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"lead": "Различают врождённое (присутствует при рождении или появляется в первые 6 месяцев) и приобретённое косоглазие.\r\n\r\nЧаще всего явное косоглазие является горизонтальным: сходящееся косоглазие (convergent strabismus или esotropia) и расходящееся косоглазие (divergent strabismus или exotropia); однако иногда может наблюдаться и вертикальное (с отклонением кверху — гипертропия, книзу — гипотропия).\r\n\r\nКосоглазие, в зависимости от того, косит один или оба глаза, делится на монокулярное и альтернирующее.\r\nПри монокулярном косоглазии всегда косит только один глаз, которым человек никогда не пользуется. Зрение косящего глаза чаще всего снижено. Мозг приспосабливается таким образом, что информация считывается только с одного, не косящего глаза. Косящий же глаз в зрительном акте не участвует, поэтому его зрительные функции снижаются. Снижение зрения от функционального бездействия косящего глаза называется дисбинокулярной амблиопией. Если восстановить зрение косящего глаза невозможно, косоглазие исправляется как косметический дефект.\r\nАльтернирующее косоглазие (косит то левый, то правый глаз, при этом величина отклонения от прямого положения примерно одинаковая) характеризуется тем, что человек смотрит попеременно то одним, то другим глазом, то есть хотя и попеременно, но использует оба глаза. Амблиопия если и развивается, то в гораздо более лёгкой степени.\r\nПо причине возникновения косоглазие бывает содружественное и паралитическое.\r\nСодружественное косоглазие возникает обычно в детском возрасте. Для него характерно сохранение полного объёма движений глазных яблок, равенство первичного угла косоглазия (то есть отклонения косящего глаза) и вторичного (то есть здорового), отсутствие двоения и нарушения бинокулярного зрения.\r\nПаралитическое косоглазие обусловлено параличом или повреждением одной или нескольких глазодвигательных мышц. Оно может возникнуть в результате патологических процессов, поражающих сами мышцы, нервы или головной мозг.",
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"etiology": "<p>Существует несколько версий ее происхождения: ранее парапсориазу приписывали инфекционное происхождение, так как симптомы похожи на многие инфекционные кожные инфекции, но эта гипотеза не нашла подтверждения;</p>\r\n<p>на современном этапе считается, что фактором ее развития является аллергическая реакция организма на раздражитель;</p>\r\n<p>не последнюю роль играют перенесенные инфекционные заболевания (ОРВИ, ангина, грипп);</p>\r\n<p>присутствие хронических центров инфекции (тонзиллит, гайморит, пиелонефрит);</p>\r\n<p>объясняется развитие сосудистыми проблемами;</p>\r\n<p>нарушением в иммунной системе; дисфункцией эндокринной системы.</p>\r\n<p>Спровоцировать всплеск симптомов могут соматические заболевания:</p>\r\n<p>нарушение в работе ЖКТ, печени, секреторные дисфункции, неблагоприятная экология.<br /><br /><br /></p>",
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"diagnostics": "<p>При диагностике заболевания возникают трудности, аналогичная симптоматика с различными видами дерматитов не дает возможности однозначно поставить диагноз. Четких критериев для лабораторных исследований для определения парапсориаза еще не разработано. Дерматологи основываются: на исследовании результатов анализа крови: на основе биопсии элементов поражений в местах очагов воспаления: Это необходимо для того, чтобы дифференцировать парапсориаз от других болезней, так как визуальный осмотр не всегда дает четкой картины.</p>",
"treatment": "<p>При каплевидном парапсориазе производят санацию очагов инфекции. Назначают антибиотики широкого спектра действия, гипосенсибилизирующие, антигистаминные, сосудистые (теоникол, компламин) препараты. При хронической и подострой формах в стадии разрешения рекомендуют ПУВА-терапию. Если эффект от вышеуказанного лечения оказывается недостаточно эффективным, назначают небольшие дозы глюкокортикостероидов.</p>\r\n<p>Наружно назначают местные глюкокортикостероидные, рассасывающие мази.</p>",
"prevention": "",
"clinical_picture": "<p>Бляшечный парапсориаз</p>\r\n<p>Такая форма заболевания может быть представлена мелкими и крупными папулами. В первом случае патология относительно безопасна, а вот крупнобляшечный тип может постепенно трансформироваться в лимфому.</p>\r\n<p>Начинается парапсориаз этого типа с возникновения пятен бледно-розового оттенка с небольшим количеством инфильтрата. Диаметр высыпаний не превышает 5 сантиметров, они имеют неправильную либо округлую форму. Локализуются новообразования чаще всего на конечностях либо на самом туловище.</p>\r\n<p><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">Сыпь</a> носит чешуйчатый характер, часто сопровождается гиперпигментацией.</p>\r\n<p>Бляшечный парапсориаз не влияет на общее самочувствие пациента. Заболевание протекает на протяжении длительного периода.</p>\r\n<p>Не исключено перерождение псориатических бляшек в грибовидный микоз. Симптомом такого перерождения является нестерпимый <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a>.</p>\r\n<p>Каплевидный парапсориаз</p>\r\n<p>Появляется характерная <a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">сыпь</a>, состоящая из своеобразных узелков размером с зерно. Цвет сыпи может быть разным – от бледно-розового оттенка до насыщенно-коричневого. Центральная часть образований шелушится.</p>\r\n<p>Место локализации – конечности, туловище, но <a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">высыпания</a> могут возникать и на других частях тела.</p>\r\n<p>Каплевидный парапсориаз отличается несколькими характерными особенностями, по которым врач-дерматолог и дифференцирует его:</p>\r\n<ul>\r\n<li>«феномен облатки»: если попытаться аккуратно снять чешуйку с узелка, она отпадет монолитным пластом;</li>\r\n<li>«феномен пурпуры»: при сильном механическом воздействии на папулах можно наблюдать небольшие точечные кровоизлияния;</li>\r\n<li>«симптом скрытого шелушения»: если слегка поскоблить узелок, на нем возникает отрубевидное <a href=\"/symptom/shelushenie_kozhi/\" title=\"Перейти на страницу симптома Шелушение кожи\">шелушение</a>.</li>\r\n</ul>\r\n<p>Для ремиссии данного типа парапсориаза свойственно полное исчезновение внешних симптомов либо возникновение лейкодермических пятен.</p>\r\n<p>Острый парапсориаз</p>\r\n<p><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">Сыпь</a> носит тотальный, полиморфный характер. <a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">Высыпания</a> могут носить разный характер:</p>\r\n<p><br /><br /><br /></p>\r\n<p> </p>\r\n<ul>\r\n<li>пузырьковый;</li>\r\n<li>папулезный;</li>\r\n<li>пустулезный;</li>\r\n<li>геморрагический.</li>\r\n</ul>\r\n<p><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">Высыпания</a> покрывают все тело, в том числе лицо, стопы и кисти. Начинается острый парапсориаз внезапно, <a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">сыпь</a> распространяется очень быстро, покрывая всю кожу. Чаще всего <a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">высыпания</a> не оставляют следов после себя, иногда возникают осповидные рубцы.</p>\r\n<p>Острый парапсориаз может трансформироваться в каплевидную форму заболевания.</p>\r\n<p>Общие симптомы – незначительно повышенная температура, увеличенные лимфоузлы, общая <a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">слабость</a>.</p>\r\n<p>Лихеноидный парапсориаз</p>\r\n<p>Данная форма встречается нечасто. Для нее характерно появление на коже округлых либо конусообразных папул, окрашенных в желтовато-красный либо коричневый оттенок. Поверхность новообразований блестящая и гладкая, иногда к ней прикреплены небольшие чешуйки.</p>\r\n<p>Форма сыпи – сетевидная. Она покрывает кожу век и туловище, неприятных ощущений не вызывает.</p>",
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"name": "Парапсориаз неуточненный",
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"lead": "хронические неконтагиозные дерматозы неясной этиологии и генеза с псевдопсориатическими поверхностными высыпаниями на коже",
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"etiology": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Причины возникновения парапсориаза, механизм его развития находятся в стадии изучения. Существует несколько теорий, основные из которых - инфекционная и иммунная.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Инфекционная теория основывается на том, что парапсориаз по своей сути является поверхностным васкулитом с повышенной проницаемостью капиллярных стенок для бактерий и вирусов, в ответ на токсины которых кожа реагирует парапсориатическими высыпаниями. Об этом же говорит и тот факт, что возникает парапсориаз, как правило, либо на фоне инфекций (ангины, гриппа, тонзиллита, пневмонии, кори, ветряной оспы, эпидемического паротита и др.), либо сразу после них. Однако, этих аргументов недостаточно, чтобы считать парапсориаз инфекционной патологией, поскольку та же картина наблюдается и при неинфекционных токсикозах, аллергии, коллагенозах. Более того, из крови пациентов с парапсориазом не выделено ни одного возбудителя, способного вызвать инфекционное заболевание, что однозначно подтверждает его неконтагиозность.</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">В иммунной теории речь идет об аутоиммунной реакции со стороны кожи на антигены различной природы, которые, попав в организм человека, снижают общий и местный иммунитет, участвуют в разрушении ДНК и клеточных Т-лимфоцитов. Нарушая иммунный баланс, они провоцируют начало болезни. Чем больше антигенов попадает в организм, тем мощнее и распространеннее ответная реакция. Именно так возникает парапсориаз на фоне очагов хронической инфекции желудочно-кишечного тракта, почек, суставов или в ответ на избыток ультрафиолета, переохлаждение, плохую экологию.</span></p>",
"pathogenesis": "",
"diagnostics": "<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Парапсориаз очень трудно поддается диагностике, поскольку не имеет самостоятельных клинических признаков. В настоящее время нет и специальных лабораторных исследований для его точной диагностики. С учетом полиморфизма высыпаний единственный объективный способ подтверждения болезни – гистология, но и она не дает 100% результата, поэтому диагностику необходимо проводить у специалиста-дерматолога. Дифференциальную диагностику проводят, прежде всего, с псориазом, классической характеристикой которого является диагностическая триада: феномен стеаринового пятна, терминальной пленки и капельного кровотечения, отсутствующие у парапсориаза.</span></p>",
"treatment": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">При каплевидном парапсориазе производят санацию очагов инфекции. Назначают антибиотики широкого спектра действия, гипосенсибилизирующие, антигистаминные, сосудистые (теоникол, компламин) препараты. При хронической и подострой формах в стадии разрешения рекомендуют ПУВА-терапию. Если эффект от вышеуказанного лечения оказывается недостаточно эффективным, назначают небольшие дозы глюкокортикостероидов.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Наружно назначают местные глюкокортикостероидные, рассасывающие мази.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">При бляшечном и лихеноидном парапсориазе проводят те же лечебные мероприятия, что и при каплевидном, однако лечение представляет значительные трудности.</span></p>",
"prevention": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Поскольку этиотропной терапии не существует, санируют очаги хронической инфекции, укрепляют иммунитет, проводят сеансы УФО и ПУВА-терапии, санаторно-курортное лечение. В лечении каплевидного парпсориаза используются антигистаминые препараты для снятия зуда (клемастин) в сочетании с ангиопротекторами (троксерутин), препаратами кальция. Показана комплексная витаминотерапия (В, С, РР, А, Е). В случае резистентности - наружные стероиды (преднизолон), антибиотики и антибактериальные препараты (от амоксициллина до фтивазида). Острые формы усиливают сосудистыми препаратами (ксантинола никотинат) и противоаллергическими (лоратадин).</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Бляшечный парапсориаз является поводом для диспансерного наблюдения пациентов с обязательной курацией гастроэнтеролога. В случае резистентности применяют короткий курс гормонотерапии (преднизолон). Показана ПУВА-терапия в сочетании с лечебными ваннами (Нафталан, Мацеста). Лихеноидный парапсориаз резистентен к любому лечению, поэтому терапевтическую программу каждому пациенту врач-дерматолог разрабатывает индивидуально. В крайних случаях назначают противоопухолевые препараты (метатрексат). Хорошие результаты дает пребывание на Мертвом море.</span></p>",
"clinical_picture": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Каплевидный парапсориаз</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Каплевидный парапсориаз, или псориазиформный нодулярный дерматит, диагностируется чаще всего. Он может носить острое, подострое или хроническое течение. Дерматоз внесезонный, с рецидивирующим характером, не имеет гендерной составляющей. Пик заболеваемости приходится на 20-30 лет, обострения обычно случаются весной и осенью. Возникает на фоне тяжелых инфекций или после них, однако может дебютировать в I триместре беременности, на фоне гиперинсоляции, а также без каких-либо видимых причин. Первичным элементом сыпи является узелок размером с чечевицу любого оттенка розового цвета или плоская папула размером с булавочную головку, покрытая чешуйками.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Острая форма возникает внезапно, с явлений продрома. Характерен полиморфизм сыпи, отсутствие типичной локализации, поражение слизистых. Преобладание того или иного элемента в клинической картине свидетельствует о степени остроты процесса: появление пурпуры с геморрагическим компонентом говорит о начале заболевания, везикулы констатируют близость ремиссии, атрофические элементы подводят итог парапсориатической атаке. В период ремиссии на месте высыпаний могут остаться небольшие рубчики или пигментация.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Подострый каплевидный парапсориаз протекает без субъективных ощущений, но с более выраженным геморрагическим компонентом. Локализуется преимущественно на нижних и верхних конечностях. На месте высыпаний остается гипер- или депигментация. Хронические формы существуют годами. Их отличительной особенностью является специфическая триада симптомов: ложный полиморфизм (одни и те же элементы находятся на разных стадиях развития), симптом облатки (попытка удаления чешуйки с поверхности папулы или узелка приводит к ее полному снятию и обнажению кровоточащей поверхности), наличие «коллоидной пленки» при рассасывании первичного элемента. Отмечается практически полное отсутствие высыпаний на слизистых, а также выраженное улучшение летом.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Бляшечный парапсориаз</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Бляшечный парапсориаз – классическая болезнь Брока, хронический пятнистый лишай, дерматоз без субъективных ощущений, клинически напоминающий псориаз или розовый лишай. Заболевание чаще встречается у мужчин в возрасте от 30 до 50 лет. Период обострения – зима, ремиссии – лето. Провоцирующим моментом в развитии дерматоза считают заболевания ЖКТ и мочеполовой системы. Иногда достаточно санировать их, чтобы наступило улучшение или длительный «светлый промежуток».</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Первичным элементом является пятно или инфильтрированная округлая бляшка бледно-розового цвета с желтовато-бурым оттенком. Ее размер составляет от 2 до 10 см, она не выступает над уровнем кожи, покрыта отрубевидными чешуйками или гофрированной пленкой, напоминающей папиросную бумагу. Высыпания располагаются на туловище - параллельно ребрам, на ногах и руках, не имеют тенденции к слиянию и распространению. Точечное кровоизлияние при поскабливании отсутствует. Кожа волосистой части головы, ладони и подошвы практически не поражаются.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Мелкобляшечный парапсориаз локализуется на боковых поверхностях туловища, бляшки в диаметре достигают максимум 2-3 см, иногда выглядят как полосы различной длины. Бляшки не зудят, но всегда шелушатся. Крупнобляшечный парапсориаз имеет принципиально иные размеры бляшек (до 10 см), пациента начинает беспокоить зуд. При воспалительном варианте вокруг бляшек появляется гиперемия и небольшая болезненность, а при пойкилодермическом - основным признаком становится атрофия в центре бляшки. Кроме того, на коже одновременно с бляшками могут присутствовать телеангиоэктазии, депигментация, сетчатая гиперпигментация, фолликулярный кератоз и пурпура. Именно этот вариант способен, по мнению ученых, переродиться в грибовидный микоз, лимфому кожи.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Редкие формы парапсориаза</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Лихеноидный парапсориаз крайне редок. Не имеет гендерного деления, активно проявляется в возрасте 20-40 лет. Отличительной особенностью является локализация первичных элементов – конусовидных папул овальной формы всех оттенков красного – в области глаз, а не только на туловище и конечностях.</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Обособленно стоит острый вариолиформный (оспоподобный) парапсориаз Габермана-Муха. Заболевание не имеет возрастных и гендерных различий. Некоторые считают его разновидностью лихеноидного парапсориаза, другие - вариантом каплевидного парапсориаза, третьи – одной из форм самостоятельного аллергического васкулита. Отличительными чертами являются: острое начало с обязательным продромальным синдромом (субфебрилитет, слабость, увеличение периферических лимфоузлов), полиморфизм сыпи, быстрая генерализация процесса по всему кожному покрову, вплоть до волосистой части кожи головы и подошв. Первичные элементы симметричны и не имеют тенденции к слиянию. В процесс вовлекаются слизистые полости рта, носа, половых органов. Если полный регресс не наступает в течение 6 месяцев, парапсориаз приобретает хроническое течение. На месте высыпаний остаются небольшие атрофические рубчики.</span></p>\r\n<p><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\"> </span></p>",
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