Psoriasis

WHAT IS PSORIASIS:-

Psoriasis is a long term (chronic) disorder that causes skin cells to grow too quickly,resuting in thick,white,silvery or red patches of skin.

Normally skin cells grow gradually and flake off about every 4 weeks.New skin cells grow to replace the outer layers of skin as they shed.But in Psoriasis new skin cells move rapidly to the surface of the skin in days rather than weeks.

They build up and form new patches called Plaques.

They most often appears on knees,elbows,scalp,hands,feet or lower back.

It is most common in adults but children and teens may also suffer.

  • CASUSES OF PSORIASIS

Psoriasis is an auto-immune condition in which the immune cells of body attack the body's own skin cells.It causes abnormally fast growth of cells leading to thick skin and excessive shedding of cells.

There are some triggering factors:

  • Bacterial infection,viral infection
  • Stress
  • Any cut, snake bite,injury to the skin
  • Environmental factors- sunburn,chemical burns
  • Smoking
  • Excessive alcohol
  • Certain medications
  • SYMPTOMS OF PSORIASIS:-
  • In psoriasis there is development of well defined scaly papules and plaques of various sizes.
  • Scales are dry,loose,abundant and silvery white.
  • When the scales are completely scraped off , a membrane with moist red surface is seen (membrane of Bulkeley).
  • On further scraping multiple bleding points can be seen (Auspitz sign).
  • If psoriasis is severe the skin becomes itchy,tender.
  • TYPES OF PSORIASIS:-

1.Mucous membrane Psoriasis-This occurs in children and often follows an upper respiratory infection.Many pinhead to pea-sized papules erupt abruptly over the trunk and limbs sparing the palms and soles.

2.Chronic plaque Psoriasis-Coin to palm-sized ,large,well defined,erythematous ,scaly plaques are distributed bilaterally on the elbows,knees,scalp and lumbosacral areas.

3.Exfoliative Psoriasis-In this type generalized erythema and scaling affecting more than 90%of body surface.It is precipitated by sudden withdrawl of corticosteroids.

4.Pustular Psoriasis-Superficial pustules instead of papules and scales are developed.May be localized on palms and soles or may be generalized.

5.Guttatte Psoriasis-Occasionally some patients ,usually children suddenly develop numerous,erythematous,scaly papules 0.5-1cm in size resembling Psoriasis.

6.Psoriasis Unguis-Characterstic changes in nails are seen in few patients such as multiple pin poin pits on the nail plate, separation of the nail plate from the nail bed called Onycholysis ,and brownish discolouration,thickening and irregularity of nail plate called Onychodystrophy.

7.Psoriatic Arthritis- It is a condition where there is psoriasis with joint affection.Symptoms include swelling,stiffness and pain in the affected joint.

  • DIAGNOSIS OF PSORIASIS:-

Diagnosis of Psoriasis is typically made by a physician examination,medical history and relevant family history.

Sometimes lab tests including microscopic examination of a skin biopsy and X-Rays may be necessary.

  • TREATMENT OF PSORIASIS:-

Allopathic Treatment-

Topical Treatments: Topical corticosteroids, Vitamine D analogues,Anthralin.Topical Retinoids,Salicylic acids.

Light Therapy,Oral injections like Retinoids,Methotrexate,Cyclosporine.

Homeopathic treatment-

Homeopathic remedy act in the body at the level of immunity and restore the deviated function. They also help to control the progress of disease.

Homeopathic Medicines-

Constitutional drugs – Ars.alb.,Borx.,Graph.,Merc.,Nat m.,Sulph.,Thyr.

Pustular Psoriasis-Calc.S.,Kali s.,Hep.

Others-Ars iod.,Kali ar.,Kali br.,Petr.,Med.Psor.