【Case】I am 45 years old and work in a public institution in Dongguan. 6 years ago, for some reason, I suffered from psoriasis, although I saw it many times, but the recovery effect was not good. A few days ago, a psoriasis patient told me, "People with psoriasis cannot be in a cold, humid and unclean environment for a long time, because these places are very easy to breed a variety of bacteria and affect their health." In this regard, Gang Fenglei, director of the Psoriasis Clinic of Guangzhou New Century Hospital, clearly stated that this understanding view is correct. Here to remind psoriasis patients, in the autumn and winter humid and cold environment, pay attention to protect their skin, avoid trauma and contact with chemical substances, otherwise it will affect the effect of treating vitiligo, and even aggravate the disease.
Excessive work pressure is also a very important factor in the onset of psoriasis
"When it comes to psoriasis (commonly known as psoriasis), many people think that it is just a skin disease, but in fact it is a misunderstanding." Director Gang Fenglei said that psoriasis is a chronic, immune-mediated disease induced by environmental factors such as infection, trauma and drugs on the basis of the presence of genetic susceptibility genes, that is, psoriasis is a manifestation of immune system disorders, and psoriasis is also more likely to suffer from metabolic function, cardiovascular, joint injury and other diseases, but it is usually manifested as excessive epidermal hyperplasia, skin lesions and so on. Therefore, only paying attention to the skin condition and ignoring its genetic and environmental factors cannot obtain a good therapeutic effect.
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"The study found that cold and humid environments are very unfavorable to psoriasis, so the incidence of psoriasis in the north is higher than in the south, and most psoriasis patients will have symptoms in the summer." In particular, patients with psoriasis often have concomitant episodes with metabolic syndromes such as hypertension, hyperlipidemia, and diabetes, and obesity and high uric acid can also aggravate the condition." Director Gang Fenglei explained that because psoriasis is an immune systemic disease, there are many factors that induce and aggravate it, such as colds, tonsillitis and other diseases, climate, air pollution, smoking, drinking, insomnia, spicy food, drugs, mental stress, etc. may induce and aggravate psoriasis. In addition, excessive work pressure is also a very important factor in the incidence of psoriasis, especially in young people, overwork, sleep disorders, nervousness and anxiety are important triggers and aggravating factors.
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Director Gang Fenglei stressed that many people think that psoriasis is just an ordinary skin disease, but in fact, psoriasis is a complex immune-related inflammatory disease, so the treatment must be formal. In addition, regulating sleep, stress, and developing a healthy lifestyle are also important for disease management.
Chronic treatment of chronic diseases is the best scientific attitude to deal with psoriasis
"Chronic treatment of chronic diseases is the best scientific attitude to deal with psoriasis, and it is very harmful to rush to the hospital." Director Gang Fenglei said that many patients are self-treating after suffering from psoriasis, Accounting for 40% in Europe and the United States, while the proportion of patients in China is even more amazing, as high as 82.3%, of which 24.1% of patients have listened to false advertising.
"Hazards from irregular treatment include secondary infections and heart failure, joint damage, and even impairment of liver and kidney function." Director Gang Fenglei said frankly that although psoriasis is difficult to cure, as long as the treatment is standardized, avoiding inducements can effectively reduce the recurrence of psoriasis, stabilize the condition, and alleviate symptoms. For example, in the past, psoriasis mostly used traditional treatment methods such as topical medication, light therapy, and oral immunosuppressants, but there are still some patients whose treatment effect is not ideal. With the continuous advancement of medicine, the continuous advent of a variety of innovative drugs has changed the treatment situation of psoriasis. In recent years, the representative innovative drug of psoriasis is biologics, and many patients can achieve 90%-100% of the skin lesions after use, which greatly improves the quality of life of patients.
◆ Expert recommendation: Mediterranean diet, eat less seafood red meat
"Psoriasis patients usually prevention is very important, receiving formal treatment is the most important way, in addition to appropriate exercise, avoid cold and humid environment, more sun, maintain an optimistic attitude and good eating habits." We recommend the Mediterranean diet. Director Gang Fenglei believes that eating a low-calorie diet, vegetarian or foods rich in unsaturated fatty acids, such as fruits, vegetables, and soy products, can help improve the condition of psoriasis patients. At the same time, for diets that may induce or aggravate, try to eat less seafood, "red meat", spices, and certain vegetables (such as toon, peppers, garlic moss) and so on.
◆ Expert advice: Vitiligo patients should maintain an optimistic mood
Director Gang Fenglei suggested that patients with psoriasis should carefully choose professional skin care products. In life, clothes should be wide and fit, especially underwear, underwear, bras should not be too tight, and the belt should be loose. Clinically, leukoplakia under the breast, waist, groin, etc., are often caused by local compression. Underwear and underwear are pure cotton products as much as possible, and fibers should not be worn. Avoid contact with rubber compounds, often contact with rubber products such as rubber gloves, rubber shoelaces, etc., often cause local decolorization and the appearance of white spots, and also occurs in distant parts of the white spot damage. In addition, frequent exposure to gasoline, paint, asphalt, etc., is also easy to cause vitiligo. In addition, frostbite and burns can cause the occurrence or development of vitiligo, so burns, frostbite and other infections should be avoided.
Correspondent: Guo Xu
Editor-in-charge: Guo Jing
Photo: Courtesy of the correspondent
Text Proofreader: Guo Jing