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"description": "Тяжелая хроническая незаразная болезнь кожи.",
"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>",
"pathogenesis": "",
"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>",
"image": "http://api.symptomd.ru/storage/7f4afb9a8c5b74da4df9de8530340372_R53Zc27.jpg",
"image_alt": "Парапсориаз",
"standard_type": 3,
"danger": 11,
"published": 1,
"parent": null,
"block_rubric": 123,
"standards": []
}
]
}
