What Is Pustular Psoriasis?

Pustular psoriasis is generalized and localized. Generalized pustular psoriasis is mostly acute. It can spread throughout the body within a few days to several weeks. It has a small dense pustule with a dense needle tip, which quickly fuses into a pus lake, often accompanied by high fever and joints. Swelling and pain, and general discomfort. Routine blood tests showed leukocytosis. After the abscesses dried up, desquamation occurred. After the dandruff came off, new abscesses appeared. Local pustular psoriasis is common in palm-to-pustular pustular psoriasis. There are symmetrical erythema on the palms of the hands and toes. Needles large to chestnut-sized to small pustules appear on the erythema: they dry out after about 1-2 weeks. After the desquamation, new pustules appeared, and they continued to stubbornly.

Pustular psoriasis

Generalized pustular psoriasis

Generalized pustular psoriasis has a rapid onset and rapid onset. It can spread throughout the body within a few weeks, with systemic symptoms such as high fever, joint pain and swelling, general discomfort, and elevated white blood cells. The surface has most dense needles to millet size yellow white aseptic shallow superficial small pustules. The surface is covered with atypical psoriasis scales, and there are those who first rash on the palm and then extend to the whole body. In some patients with generalized pustular psoriasis, within a short period of time, the whole body quickly reddens, swells, and numerous sterile pustules appear. Pustules can expand and fuse to form a "pus paste" shape, which often affects the skin and even extends the entire body. Large spongiform abscesses can be seen in the stratum corneum of generalized pustular psoriasis, and the vesicles are mainly neutrophils. The dermis has inflammatory infiltration mainly composed of lymphocytes and histiocytes, a small number of neutrophils, and elastic fibers are destroyed.

Generalized pustular psoriasis is more common in the limbs and wrinkles. The pustules dry and desquamate after a few days, but new pustules can develop again. Pustules often rupture due to contact friction, with erosion, exudation, scabbing, or pustules. Clusters of buccal mucosa can also appear or mostly scattered small pustules. The finger (toe) deck is turbid and thick, and keratosis and scale accumulation can occur under the nails. Small pustules can also appear on the nail bed. Nail atrophy and nail fragmentation can occur. Often accompanied by joint symptoms. After a few weeks, the pustules can dry up on their own, the symptoms improve, or they can turn into erythroderma. However, it can be repeated due to cold, fatigue, premenstrual period and infection.

The cause of generalized pustular psoriasis is not clear. Some people think that after taking corticosteroids for a long time, those who discontinue the drug are prone to develop the disease, or it is related to infection and drug stimulation. Generalized pustular psoriasis is more severe and often recurs periodically with a poor prognosis.

Therefore, experts recommend that patients pay attention to their own conditions, do not use drugs with side effects, and use hormonal drugs with caution. During the treatment period, patients should relieve their mental concerns, eliminate mental trauma, and avoid various inducing factors as much as possible, especially in the acute stage, avoid the application of strong irritating drugs and ultraviolet radiation, hot soapy bathing, etc.

Localized pustular psoriasis

Localized

1. Appropriate meat supplements

Patients with pustular psoriasis should not eat too much meat, because animal foods provide relatively high energy and fat, and they are prone to adversely affect the recovery of psoriasis. Therefore, they should eat less meat.

Second, dairy foods

Pustular psoriasis is also prone to losing a lot of calcium, and milk is the best source of calcium. In addition to calcium, milk is also rich in protein and vitamins, so milk should be increased in daily life. The proportion of the class.

Three, thickness match

Patients with pustular psoriasis should not choose a partial eclipse. They should be thick and thin on the staple food and often eat some coarse grains and miscellaneous grains. Don't grind rice and wheat too fine, otherwise the vitamins, minerals and other nutrients and dietary fiber contained in the surface layer of the grain will be mostly lost to the bran.

Fourth, supplement legumes

Because of the disease, pustular psoriasis patients are prone to lose large amounts of protein and vitamins, while beans contain a lot of high-quality protein,

1. Bathing method: It is advisable to take a bath. Also, do not scratch the skin excessively, and do not rub vigorously with a towel. Experience has shown that those who are irritated with skin lesions due to excessive scratching or rubbing often affect the regression of skin lesions.

2. Bathing under special circumstances: When bathing in patients with generalized pustular type, erythrodermic type, and exudative psoriasis psoriasis, the water temperature should not be too high, so as not to stimulate skin lesions. For those who are frail and old with some visceral diseases (such as heart disease, high blood pressure), in addition to the water temperature should not be too high when taking a bath, a seated shower should be compared.

3. Water temperature and ambient temperature should be adapted: too high water temperature (above 40 ° C) will stimulate skin damage, which will have adverse effects; too low water temperature (below 34 ° C) will not soften the scales and promote blood circulation of the skin. Conducive to the disappearance of skin lesions.

In general, the temperature of the water should be slightly warm or slightly hot for patients, about 35-39 . You can also choose the water temperature according to the type of skin lesions, such as the advanced stage of psoriasis psoriasis and erythrodermic, pustular, and exudative skin lesions. You should not accept excessive stimulation, and the water temperature should be lower; For static skin lesions, especially plaque-type skin lesions that are significantly thicker, the water temperature can be higher. In addition, you should pay attention to improving the ambient temperature when taking a shower to prevent the cold and cold from causing psoriasis to worsen.

4. The number of baths and the duration of each bath: In the season when the temperature is low, normal people can bathe 1-2 times a week. And patients with psoriasis and psoriasis should take a bath every day if conditions permit, and it is better if they can take some medicated baths or mineral baths. According to clinical experience, if patients can take a bath 1-2 times a day, 20-40 minutes each time, compared with patients treated with the same medicine without bathing, it can usually shorten the healing time significantly. The duration of each bath varies according to the water temperature selected by the patient and the individual's tolerance, and it is generally suitable to be 20-50 minutes. If the water temperature is low and the patient's tolerance is large, the bath time can be longer, while the water temperature is high and the patient's tolerance is poor, it should be shorter. In short, the degree of bathing should be based on the extent that patients with no skin irritation do not feel tired and have no discomfort.