2023-06-30 01:03:08
Recognize silver flakes and “stop flakes” as soon as possible
I would like to share with you the case of a patient——Mr. Chen (pseudonym) is a businessman in his early fifties who travels both in China and Hong Kong. Seeing a doctor, I just used ointment and shampoo to reduce itching and dandruff, and took painkillers to relieve joint pain. He didn’t face up to the disease until a friend worried that his skin problem was too serious and it would be contagious. Unfortunately, some joints have already suffered irreversible damage and deformation.
Mr. Chen is a typical psoriatic arthritis patient. At the beginning, he mistakenly thought that he was suffering from general skin and joint problems. He believed that “it will recover on his own after a period of time”. He also lacked a correct understanding of the disease and treatment, which led to delay treat.
Dr. Wu Huanliang, Director of the Rheumatology Department of the United Christian Hospital, said that in every thousand people in Hong Kong, about three people suffer from psoriasis, and about 30% of them will develop psoriatic arthritis within five to ten years after the skin onset.
Although psoriasis is commonly known as “psoriasis”, it is actually a chronic dermatitis caused by the imbalance of the autoimmune system. It has nothing to do with ringworm caused by fungi and is not contagious. The patient’s immune system is overactive and attacks his own skin, resulting in continuous inflammation, hyperplasia, thickening of the skin, red rashes with clear borders, covered with silvery white scales, and a large amount of dead skin. About three out of every thousand people in Hong Kong suffer from psoriasis, and about 30% of them will develop psoriatic arthritis within five to ten years after the skin onset. In addition, psoriasis can also attack other organs of the body such as the eyes, causing iritis. Many patients are also accompanied by a series of metabolic syndrome and related diseases, including obesity, hyperglycemia, hyperlipidemia, hypertension, fatty liver, gout, etc.
Psoriasis, commonly known as psoriasis, is a chronic dermatitis caused by the imbalance of the autoimmune system and is not contagious to humans.
rheumatologist plays detective role
The symptoms of psoriatic arthritis are similar to those of rheumatoid arthritis, so in clinical diagnosis, we have to be like detectives, carefully ask the patient’s medical history, check the skin lesions all over the body, and pay attention to whether there are typical sunken spots or detached nails Symptoms, analyzing the number and distribution of affected joints, and cooperating with blood tests, X-rays and other inspection data, can make a diagnosis and prescribe the right medicine.
Rheumatologist and Orchestra Conductor
I would also compare a rheumatologist to an orchestra conductor, because rheumatism can affect multiple organs in the body and produce different symptoms. Treatment for rheumatism may also have side effects or complications. If the patient suffers from other diseases at the same time, the interaction between the treatment of rheumatism and other diseases also needs to be fully considered and balanced. Taking the above-mentioned psoriatic arthritis as an example, we need to evaluate the different symptoms of the patient and take into account the comorbidities at the same time to formulate a suitable treatment plan.
invisible stress
People with psoriasis often lack understanding of their condition and therefore ignore the severity of the condition. Many patients wait to seek medical attention until the skin rash has spread to a large, visible area, or until severe joint pain and movement disturbances occur, missing the optimal time for treatment. Symptoms of psoriasis affect the patient’s appearance, self-confidence and social life, and some patients even suffer from emotional disorders; Seek medical attention early.
If arthritis occurs in patients with psoriasis at the same time, it may lead to permanent joint deformation, so patients should pay attention to the treatment of psoriasis as soon as possible. Depending on the patient’s condition, we may prescribe topical treatments such as ointments and NSAIDs. More severe patients may require systemic treatment after evaluation, including taking disease-modifying antirheumatic drugs or using biologics to regulate the immune system, relieve skin symptoms, and control arthritis. These treatments can greatly improve the quality of life of patients, reducing the distress and stress caused by their skin appearance and joint problems.
At present, there are some very effective biological agents, such as anti-tumor necrosis factor, anti-interleukin-17, anti-interleukin-23 and so on.
Multi-pronged approach to disease control
If the condition of psoriasis is not controlled for a long time, coupled with the accompanying metabolic syndrome, there is a chance to induce fatal cardiovascular diseases, including heart failure, myocardial infarction and stroke. People with psoriasis are also more prone to other immune system diseases, such as enteritis and iritis which may lead to vision loss. In order to ensure the effectiveness of the treatment, I would suggest that patients should follow the following tips during the treatment process and continue to improve their living habits:
avoid alcohol and tobacco
Avoid using cosmetics, skin care products and shower gels with harsh ingredients
Take a bath with warm water every day and avoid hot water to irritate the skin
use skin creams to prevent dry skin
Appropriate exposure to the sun, let the ultraviolet rays inhibit the proliferation of skin cells
Regular exercise, especially for psoriatic arthritis patients, should increase mobility through swimming and stretching
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