Athlete's foot is a common form of a fungal infection. It most commonly occurs between the toes and is medically known as tinea pedis. The most common cause are sweaty feet which when enclosed inside a tight-fitting shoe for a prolong time leads to this condition. The most common symptom of athlete's foot is a scaly rash which causes itching and burning on your foot. It is a contagious disease and is most commonly spread through towels or clothing of people who have that disease. It can also be spread through the floors which people with athlete's foot walk on. Here is everything you need to know about athlete's foot.

Causes
1. Dirty wet socks inside covered shoes
As mentioned earlier, athlete's foot is a contagious disease which originates from wearing dirty wet socks inside covered shoes. 
2. Infection
You may also get it by coming into contact with an infected person or their towels and/or clothing. Even walking on the same floor as they walk on may cause an infection.

Symptoms
1. Scaly red rash
There is usually a scaly red rash in between the toes when you have athlete's foot.
2. Itching
There will be severe itching throughout the persistence of this disease especially when you first take off your shoes.
3. Blisters and ulcers
This is not a very common symptom of athlete's foot. However, blisters and ulcers do occur on certain types of athlete's foot.
4. Chronic dryness and scaling
This occurs on the soles of the feet and then slowly starts spreading upwards. These symptoms only occur on the type of athlete's foot known as moccasin. Due to this, athlete's foot is often mistaken for eczema and sometimes even dry skin.
5. Spreading to the hand
Athlete's foot always starts in your legs and in some cases spread to your hands as well. The likelihood of athlete's foot spreading to your hand is increased if you scratch or pick at the areas of the foot infected.

Treatment
There are three stages of treatment and these depend on the severity of the infection.
1. Over-the-counter medicines
In the first stage of treatment, the doctor will simply prescribe over-the-counter antifungal ointments, sprays or powders.
2. Prescription medications
In the next stage of treatment, prescription medications need to be applied to your feet.
3. Antifungal pills
If nothing else works, only then should antifungal pills be prescribed.

All About Athlete's Foot

Psoriasis is a chronic skin disease where the skin cells form a mass of scales. These patches of skin are dry, red and itchy. It is an autoimmune disease which usually occurs on the skin of the back, scalp, palms, knees, elbows and around the fingernails and toenails, but some people have the diseased patches of skin all over the body. The patches may also crack, flake and bleed. The condition has no definite cure but the symptoms can be treated and managed.

Causes of psoriasis

The following factors are proven to have contributed to cases of psoriasis:

1. Genetics
More than 32% of the cases of psoriasis have been linked to genes. In case of identical twins, if one twin has the disease, the other has a 70% chance of getting it too. There are several genes associated with the disease and most of these genes are related to the immune system. T cells (lymphocytes which affect cell specific immunity) can also cause psoriasis.

2. Hiv
Human immuno-deficiency virus adversely affects the immune system and increases susceptibility of all kinds of infections and diseases. Hiv-positive individuals have been found to have an increased risk of psoriasis than hiv-negative people.

3. Other diseases
Diseases like strep throat, chronic infections, skin infections and stress may be responsible for the condition. Other factors like obesity, alcoholism, skin dryness and smoking can also lead to psoriasis.

4. Medication
Anti-malarial, anti-inflammatory and blood pressure medicines can cause psoriasis as a side effect. The disease is also an effect of withdrawal from topical steroid creams and other steroid-based medication.

Symptoms of psoriasis

The symptoms of psoriasis may vary from patient to patient. However, if more than two of the following signs are seen, it is likely that psoriasis is the causative condition:

1. A whitish and silvery mass of scales surrounded by red patches of stinging, itchy skin
2. The appearance of blisters or rashes on the dry scaly skin and also along the nails
3. Bumps on the folded skin like back of the knees, armpits etc.
4. Diseased patches of skin can crack, peel and bleed
5. A sharp and localized pain in the joints accompanied by stiffness
6. Soreness in the throat
7. Tiny depressions in the nails or large brown patches under the nails
8. Swelling and tenderness of the limbs
9. Dental plaque
10. Muscle pain due to the swollen bands of connective tissue


Causes and Symptoms of Psoriasis

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

Moles are a common form of growth or formation on your skin that appear often in the form of small, black spots. They can develop anywhere on the body. They usually occur during adolescence or childhood and with the passage of time, they may change colour. Moles are a type of skin growth, which usually do not go away with time.

On the other hand, freckles are often described as round, flat, dark colour spots which vary in size from about 2mm to 4mm. They may result from pigment precipitation in one particular area as the skin that surrounds the dark spot is comparatively lighter in shade. Being sensitive to the sun s ultra violet rays, freckles become more noticeable during or after sunlight exposure. Although freckles are usually found in areas which are not covered from the sun s exposure, they could also occur anywhere on your body.

What causes them?
Moles are caused due to certain skin cells, known as melanocytes, grow in a very close group instead of being evenly and normally spread across the skin. Moles that occur during birth are called congenital nevi and their chances of occurring are around 1 in a 100. These moles are more prone to develop into skin cancer (melanoma) in later stages of life.

Freckles on the other hand are 

Genetically transferred, so the chance of you becoming affected are higher, if any of your parents have it.
If there s a prolonged exposure to the sunrays, then freckles may appear on your skin and they become even more prominent on a fair skin. Since the presence of melanin is less in people with fair skin the sunlight exposure causes these dark spots to surface easily
Hormonal imbalances could be yet another reason for freckles to appear as estrogen could be over-stimulate cells that produce pigment and thus become more prominent in the presence of sunlight.
Rare disorders like Xeroderma Pigmentosum (a condition leading to extreme light sensitivity and also skin cancer in certain cases) can make your skin more sensitive to the UV rays, thus resulting in freckles.
Treatment of moles and freckles

Laser Treatment: There are different types of lasers which are absolutely safe and can help reduce or lighten these dark spots effectively.
Cryosurgery: The physician would use a light freeze in conjunction with liquid nitrogen to reduce the spots of freckles. However, not every spot responds to this kind of treatment.
Retinoids: Mostly used with a combination of other bleaching creams, retinoids help reduce freckles when used continuously for a couple of months.

Moles and Freckles? How They Can Be Treated?

Atopic dermatitis is also known as Eczema. This is a kind of skin ailment that produces boils on the skin due to an inflammation of the dermis or the upper layer of the skin. There are many forms of atopic dermatitis.

Causes

Atopic dermatitis may be caused due to several reasons including a family history of the same, in which it is a genetic problem. It may also be caused when the patient has a weak immune system, which causes a reaction to any kind of disturbance in and around himself or herself, in which it is caused due to environmental factors.

Treatment

Let us find out the various homeopathic means of treating this condition, and understand whether or this form of treatment is efficient or not. One must remember that any kind of homeopathic medicine or other forms of medication must only be prescribed by a certified medical practitioner.

Curing from the roots- The homeopathic way of treatment usually includes curing a problem from the roots rather than merely suppressing the painful symptoms. When medication is used to just suppress the symptoms, the problem continues to persist and becomes even more pronounced when the medication is not in use. For conditions such as atopic dermatitis, the doctor will usually prescribe medicines that will go forth and cure the very root of the problem that may be causing the condition in the first place. While this may be a time taking process, it will be a long term cure and treatment measure for the same.

Working on the immune system- In many cases, conditions like eczema may be borne due to stress-related issues, which usually lead to a weakened immune system. This is an issue that is addressed and treated appropriately by homeopathic medication so that the allergy causing elements may be treated and removed accordingly, even as the immunity is strengthened. This makes homeopathy an effective form of treatment for this condition.

Graphites- This homeopathic medication is used when the symptoms include constipation along with changes in the physical appearance of the skin, which becomes rough and hard.

Mezereum- This medicine is most effective when a crust like formation can be seen around the boils. The medicine is also useful when there is accumulation of pus under the crust.

Sulphur- Many patients suffering from atopic dermatitis complain of intense pain along with a burning and itching sensation, which they cannot seem to contain. This medicine usually helps such kinds of symptoms by soothing the affected area.

Dulcamara- This medicine is most useful if and when the condition becomes worse due to a cold and damp weather, in which case the boils may flare up and lead to the oozing of pus and lots of itching.

Homeopathic Treatment For Atopic Dermatitis

Urticaria or hives are red, raised lesions that occur anywhere on the body, usually around the trunk, hands and legs. They appear as small round rings or large patches that changes shape, may itch and be surrounded by a red flare. They can be acute or chronic, with acute almost always being an allergic reaction. It is often due to unknown causes, ranging from chronic irritation to parasitic infection to temperatures to water types.

Homeopathy treats diseases as a whole, and similarly, when treating urticaria tries to identify associated symptoms and thereby treat the cause also. After a detailed discussion about predisposition and associated symptoms, a customized remedy will be prescribed, which may include one of the following common homeopathic remedies.

Apis Mell: The hives consist of isolated patches that are painful, tender, itch at night, feel like bee stings, become purple. There is burning pain, slight fever, and warmth of the surrounding skin. It is worsened by changing weather and exercise, causing severe itching and burning. The patient may already have asthma.
Arsenic Album: The urticaria is caused by eating shellfish and causes burning and restlessness. The condition gets worse being at the seaside and by getting into sea water. Arsenic is also useful to treat urticarial symptoms during the recession of the lesions. The person also could be down emotionally with depression, despair, indifference and irritability. If the lesions are more severe, the restlessness is also severe. It is worse after midnight, from 1 to 2 a.m.
Rhus toxicodendron: Prepared from the leaves and bark of the plant poison ivy, Rhus works on multiple body systems including skin, joints, eyes, extremities, and overall vitality. In addition to urticaria, it is also used in cellulitis, arthritis, fevers, etc. It is effective if the urticaria has a burning sensation, inflamed reddened rash that is worsened by cold and improved by warmth.
Urtica urens: Made from a plant called stinging nettle, which itself has a tendency to produce urticaria, it is used when there is urticaria from bee stings or after eating shellfish. The lesions are red with severe burning and itching, recurring every year, could be associated with weather changes.
Natrum Muriaticum: The common salt sodium chloride is potentized, and its inner healing power activated. It is used for chronic urticaria, where the lesions develop after severe irritation.
Dulcamara: The lesions develop followed a general prickly sensation setting in and at night when it is cold and damp. The hives are irregular white patches surrounded by a red area that itch badly. The hives are associated with violent cough, swelling of the lymph nodes, fever, restlessness, sleeplessness, decreased appetite, nausea, vomiting, bitter taste, and intense aching in pit of stomach.

Urticaria - 6 Homeopathic Remedies For Hives Disease

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