy products;
sweets, baked goods;
vegetables from the nightshade family: tomatoes, eggplants, hot and bell peppers;
all spicy, sour, smoked, fried, canned foods;
drinks: sweet soda, cocoa, strong coffee, tea, alcohol.

Treatment of psoriasis on the hands with folk remedies

Folk remedies are widely used in the treatment of psoriasis on the hands. Celandine is especially often used for this purpose. For example, a serum infused with celandine helps a lot.

You need to take a glass of crushed fresh celandine herb, wrap it in a cotton napkin, tie it, put it in a 5-liter glass jar, fill it with three liters of whey, add 200 g of sugar, 20 g of sour cream and leave in a warm place for 15 days: during this time the whey will ferment ; this serum should be filtered and taken 70 ml in the morning 30 minutes before meals; store in a cool place; perfectly removes toxic substances, cleanses the body, activates metabolism; the symptoms of the disease go away.

Prevention of psoriasis on the hands

Prevention of the disease includes patient compliance with recommendations on daily routine, skin care and nutrition.

Psoriasis on the hands is best treated in the early stages of the pathological process. It is impossible to completely cure this process, since under the influence of any factors a relapse may begin. But if maintenance treatment is carried out periodically, remission for a long time is quite possible. At the same time, the person lives life to the fullest and does not remember relapses.

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