Pustular type silver abscess

Many people have heard about psoriasis. Psoriasis is not as serious as imagined. It is just a common disease. Most of them are pustular. Pustular psoriasis starts with red papules, which gradually expand into irregularly sized patches with some white dandruff. This disease has a long history of onset and is difficult to heal. It needs to be treated slowly.

Introduction

Psoriasis vulgaris is the most common type. It starts as a red papule, which expands to form patches of varying sizes with silvery-white scales on top, stacked like mica. If the scales are scraped off, a bright red, smooth and shiny film is exposed at the base, and punctate bleeding occurs if scraped again. The rash may appear in various shapes such as drop-shaped, coin-shaped, and map-shaped. It is common on the scalp and extensor side of the limbs, especially the extensor side of the knee joint and its vicinity, and is often distributed symmetrically. In addition to skin damage, nails and mucous membranes may also be affected. Consciously have different chairman itching.

Specific type of psoriasis is rare and may present with widespread pustules, joint damage, and erythroderma.

The disease has a long course and is difficult to heal. There is currently no effective treatment. For local application, you can use non-irritating ointment, such as 10% boric acid ointment, 10% urea cream, 5% white mercury, salicylic acid ointment, etc. Before applying the medicine, wash away the scales with hot water and soap. Systemic treatment can be done with procaine intravenous blockade or intramuscular injection of vitamin B12, oral administration of vitamin C and folic acid, etc. Chinese medicine can also be used for treatment.

Precautions

Drugs that should be used with caution and prohibited for patients with silver sky disease

1. Corticosteroids. Such as dexamethasone, prednisone, hydrocortisone and various hormone ointments and lotions (such as Fuqingsong, Piyanping, Pikang Cream, Clofluac, Lefu Liquid, Enfu Cream, Fujining Paste and other topical agents containing hormones).

These drugs have good temporary effects, and many doctors recommend hormone drugs to patients, and patients continue to use hormone drugs. However, the side effects are greater. There have been many cases of refractory psoriasis such as pustular psoriasis and erythroderma due to excessive use of hormonal drugs, which has aggravated the condition.

2. Immunosuppressants, such as methotrexate (aminopterin, aminopterin, aminofolate), methotrexate (MTX), hydroxyurea, ethylimine (dioxazine), ethidium bromide, cyclosporine A (CyA), etc. These drugs kill cells non-selectively, kill a large number of normal cells, reduce the body's immunity, and destroy liver cells and bone marrow cells, causing cirrhosis, liver cancer, leukemia and other life-threatening diseases. It is also one of the reasons for the severe rebound and difficult-to-treat psoriasis. Should be disabled.

3. Traditional Chinese medicines and Chinese patent medicines that clear heat, cool blood and detoxify should be used with caution. The traditional understanding of Chinese medicine on psoriasis is that blood heat plays a very important role in the etiology and pathogenesis of psoriasis. Many psoriasis patients do have symptoms of blood heat, so there are methods of treatment with heat-clearing and detoxifying, heat-clearing and cooling blood drugs, and such drugs have a certain effect in the early stages of use, creating a false illusion of effectiveness. However, because this type of blood heat is not real heat, it is not suitable for treatment with heat-clearing and detoxifying, heat-clearing and cooling blood methods, let alone long-term use. Long-term use will damage the vital energy and make psoriasis difficult to treat. The blood circulation and blood stasis removal methods and detoxification therapies are only temporary solutions and may have temporary effects.