ВОзвращает список болезней. Можно фильтр/искать

search, age, gender, parent, symptoms, sort_name, sort_by, rand, branches
GET /disease/?format=api&ordering=-icd_name&page=153
HTTP 200 OK
Allow: GET, HEAD, OPTIONS
Content-Type: application/json
Vary: Accept

{
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    "next": "http://api.symptomd.ru/disease/?format=api&ordering=-icd_name&page=154",
    "previous": "http://api.symptomd.ru/disease/?format=api&ordering=-icd_name&page=152",
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        {
            "id": 12022,
            "symptoms": [
                {
                    "id": 2632,
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                        {
                            "name": "угри"
                        },
                        {
                            "name": "угривые прыщи"
                        },
                        {
                            "name": "высыпания на коже"
                        },
                        {
                            "name": "высыпания"
                        }
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                    "lead": "Сыпь может быть симптомом серьезного заболевания, следует провести консультацию  со специалистом",
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                            "name": "Чешится"
                        },
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                            "name": "Кожа чешится"
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                        {
                            "name": "Зудит"
                        },
                        {
                            "name": "Чесотка"
                        },
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                            "name": "Кожный зуд"
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                    "lead": "Видоизмененное чувство боли, обусловленное раздражением нервных окончаний болевых рецепторов, в совокупностью с другими симптомами может  быть  признаком заболевания,  если  симптом возник аномально, обратитесь к врачу",
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            },
            "code": "L40.4",
            "name": "Псориаз каплевидный",
            "icd_name": "Псориаз каплевидный",
            "gender": 0,
            "age_min": 1,
            "age_max": 100,
            "cause": [
                "0"
            ],
            "periodicity": 3,
            "slug": "l40.4_psoriaz_kaplevidnyy",
            "lead": "вид псориаза, который проявляется в форме каплевидных папул (мелкой сыпи)",
            "description": "",
            "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;\">Существует множество гипотез относительно причин, которые вызывают появление псориаза данной формы. Многие врачи-дерматологи считают, что главными факторами развития заболевания являются:</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;\">Экзогенные причины:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">экологически неблагоприятная обстановка в месте проживания;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">нанесение и выведение татуировки;</span></li>\r\n<li><span style=\"font-size: 7pt; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">повреждение кожного покрова вследствие воздействия холода;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">травмы кожи, полученные от порезов, ожогов, облучения и пр.</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</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;\">Эндогенные причины:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">генетическая предрасположенность;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">ослабленный иммунитет;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">ранее перенесённые ОРВИ, грипп, ангина и пневмония;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">кандидоз слизистых;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">гормональный сбой;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">нарушения метаболизма;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">нестабильный эмоциональный фон;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">дисбаланс в пищевом поведении;</span></li>\r\n<li><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-style: normal; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">интоксикации различной этиологии и пр.</span></li>\r\n</ul>",
            "pathogenesis": "<p>&nbsp;</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;\">Выделяют две основные гипотезы, которые объясняют процессы, ведущие к заболеванию. Первая утверждает, что псориаз является первичным заболеванием кожи, связанным с нарушениями на клеточном уровне. Происходит чрезмерное деление и рост клеток, вследствие чего разросшиеся ткани воспаляются и появляется граница, отделяющая этот очаг от соседних тканей. Функции эпидермиса нарушаются. Вторая гипотеза возникновения капельного псориаза связана с воздействием различных вирусных и бактериальных инфекций на иммунную систему, а кожные проявления считают вторичными. Во всяком случае, в поддержку этой гипотезы, говорит тот факт, что у 80% больных каплевидным псориазом выявлены стрептококковые инфекции. Известно, что псориаз генетическое заболевание. Люди, имеющие среди родственников больных псориазом, находятся в группе повышенного риска. Но причинно-следственные связи этих генов с микроорганизмами, вызывающими вспышку инфекции пока не изучены.</span></p>",
            "diagnostics": "<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 постановке диагноза &laquo;каплевидный псориаз&raquo; учитывают данные о недавно перенесённой инфекции, жалобы и наличие специфической диагностической триады: стеаринового пятна, терминальной плёнки, кровотечения &laquo;капли росы&raquo;. В ОАК определяется повышенное СОЭ и лейкоцитоз, по данным биохимии обнаруживается наличие ревматоидного фактора. Детям, перенесшим стрептококковую инфекцию, проводят серологические пробы с выявлением повышенного титра антистрептолизина-О и антидезоксирибонуклеазы, берут мазок из носоглотки с бактериологическим исследованием на гемолитический стрептококк.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</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;\">Гистология типична для капельного псориаза, морфологические изменения свидетельствуют о незрелости эпидермальных клеток, нахождении в биоптате Т-лимфоцитов и явлениях гиперкератоза.</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;\">Дерматоз резистентен к проводимой терапии, требует терпения и от пациента, и от врача-дерматолога. Лечение комплексное, в зависимости от тяжести процесса проводится в амбулаторных либо в стационарных условиях. Прежде всего, осуществляют санацию очагов хронической инфекции, лечат остаточные явления острых форм ОРЗ и ОРВИ, корректируют сопутствующую соматическую патологию. Дерматолог подбирает индивидуальную программу антиатерогенного профиля питания с употреблением в пищу полиненасыщенных жирных кислот. Одновременно проводят симптоматическую терапию. При каплевидном псориазе наиболее эффективна ПУВА-терапия, назначаемая в малых дозах под наблюдением врача. Использование плазмафереза позволяет снизить частоту рецидивов.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</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;\">Лекарственные препараты при каплевидном псориазе применяют с разными целями и в соответствии с различными терапевтическими схемами. Например, гормональные мази с учётом площади поражения кожного покрова используют только короткими курсами; антибактериальную терапию против высеянного гемолитического стрептококка проводят назначением длительных циклов антибиотикотерапии с применением цефалоспоринов. Самый протяжённым по времени является приём иммуномодуляторов.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</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;\">Показаны витаминотерапия (А, D, C, Е, группа В) и препараты, содержащие моноклональные антитела. Если разрастания первичных элементов значительны и продолжают прогрессировать, применяют ретиноиды внутрь и мази с кальцитриолом наружно. Назначают седативную, противозудную и антигистаминную терапию.</span></p>",
            "prevention": "<p>&nbsp;</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;\">Лучшими мерами профилактики заболевания каплевидным псориазом является здоровый образ жизни, исключающий курение и употребление алкоголя, избежание стрессовых ситуаций. Очень важным также есть соблюдение сбалансированной диеты, в которой должны преобладать овощи и фрукты, а мясные, молочные и зерновые продукты в рационе больного могут занимать не более 20-30%. Также для больных каплевидным псориазом важно пить много жидкости (1,5-2 литра в сутки). Не лишним для профилактики заболевания и приём ванн, содержащих различные отвары из трав и их сборов.</span></p>",
            "clinical_picture": "<p>&nbsp;</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;\">Заболевание имеет волнообразное течение, на смену ремиссии приходят рецидивы, особенно частые в осенне-зимний период. Клинические проявления каплевидного псориаза возникают спонтанно. Первичным элементом является ярко-красная папула каплевидной формы от 3 до 10 мм в диаметре, покрытая серебристой чешуйкой. Папулы растут по периферии, сливаются и превращаются в бляшки. При травмировании элементы склонны к изъязвлению и трансформации в экссудативный псориаз. Появление сыпи сопровождается зудом. Сыпь располагается на туловище и конечностях &ndash; это типичная локализация первичных элементов каплевидного псориаза. Лицо практически всегда остаётся свободным, ногтевые пластинки не поражаются. Сыпь может разрешиться самостоятельно или трансформироваться в более тяжёлую разновидность псориаза. Исчезновение сыпи не является гарантией выздоровления.</span></p>",
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                    "lead": "Это патологическое состояние сухости и истончения волос, при котором волосы раздваиваются (секутся) и обламываются. ",
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            },
            "code": "L40",
            "name": "Псориаз",
            "icd_name": "Псориаз",
            "gender": 0,
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            "slug": "l40_psoriaz",
            "lead": "Это хроническое неинфекционное заболевание кожи, сопровождается появлением красновато-розовых высыпаний и шелушений кожи.",
            "description": "<p>Псориаз -&nbsp;<span style=\"background-color: transparent; font-family: Verdana; font-size: 7pt; white-space: pre-wrap;\">&nbsp;хроническое неинфекционное аутоиммунное заболевание, поражающий в основном кожу.</span></p>",
            "etiology": "<p>Существует несколько теорий, каждая из которых имеет научное подтверждение:</p>\r\n<ul>\r\n<li>Иммунная теория, согласно которой заболевание является следствием ряда дисфункций в работе иммунной системы. Предполагается развитие аутоиммунного ответа, в результате которого в толще кожи скапливается большое количество Т-лимфоцитов. Это приводит к хроническому воспалению и утолщению пораженного участка. Подтверждается теория тем фактом, что при биопсии псориатической бляшки можно обнаружить высокую концентрацию иммунных клеток, а также тем, что на течение заболевания в значительной степени влияет использование иммунных препаратов.</li>\r\n<li>Наследственный фактор связан с врожденной патологией генетического материала. Ученые уже установили несколько участков ДНК, мутация которых наблюдается у пациентов с чешуйчатым лишаем. Эти гены в основном отвечают за созревание иммунных клеток (Т-лимфоцитов). Поэтому при их поломке вероятность псориаза значительно повышается. Если родители страдают от данного заболевания кожи, то риск развития дерматоза у детей на 50% выше.</li>\r\n<li>Генетическая теория схожа с наследственной, однако в данном случае рассматриваются гены, мутация в которых может возникнуть в любом возрасте.</li>\r\n<li>Эндокринный фактор подтверждается тем фактом, что у большинства пациентов с псориазом имеются какие-либо изменения со стороны эндокринных органов (гипофиз, поджелудочная и щитовидная железа). Кроме того, у этой категории пациентов нередко присутствует нарушение синтеза и выделения мелатонина. Также на течение заболевания может оказывать уровень половых гормонов.</li>\r\n<li><a title=\"Перейти на страницу симптома &lt;a href=\" href=\"/admin/icd/symptom/trevozhnost/\">Тревожность</a>&nbsp; Стресс и сильное потрясение способны привести к манифестации заболевания или к обострению его симптомов. При этом за счет выброса в кровь гормонов запускается ряд биохимических реакций, которые приводят к появлению чешуйчатой сыпи на коже.</li>\r\n<li>Обменная теория основа на том, что ученые выявили повышенный уровень липидов у пациентов с псориазом. Кроме того, при обострении заболевания изменяется азотистый обмен и повышается общий уровень токсинов в организме.</li>\r\n</ul>",
            "pathogenesis": "<p>При этом дерматозе деление клеток кожи происходит почти в тридцать раз быстрее. Так как они не успевают полностью созреть, межклеточные контакты утрачиваются. Это и приводит к образованию характерных чешуек.</p>",
            "diagnostics": "<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-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Врачи ставят диагноз псориаза на основании внешнего вида чешуек и бляшек, а также их локализации на теле. </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-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">С учетом причины заболевания и имеющихся симптомов врач может назначить следующие виды обследования:</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-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">- биопсия поражённого участка.</span></p>",
            "treatment": "<p>При этом заболевании наибольшей популярностью пользуются средства для наружного применения. В их состав могут входить несколько компонентов, которые предотвращают избыточное деление клеток кожи, а также смягчают и уменьшают кожный <a title=\"Перейти на страницу симптома Зуд\" href=\"/symptom/zud/\">зуд</a>. Названия препаратов разные, но чаще всего они содержат следующие вещества:</p>\r\n<ol>\r\n<li>Глюкокортикостероидные гормоны, которые уменьшают воспалительные явления и угнетают реактивность иммунной системы. При местном применении гормоны оказывают менее выраженное системное влияние. Входят в состав Элокома, Адвантана.</li>\r\n<li>Витамин Д входит в состав большого количества препаратов для местного применения. Наибольшая его эффективность для лечения псориаза показана при сочетании с ультрафиолетовым облучением.</li>\r\n<li>Деготь применяется в основном для терапии очагов, расположенных в области волосистой части головы.</li>\r\n<li>Активированный цинк быстро устраняет <a title=\"Перейти на страницу симптома Покраснение кожи\" href=\"/symptom/pokrasnenie_kozhi/\">покраснение</a> и кожный <a title=\"Перейти на страницу симптома Зуд\" href=\"/symptom/zud/\">зуд</a>. Этот компонент практически безвреден для организма.</li>\r\n</ol>\r\n<p>Среди препаратов для системного лечения псориаза выделяют:</p>\r\n<ul>\r\n<li>кортикостероиды, так как они регулируют обмен веществ и устраняют очаги воспаления, однако у них выраженный <a title=\"Перейти на страницу симптома Похмельный синдром\" href=\"/symptom/pohmelnyy_sindrom/\">синдром отмены</a>;</li>\r\n<li>цитостатики угнетают деление клеток эпидермиса, но наряду с этим ослабляют иммунную систему, и замедляют регенерацию и других тканей;</li>\r\n<li>иммуномодуляторы способствуют нормализации иммунных реакций, но эффективность их до конца не изучена;</li>\r\n<li>нестероидные противовоспалительные препараты уменьшают только выраженность зуда и воспаления, но не влияют на первичные изменения.</li>\r\n</ul>\r\n<p>Витамины и противоаллергические препараты используются дополнительно к основной терапии. Так как не существует действительно эффективного лекарства для борьбы с псориазом, его назначают совместно с физиотерапевтическими процедурами.</p>\r\n<p>Физиотерапия</p>\r\n<p>Среди наиболее часто применяемых процедур для лечения системных заболеваний, которым и является <a title=\"Перейти на страницу симптома Шелушение кожи\" href=\"/symptom/shelushenie_kozhi/\">Шелушение</a> кожи\"&gt;псориаз, выделяют нижеперечисленные:</p>\r\n<ol>\r\n<li>Гирудотерапия, при которой используются пиявки. Она улучшает кровоснабжение и нормализует иммунные реакции.</li>\r\n<li>Рыбка-доктор, размножающаяся в термальном источнике, помогает пациентам очистить кожу от высыпаний. Во время ихтиотерапии эти рыбки буквально съедают поверхностные слои бляшек на коже, погруженной в воду.</li>\r\n<li>Криотерапия, во время которой пациента помещают на несколько минут в камеру с температурой воздуха -1300С. После процедуры заметно уменьшается <a title=\"Перейти на страницу симптома Зуд\" href=\"/symptom/zud/\">зуд</a> и устраняются явления воспаления и отека.</li>\r\n<li>ПУВА-терапия объединяет в себе фототерапию и химиотерапию. После введения препарата, который накапливается в клетках с высокой способностью к регенерации, пациента облучают светом. Последний имеет определенную длину волны и способствует активизации фотосенсибилизатора. Таким образом удается достигнуть селективности воздействия.</li>\r\n</ol>",
            "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;\">Для предотвращения возникновения и прогрессирования заболевания рекомендуется придерживаться следующих рекомендаций:</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;\">1. Обеспечить должный гигиенический уход за кожей (принимать водные процедуры с использованием гипоаллергенных средств, не допускать пересыхания).</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;\">2. Носить одежду, сшитую из натуральных тканей и подходящую по размеру.</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;\">3. Включить в рацион продукты, богатые витаминами и минералами.</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;\">4. При наличии предрасположенности принимать профилактические лекарственные средства.</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;\">5. Минимизировать стрессовые ситуации.</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;\">6. Предотвратить травмирование кожного покрова.</span></p>",
            "clinical_picture": "<p>Как правило, изменяется кожа, которая расположена на разгибательных поверхностях (локти, колени) крупных суставов. Излюбленной локализацией является кайма волосистой части головы, и места, которые постоянно подвергаются травме или трению. Однако этот признак нельзя считать диагностическим критерием, так как при атипичных формах чешуйчатого лишая затрагиваются и другие поверхности кожного покрова.</p>\r\n<p>Размеры высыпаний могут быть различными. Первичными элементами считают мелкие <a title=\"Перейти на страницу симптома Папулы\" href=\"/symptom/papuly/\">папулы</a> ярко-красного или бордового цвета. Со временем размер их значительно увеличивается, также они имеют тенденцию к слиянию. В 90% случаев признаки псориаза включают образование стандартных бляшек, которые характеризуются триадой:</p>\r\n<ol>\r\n<li>Стеариновое пятно характеризуется легким соскабливанием серо-белых чешуек, напоминающих по внешнему виду стружку от свечки.</li>\r\n<li>Если продолжить скоблить поверхность бляшки, то после удаления всех чешуек проявится тонкая белая пленка, получившая название терминальной.</li>\r\n<li>Симптом кровяной росы можно выявить при удалении терминальной пленки. При повреждении сосочков кожи будет возникать не обильное <a title=\"Перейти на страницу симптома Кровотечение\" href=\"/symptom/krovotechenie/\">кровотечение</a>, а капельное.</li>\r\n</ol>\r\n<p>Существует и несколько именных признаков заболевания:</p>\r\n<ol>\r\n<li>Симптом Кебнера заключается в том, что псориатические <a title=\"Перейти на страницу симптома Сыпь\" href=\"/symptom/syp/\">высыпания</a> появляются в местах, подверженных травме (трению, царапинам и т.д.). Он характерен для прогрессирующей стадии заболевания.</li>\r\n<li>Симптом Воронова характеризуется образованием бледного ободка вокруг вновь образованной <a title=\"Перейти на страницу симптома Папулы\" href=\"/symptom/papuly/\">папулы</a>, еще не покрытой чешуйками. Это является своеобразной сосудистой реакцией организма и означает дальнейшее прогрессирование заболевания.</li>\r\n</ol>",
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