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The extended progressive forms of psoriasis (relapsing course with the tendency toward dissemination and confluence of the plaques) require the designation of a complex treatment in a hospital.
Treatment of psoriasis in a hospital is sufficiently prolonged (from one-and-a-half to two months) process, which includes an entire complexities of measures - internal and external medications, physical therapy, etc.
Indications for hospitalization: severe forms of psoriasis, for example acute Pustular Psoriasis, Psoriatic Erythroderma.
Salicylic ointment or antipyretic hormonal ointments usually are prescribed in the progressive stage of psoriasis. They start with mild ointments - Hydrocortisone, Prednisolone. With repeated aggravations and expressed inflammation, it is necessary to use stronger ointments - fluoridated medicines (Celestoderm (Betamethasone Valerate), Synalar (Fluocinolone Acetonide), Vipsogal, Belosalic and others).
Severe forms of psoriasis require a complex systematic treatment with the application of detoxification, desensitizing, antipyretic medicines, external medicines and others. Psoriasis requires a constant observation by a dermatologist and systematic treatment. In recent years for psoriasis treatment, widely used has been Photo-Chemotherapy (PUVA), Hemoadsorption, blood purification - Plasmapheresis, and Cryotherapy - cold therapy.
In severe cases is possible to treat with Methotrexate.
Taking into consideration the undulating pattern of the flow of psoriasis, it is necessary to carry out the courses of anti-relapse therapy (vitamins etc.).
In the case of the development of Psoriatic Erythroderma occurs, it may be necessary for the designation of glucocorticosteroids. Psoriatic Arthritis requires acombined treatment with Methotrexate, corticosteroids, anabolic medicines and Indomethacin (Brufen, Ibuprofen); furthermore, used are: paraffin applications, massage, therapeutic gymnastics, ultrasound, muds etc.
Three main preparations, utilized with the severe forms of psoriasis, are Methotrexate, Neotigason and Ciclosporin. All these medications have numerous side-effects, which limits their application.
The heaviest atypical forms - Pustular Psoriasis, Arthropathic Psoriasis and Psoriatic Erythroderma - can develop from the very beginning of psoriatic disease or in the late stages as a result of the influence of unfavorable factors or inadequate treatment.
The contemporary medical methods of psoriasis treatment often help even the patients with severe forms of psoriasis to achieve a state of remission.
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