05/05/2018
PSORIASIS IN HOMOEOPATHIC APPROACH . HANDLE THE PATIENT IN HOLISTIC APPROACH WITH SELECTION OF SIMILIMUM ON MIASMATIC BACKGROUND ...........................Psoriasis is an insusceptible interceded illness that influences the skin. It is commonly a long lasting condition. The name psoriasis is from the Greek dialect, significance harshly "tingling condition" (psora "tingle" + -sis "activity, condition"). There is as of now no cure, however different medications can serve to control the manifestations. Psoriasis happens when the resistant framework mix ups an ordinary skin unit for a pathogen, and conveys broken indicators that reason overproduction of new skin cells. It is not infectious. Psoriasis has been joined to an expanded danger of stroke and treating high blood lipid levels might accelerate change. There are five sorts of psoriasis: plaque, guttate, opposite, pustular, and erythrodermic. The most well-known structure, plaque psoriasis, is ordinarily seen as red and white shades of layered fixes showing up on the top first layer of the epidermis (skin). A few patients, however, have no dermatological signs or manifestations. In plaque psoriasis, skin quickly amasses at these locales, which gives it a shimmering white presence. Plaques oftentimes happen on the skin of the elbows and knees, however can influence any zone, incorporating the scalp, palms of hands and soles of feet, and privates. Rather than skin inflammation, psoriasis is less averse to be discovered on the external side of the joint. The confusion is an endless repeating condition that shifts in intensity from minor restricted fixes to finish figure scope. Fingernails and toenails are much of the time influenced (psoriatic nail dystrophy) and might be seen as a confined sign. Psoriasis can likewise cause irritation of the joints, which is regarded as psoriatic joint pain. Between 10% and 30% of all individuals with psoriasis additionally have psoriatic joint pain. The explanation for psoriasis is not completely comprehended, yet it is accepted to have a hereditary part and neighborhood psoriatic progressions could be triggered by a damage to the skin reputed to be the Koebner wonder. Different natural elements have been inferred as disturbing to psoriasis, incorporating oxidative anxiety, push, withdrawal of systemic corticosteroid, and other ecological components, however few have demonstrated measurable essentialness. There are numerous medications accessible, yet due to its incessant repetitive nature, psoriasis is a challenge to treat. Journal of Clinical & Experimental Dermatology Research facilitates the readers to go through a wide range of articles on Psoriasis. Perusing through the articles, dermatologists and all other health awareness experts working in the field of dermatology can get to persistent redesigns that may help them to enhance the nature of consideration and the conclusion for patients. Pathology of Psoriasis-
Psoriasis is an immune-mediated (or autoimmune) disorder that occurs when immune cells known as T lymphocytes, or T cells, attack healthy skin cells in both the nonvascular h***y outer layer of the skin and its deeper vascular layer. This attack causes the life span of the skin cells to shorten to about 3 to 5 days (skin cells normally live about 20 to 28 days) and forces the cells to reproduce more rapidly than normal. Triggers:
Infections, such as strep throat or thrush
Injury to the skin, such as a cut or scrape, bug bite, or a severe sunburn
Stress
Cold weather
Smoking
Heavy alcohol consumption
Certain medications — including lithium, which is prescribed for bipolar disorder; high blood pressure medications such as beta blockers; antimalarial drugs; and iodides. Complications of Psoriasis–
Thickened skin and bacterial skin infections caused by scratching in an attempt to relieve severe itching
Fluid and electrolyte imbalance in the case of severe pustular psoriasis
Low self-esteem
Depression
Stress
Anxiety
Social isolation
There is a greater risk of metabolic syndrome, a cluster of conditions that include high blood pressure and elevated insulin levels; inflammatory bowel disease; cardiovascular disease; and, possibly, cancer.
The Major complication is Psoriatic Arthritis:
Psoriatic arthritis is a chronic disease characterized by a form of inflammation of the skin (psoriasis) and joints (inflammatory arthritis).
It features patchy, raised, red areas of skin inflammation with scaling. Psoriasis often affects the tips of the elbows and knees, the scalp and ears, the navel, and around the ge***al areas or a**s. Homeopathic Medicines of Psoriasis-
(1)Arsenic Album – excellent psoriasis remedy in which psoriasis, worse by cold application and wetness, better by warmth.
(2)Kali Brom – remarkable psoriasis remedy in which there is syphilitic psoriasis. Skin cold, blue, spotted corrugated, large, indolent, painful pustules.
(3)Thyrodinum – one of the best psoriasis remedy for chilly and anemic subjects. Dry impoverished skin; cold hands and feet.
(4)Radium Brom – psoriasis of p***s, itching eruptions on face oozing, Patchy erythema on forehead.
(5)Apis mellifica — for skin rashes that feel hot and dry and are sensitive to touch. Symptoms improve with cool baths and worsen with heat. This remedy is most appropriate for individuals who often feel sad, disappointed, or even depressed. They tend to cry easily but may also be irritable and envious by nature.
(6)Calendula –– used topically, particularly if the affected area becomes inflamed. This remedy will soothe but not cure the skin condition.
(7)Rhus toxicodendron — used for psoriatic arthritis and for skin disorders accompanied by intense itching that worsens at night and improves with the application of heat. This remedy is most appropriate for individuals who are generally restless and unable to get comfortable at night.
(8)Sulphur — for skin disorders that are accompanied by intense itching. This remedy is most appropriate for individuals who are thirsty, irritable when not feeling well, uninspired and messy under ordinary circumstances, and who describe a sensation of internal heat and burning. Symptoms tend to improve with open, cold air and worsen with warmth.
(9)Kali Arsenicosum– Kali Arsenicosum has marked action on skin disorders like eczema, psoriasis and ulcers. There is dry, scaly eruptions with itching worse from warmth, walking and un******ng. It is also useful in chronic eczema. There are fissures in bends of arms and knees. There are numerous small nodules under the skin. Intolerable itching worse while un******ng in psoriasis.
(10)Kali Sulphuricum- Kali Sulphuricum has marked action on psoriasis. There are burning, itching, papular eruptions. Skin is dry, hot and burning. Itchy eruptions in nettle rash in children. Kali Sulph also helps in seborrhoea or dandruff and ringworm of scalp or beard with abundant scales. Sores on skin with thick, profuse, yellow watery secretion.
The inflamed joints become painful and swollen and sometimes hot and red. Joint inflammation in the fingers or toes can cause swelling of the entire digit, giving them the appearance of a cocktail sausage.
Joint stiffness is common and is typically worse early in the morning.
