Scabies is a skin condition that causes the skin to itch. It is caused by a tiny burrowing mite, which is called Sarcoptes scabei. The presence of the mite in the burrowed areas causes intense itching, especially at night. This a contagious condition, which can quickly spread through physical contact in places like nursing homes, schools, prisons etc. Scabies is easily treatable by applying lotions to the skin that may kill the mite. Yet, one may still experience itching for several weeks.

The eight legged mite that causes the condition is microscopic. The female mite burrows just beneath the skin and makes a tunnel where it deposits eggs. These eggs hatch, mature and spread to the other areas of the skin or to the skin of other people. The body's allergic reaction to the mites, their eggs and wastes causes the itching.

Symptoms
Some of the symptoms of the conditions are severe itching, narrow irregular burrow tracks, which look like blisters or bumps on your skin. The burrow tracks generally appear in the folds of the skin. The common sites of the condition are between the fingers, armpits, around the waist, soles of your feet, knees, shoulder blades etc.

Complications
Some of the complications of the condition are:
1. Vigorous scratching, which can break your skin and can cause a secondary infection such as impetigo. This superficial skin infection is usually caused by the staphylococci bacteria.
2. Severe scratching can also lead to damaged and reddened skin, which in severe cases can start to bleed.

Risk factors
Crusted scabies, also known as Norwegian scabies is a severe form of the condition, which affects certain high risk groups, such as:
1. People with chronic medical conditions, such as HIV/Aids or chronic leukemia
2. Older people in nursing homes
3. People who are very ill

Risks and Complications of Scabies

Stretch marks, as the name suggest; appears when the skin is over stretched. These marks can also appear when the body loses its ability to stretch (use of certain steroids). Both the conditions affect the skin elasticity. As a result, white, red (turn pale over a period of time) or purple streaks appear on the buttocks, armpits, stomach, thighs and chest.

Many factors influence the appearance of stretch marks, also known as striae distensae
1. Elevated levels of cortisone hormone (produced by the adrenal gland) play a pivotal role in the appearance of stretch marks.

2. Stretch marks are common during pregnancy. As the foetus grows in size, the skin tends to stretch more and more. This stretching provides sufficient space to the developing foetus. A hormonal imbalance can also mark the appearance of stretch marks during this period. In some, the stretch marks appear after pregnancy.

3. Stretch marks are sure to appear when a person experiences a sudden change in the body weight (weight gain or loss). These marks can also be seen in children who are in their growing phase (teenagers).

4. Use of corticosteroids (steroid hormones produced by the adrenal cortex) can leave your body with the unwanted stretch marks. It is advisable to use corticosteroids (pills or cream) under medical supervision.

5. Stretch marks may be an outcome of some genetic disorders such as ehlers-danlos syndrome and marfan's syndrome. Striae distensae can appear in people with cushing's syndrome (the adrenal gland produces the hormone, glucocorticoids in excess)

Stretch marks often affect person's confidence. Most people find stretch marks extremely annoying and embarrassing. They try every possible trick under the sun to camouflage and get rid of the unwanted marks. The stretch marks are generally harmless and can be treated.

1. Drink plenty of water. It is important to keep the skin hydrated. Bio oils, vitamin e enriched oils, certain creams, can effectively fades the appearance of stretch marks. Use of moisturisers containing cocoa butter and shea butter will speed up the fading process.

2. Loss or breakdown of collagen protein (fibrous protein) can result in stretch marks. For stretch marks that are not very old, tretinoin cream comes across as a huge relief. Application of tretinoin cream helps in the restoration of collagen protein. For pregnant women, it is best to avoid this cream.

3. In case the stretch marks are a little older, a person can go for microdermabrasion.

4. Another great technique is the pulsed dye laser therapy. This therapy works by enhancing the growth of elastin and collagen protein.

All the preventive measures and treatments can help to fade the stretch marks. However, none can guarantee complete disappearance of the marks.

Stretch Marks - Causes and Prevention Tips

Are you experiencing skin itchiness and development of dry, scaly rashes on your skin? This indicates you have eczema, which is a group of skin diseases occurring due to the inflammation and irritation of skin. Atopic dermatitis is the most common form of eczema. The disease can be controlled if proper treatment is undertaken.

Symptoms
Itchy skin is the most common symptom of eczema. In some cases, the itching starts before the development of the rash. The rash appears most commonly on the back of the knees, face, hands, wrists and feet. The affected areas become dry and thickened and in people with a fair complexion, the areas may turn reddish initially and then become brown.

Causes
The specific cause of eczema is yet to be determined. However, the condition is associated with an overactive response by the immune system to an external irritant. This response leads to eczema. The condition is more common in people who have a family history of allergies or asthma.

Treatment

As the condition turns the skin dry and itchy, certain creams and lotions are recommended to be used in order to keep the skin moist. You should apply these products when your skin is damp, ideally after taking a shower. This helps the skin in retaining moisture. You can use a cold compress to ease the itching.
Several creams such as hydrocortisone cream and ointments which contain corticosteroids are prescribed in order to reduce inflammation.
In case the affected area becomes infected, antibiotics should be taken to eliminate the infection-causing bacteria.
Antihistamines are used for reducing the severity of the itching. 
Prevention of Eczema Flare-ups

Moisturize your skin frequently
Avoid sudden changes in humidity or temperature
Abstain from overheating and sweating
Try to reduce stress
Avoid starchy material
Avoid soaps, detergents and solvents, which are harsh
Be aware of food items which trigger eczema flare-ups
It is recommended for you to consult a dermatologist if you experience any symptom of eczema. This will help you with a quick diagnosis so that you can start the treatment without further worsening of the symptoms.

Eczema - How You Can Prevent Its Flare-ups?

Have you tried one product after another during the dry weather and are still left with dry and itchy skin. Then your skin care product is to be blamed. Creams, lotions and oils all essentially perform the same job of moisturizing your skin. It is how they do it that is different.

There is a wide range of choices available in the market for all three products with individual variations in ingredients including types of oils like coconut, lavender, jojoba, etc., types of value proposition like 24-hour moisture lock, or intense hydrating care and flavors like rose, strawberry and even chocolate that leaves you smelling great.

The main difference between a cream and lotion:
The main difference between the two besides additives is their oil to liquid ratio. Lotions and creams, both contain oils and water. In lotions the proportion of water is more compared to oil. So it is more 'liquid' in nature and is easy to spread on the skin. Creams on the other hand, are thicker because of their higher oil content. They can typically be more 'greasy' in nature because of their consistency.

Choosing between the two:
Lotion and creams, both will do the trick, but it will depend on what you need and when you use it. Give a good thought to your skin. Is it always dry or only during certain times of the year. If your skin dries easily and you can see a white line if you scratch with your nail, you'll need a cream that absorbs more slowly and has benefits that stay longer.

Applying cream then creates a layer of oil that locks the moisture in your skin. The water does not evaporate, and your skin stays hydrated. Lotions are easy to spread on the skin. If your skin is already soft and supple and you simply need a layer to keep the dryness at bay, a lotion is a good choice for you.

Use both lotion and cream:
Morning, before bed, after baths or repeatedly throughout the day? The time you plan on using a moisturizing product will play a part in determining which type you choose. Creams are great to use right after a bath when the skin is soft after absorbing moisture. The cream then creates a protective layer of oil, which allows the skin to stay hydrated longer.

Creams are also great to use during bedtime when you don't have to worry about getting an oily look on your face or body. Lotions are best if you need to reapply during the day, for instance,  you wash your hands and face and need to dab on some quick moisture.

Should I Use A Lotion Or A Cream For Dry Skin?

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 

There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.

There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:

Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.
Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.

Secretions from implants
Endometrium plays a vital role in conception where the tissues secrete a wide variety of hormones and nutrients. Now, the endometrial implant also functions in the same way and secretes those hormones. The difference is that it does not deposit them in the lumen of the womb, and it is released in the abdominal cavity. In these substances, there may be some hormones that are responsible for infertility.

Prostaglandins
Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy. This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.

Just like the endometrium, the implants also secrete these hormones. And, the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.

A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.

How Endometriosis Leads to Infertility and Miscarriages?

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