It is a chronic autoimmune skin disease, in which the skin cells form a mass of scales. Usually, these patches of skin, which are dry, red and itchy, occur on the skin of the back, scalp, palms, knees, elbows and around the fingernails and toenails. But some people have the patches all over the body. The patches may also crack, flake and bleed. While there is no definite cure, the symptoms can be managed and treated.

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

Causes of Psoriasis

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.

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.

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- most of these genes are related to the immune system. T cells (lymphocytes which affect cell specific immunity) can also cause psoriasis.

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.

Psoriasis: Symptoms and Causes

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 

A head full of shiny and healthy hair remains a dream for most of us. Hair loss is one of the problems caused not only by cosmetic impact but also by major psychological effects like low self-esteem, reduced confidence, and other personality issues. Ways to restore hair are always in demand; however, what is more important is to reduce hair fall. Read on to know some of the common ways of preventing hair fall.

Environmental factors
Emotional stress
Ageing
Genetics
Nutritional deficiency
Excessive smoking
Hormonal imbalances like thyroid
Anemia
Unhealthy hair products
Infections of the scalp
Chronic medical conditions like diabetes
Chemotherapy
This list can go on and on, however, when seeking treatment for hair loss, the doctor will be able to identify the underlying cause and suggest an appropriate treatment.

Hair oil massage: Coconut oil, almond oil, castor oil, gooseberry oil, and olive oil can all be used to provide nourishment to the hair. These restore moisture and nourish the scalp and help in restoring hair growth. For best results, use warm oil and apply slight pressure on the scalp. Repeating this process weekly will ensure best results.
Gooseberry: Vitamin C deficiency is one of the main causes of hair fall, and gooseberry is rich in vitamin C. Not just that, it also has high anti-inflammatory, antioxidant, antibacterial and exfoliating properties, which promotes hair growth and a healthy scalp. Amla powder or paste is available easily and can be mixed with water or lemon juice and left on the scalp for about an hour before washing it off.
Fenugreek: This is rich in ingredients and is highly useful in preventing hair loss. Fenugreek seeds contain hormone antecedents that enhance hair growth and help in rebuilding hair follicles. The seeds can be soaked in water overnight and ground to a smooth paste which can be applied for about an hour and then washed off.
Aloe vera: The alkaline property of aloe vera reduces the scalp pH, which promotes hair growth. It also has enzymes essential for promoting hair growth, reducing scalp inflammation, improving luster, and relieving scalp itching. A spoonful of aloe vera juice in the morning has multiple benefits on the body.
Eggs: Eggs are rich in proteins and minerals and are one of the best conditioners for hair. They also help in hair growth. It can be mixed with olive oil and applied on the hair and washed off after an hour.
Losing hair can lead to bald spots and eventual baldness, which can be easily controlled in a timely manner using the above measures.

Hair Fall - 12 Things Behind It!

What you need to know about the ring-shaped rash called lupus

Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

1. Excessive exposure to sunlight
2. Susceptibility towards infections
3. Certain anti-seizure, blood pressure and antibiotic medicines

Symptoms

The symptoms are neither distinct nor regular. However, some common symptoms could be-

1. Fatigue and fever
2. Pain in the joints, stiffness and swelling
3. Ring-shaped facial rash
4. Skin lesions on exposure to the sun
5. Chest pain and shortness of breath

What else can lupus lead to?

Several complications may arise if lupus is left untreated. Some of them are-

1. Kidney damage and failure
2. Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
3. Anemia, blood clotting, vasculitis etc.
4. Increased susceptibility to pneumonia
5. Increased risk of heart attacks and other cardiovascular diseases

Treatment

Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

If you would like to consult with me privately, please click on 'consult'.


What You Need to Know about this RING-SHAPED Rash on Your FACE!

Atopic dermatitis or as it is commonly known as, eczema, is one of the most common and recurring form of skin disease. Some of the common symptoms of eczema are redness, swelling of skin, temporary discoloration and dryness among others. It not only causes a significant amount of irritation, but is extremely persistent in its occurrence. Combating atopic dermatitis is a rather cumbersome task, often leading to anxiety and depression. It is indeed one of the most problematic skin hindrances. Dermatitis usually occurs due to the inflammation of the epidermis. 

Some of the more obvious causes are exposure to ultraviolet rays, familial predisposition, prolonged exposure to the offending allergen, latent infection, indigestion, hormonal imbalance among others. Occurrence of eczema considerably lowers the skin resistance and makes you vulnerable to various other skin troubles. Atopic dermatitis is especially congenital in nature. It has reported greater frequency in individuals whose family has some record of eczema or the other. Past incidents of asthma, hay fever may also act as triggers. Signs of eczema are usually manifested in itchy patches in the neck, scalp and palms. 

Given the commonness of the disease, there are numerous remedies for it as well. However, many vouch for the efficacy of homeopathy in curing such skin ailments. Homeopathy not only offers natural solutions to eczema but also detoxifies the system from within to curtail the frequency of such outbursts. Homeopathy also averts any kind of side effects. After closely scrutinizing the symptoms and their possible effects, homeopathy recommends a wide range of medicines to cure eczema. 

1. Sulphur: Sulphur is endowed with medicinal qualities. Used either as an ointment or in form of tablets, sulphur is used as arguably the best remedy for eczema.

2. Graphites: Graphites are extremely helpful in abating sticky oozes as well as eyelids. Graphites help in curing gelatinous discharges. 

3. Rhus Tox: Rhus Tox is an ideal therapy for dermatitis with itching and redness. It curtails the flare-ups and breakouts on skin. 

4. Mezereum: It is extremely helpful for weeping eruptions. It soothes intolerable itching and skin irritation.

5. Natrum Mur: Natrum Mur is extremely effective in curing hairline eczema.

Homeopathy and Atopic Dermatitis

One of the effects of ageing is the double chin that is caused due to extra fluid or fat under the chin. It could also be due to increased weight, sagging skin, or merely genetic. Given that it produces an aged appearance, people with double chin are constantly trying to find ways to hide it. There are two main muscles in the neck area, and toning them helps to remove the double chin appearance. There are grooming tips like specific kinds of clothes, hairstyle, and makeup to conceal it. There are also some exercises which are believed to reduce the prominence of the double chin. However, these are temporary measures, and for a permanent solution, surgical correction is the only method of choice.

Some of the new methods to get rid of the double chin are listed below with some important additional details. Talk to your surgeon and understand what to expect before going ahead with the surgical correction.

Kybella: Approved by FDA, this is the new wonder drug to correct double chin. With no surgery involved, all it takes is about half an hour. The area is injected with a local anaesthetic and then Kybella. This contains deoxycholic acid, which is an enzyme that the body also produces naturally. This helps break down fat cells and so after a couple of weeks, the double chin gradually begins to literally melt away. Depending on the desired results, repeat injections might be required at monthly intervals. There could be mild swelling in the initial couple of days, which will subside shortly. The result would be a more defined chin line, producing a slimmer appearance.
CoolMini: This involves freezing the fat and massaging it to remove the double chin. This is a form of chin sculpting and is preferred in people with good skin tightness. Results will be evident in about 1 to 3 months.
Skin tightening using infrared light: A beam of infrared light is aimed at the double chin which causes tightening of the skin by stimulating the underlying collagen and elastin layers.
Chin liposuction: In people with excess fat deposition, chin liposuction where the excess fat is suctioned off is a good treatment option. This is a time-tested method and produces results more immediately than the above-mentioned procedures.
Subsequent to any of the above procedures, it is better to make some lifestyle changes so that the double chin does not return. Weight management and regular exercise can go a long way in preventing recurrence of the double chin. Speak to your doctor to draw up a weight management plan and an exercise regimen that can help in the same.

Double Chin - Ways You Can Get Rid Of It!

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