Psoriasis

PSORIASIS

pSORIASIS a chronic constitutional disease, which is characterised by cutaneous lesions of the squamous type on the skin with itching as main complaint with silvery scaly plaques or eruptions and may bleed as a droplet on scratching . It normally appears in the early years of the childhood, or at almost any later period upto middle age. It is rarely seen to occur during infancy and old age. Psoriasis occurs throughout the globe; in the temperate zones. Nearly 2% of the population is affected.

Psoriasis has tendency to recur and it is one of the difficult disease to be cured. The most obstinate cases are those of Psoriasis Numularis of the back and buttocks, in which there is much elevation and thickening and deep redness, and psoriasis about the hands and feet.

There is no specific cause known for this disease. Aetiological factors can be

Genetic factors

Infection

Emotional trauma

Mechanical trauma and Drugs

It is considered to be a constitutional affection and connected with similar conditions to those underlying Eczema. It is believed by some that the eruptions are purely local or are due to the presence of some parasite. Though no conclusive evidence is available. The another school of thought say that it is but a relic of Syphilis handed down from a remote ancestor. This view also has little to support it.

Certainly Psoriasis is often seen as Hereditary. Males are more affected than the Females and it is common between the age of 15 to 30 years of life. It is widely seen that the persons of sanguineous temperament are most liable to the disease and no class of society is particular to be affected and it is also seen both in winters and summers.

It may be seen in the form of extensive eruptions on the skin of the individuals who otherwise enjoy the most robust health in general , and on the contrary it may appear only during periods of temporarily debility, as in women during pregnancy and lactation.

First manifestation is Small Red Papules, soon decked with a White Scale.

They may appear as few and scattered, or many and closely aggregated.

The scaly papules increase at their periphery, becoming flattened patches from the size of a pea to that of a coin or even larger.

When the progress of the disease continues, neighbouring patches encroach on each other, and in time coalesce, giving rise to irregular gyrate forms.

Coincident with the peripheral extension there is an increase in the infiltration or thickening of the skin, and the scales become large, imbricated , and more or less adherent.

On forcible removal of the scales, a red infiltrated patch is brought to light, on the surface of which minute Droplets of Blood may be seen.

Itching

Greater portion of the surface ,may undergo a gradual involution and disappear on the attainment of the disease to its maximum development .

Plaque psoriasis

Flexural psoriasis

Pustular Psoriasis and Nail involvement.

It is essential to learn to distinguish Psoriasis from

Syphilis

Eczema

Exfoliative Dermatitis or Dermatitis Exfoliativa .

There are few different types or varieties also known of psoriasis.

Psoriasis Capitis:- Head is the one of the commonest site of the disease, next to the elbows and knees. The whole scalp may be affected or there may be only one o two small points of eruption, when extensive , the disease travels on to the forehead, forming a kind of fringe along it at upper part. There is co - existent disease elsewhere. The hair on the scalp thins out frequently when psoriasis attacks it.

Psoriasis Faciei :- In this the patches on Face are usually circular, less hyperaemic, less thick and less scaly in comparison to the psoriasis affecting the other parts of the body.

Psoriasis Palmaris and Plantaris :- These are important local and infinitely rare varieties . Of course , instances of so- called posriais palmaris and plantaris are common enough, but they are practically always syphilitic.

Psoriasis Syphilides :- Psoriatic syphilides always indicate the presence of a grave variety of syphilis and that they occur most commonly in cachectic subjects. In some cases they may appear as late manifestations of the disease. Precipitating factors can be Old age ,Alcoholism, Acquired or Congenital Dryness of the skin and perhaps also Gout.

Psoriasis Unguinum :- It is mostly complication of the inveterate form of psoriasis., but it may exist alone. The nails usually many in number affected lose their polish, and soon become thick, opaque, irregular and brittle, later on they get fissured and discoloured because of dirt in lines, their matrix become scaly. Psoriasis also affects the scrotum and prepuce occasionally, the parts are swollen, red, hard, tender, scaly, fissured more or less, and give exit to a thin secretions, which adds to the scaliness, there are pain and pruritus, and the local mischief may be the sole, or part only, of general disease.

Blood Routine

Skin Biopsy

Psoriasis Cured

Had Lesions on neck and arm since May 2009.·Psoriasis, pustular eruptions with scaly.

·Silvery flakes peeling off.

·Itching, had profuse bleeding.

·Itching < bathing after/ sun exposure.

·Pain over eyelids with redness.

·Lips dryness in winters.

•Cracked heels during winters with bleeding and pain

·Perspiration profuse, staining clothes white.

·P/H: Smallpox during childhood.

·Hypothyroidism since April 2009.

·Hyperpigmentation

After taking Homoeopathic treatment for nearly 2 and a half year got completely cured.

MRS. C.P
Delhi

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