Primarily common among middle-aged women, rosacea is a disorder which is characterized by redness and pus-filled bumps and blisters on the chin, cheeks and the forehead. As time progresses, these red bumps can get aggravated and result in other complications. It may also affect other parts of the body such as the back, neck and the chest. If the eyes are affected, then they might appear to be watery and bloodshot. It can also lead to formation of bumps and pimples on the face.

Causes
The exact cause of rosacea has not yet been ascertained. However, certain factors have been known to act as catalysts in the development of this disorder, such as problems of the blood vessels. It may also be caused by fungus and microscopic skin mites. Though more research needs to go into it, but psychological factors are often considered to be important reasons behind this disorder. Some other risk factors of rosacea are:

Gender: It is more common among women
Complexion: People with fairer skin are at a higher risk
Symptoms
The symptoms of this disorder can vary among individuals, but they all share a few common symptoms. The major symptoms of this disorder are:

Bumps and pimples: Similar to pimples, pus filled bumps and pimples are a few common symptoms.
Flushing: A flushed face or a face that appears reddish is one of the most common symptoms indicative of rosacea.
Visible blood vessels: The blood vessels on the face tend to become visible.
Thickening of the skin: The skin tends to thicken and enlarge, caused by the presence of excessive tissue.
Stinging and burning: One may experience burning sensations and inflammation on the face.
Treatment
There are two primary methods of treatment and the required type is decided upon after a through diagnosis of the symptoms. They are-

Medications: Topical and oral medications can be administered to treat symptoms of pimples, bumps and the reddish hue on the face. Medications help you manage the symptoms and prevent them from aggravating or resurfacing.
Surgical procedures: Surgical procedures for rosacea are aimed at reducing the excessive facial redness, remedying blood vessels that are visible and correct other deformities if required.
There are certain preventive measures that you can adopt, them being:
1. Avoid direct exposure to the sun
2. Don t overdo your exercise sessions
3. Avoid eating spicy foods
4. Take steps to minimize your stress levels

Swollen Red Bumps On Skin - Can It Be A Sign Of Rosacea?

What is Follicular transfer (FT) is also known as follicular unit extraction (FUE).

It is a type of hair transplant procedure which is less invasive than the other types. It is performed when the person has a good hair growth at the back or side of the head which becomes the donor s area.

How is it performed?

The procedure is performed by specially designed instruments under a high powered microscope which provides precision for best and natural results. When the part gets numb the follicles are isolated with a specialized punch device which extracts the follicular units completely with necessary glands. This method is used to separate the surrounding tissue from the follicular unit which results in minimal injury and undetectable scarring.
Then the follicles are removed without any damage to the area. If the scar is left behind it takes few days to heal proceeded by hair growth which takes about weeks.
Then the extracted hair is prepared and sorted for treatment.
Then the follicles are implanted in the scalp by making small incisions by microsurgical needles generally in a group formation of 1-4 to give a natural and recognizable look.
To create a natural hairline transacted hair are used, which will start to grow within weeks naturally. The length of your hair depends upon the follicular units grafts. Approximately 12 months later you will have re-grown hair.
You can get the discharge immediately after the treatment. In 5-7 days the healing takes place after which the redness and swelling disappear.
Advantages of Follicular Unit Extraction

Easy recovery: As there were small incisions made in the procedure which lowers the risk of widening which generally occurs in FUT procedure. This is the reason there are fewer limitations on exercise post-procedure.
Less scarring: FUE doesn t produce linear scarring on the donor's area because it doesn t require any sutures, scalpels; due to which you can wear your hair short too.
Quick healing: As there is less scarring, the time required for healing is very less as compared to FUT where the scarring is more, therefore, the healing is slow.
Disadvantages of follicular unit extraction

It s expensive: As the cost is decided on a number of sessions required for the procedure. FUE requires more sessions than FUT, as this transplants individual follicle units which are more time-consuming.
It s temporary: In most of the cases it doesn t last longer than FUT. because in this the follicular units are taken from a various area which leads to thinning of the donor zone and visible scarring.
Shaving: The one who doesn t like shaving can have a problem. Because FUE requires shaving of donor s area. Only in advanced procedures like long hair FUE, shaving is not required.

Follicle Transfer - Know The Benefits!

Soft growth occurring on the genitals are known as Genital Warts. Genital warts are infections that are transmitted through physical intimacy (STI). These are caused by certain behaviours of the human papillomavirus (HPV). These growths on the skin cause discomfort, pain and itching. They are particularly harmful for women since certain types of HPV might also cause cancer of the vulva and cervix. HPV is one of the most common sexually transmitted diseases. Due to this, sexually active people are most vulnerable to various health complications, including genital warts. Prevention of this infection requires essential protection and treatment.

Symptoms:

Transmission of genital warts occurs through sexual activity. Development of warts occurs several weeks after the infection. Sometimes, it is not possible to view them with the naked eye. The top of the growths might resemble a cauliflower and might feel slightly bumpy or smooth while touching. The person who is infected may have a single wart or a cluster of warts.

In males, the genital warts may appear in the following regions.

Groin
Scrotum
Penis
Thighs
Inside or around the anus
In females, they might occur in:

Cervix
Outside the vagina or anus
Inside the vagina or anus
In a case where the person has had oral sexual contact with the infected person, the genital warts might appear on the mouth, lips, throat or tongue of the person. In case the genital warts are not visible, the other related symptoms include:

Itching
Vaginal Discharge
Bleeding
Burning
Treatment

Even though the genital warts disappear with time, it is not possible to eliminate the virus once it is in the bloodstream. This would result in several outbreaks during the entire course of life. This is a vital reason why the symptoms should be managed so that transmission of the disease is prevented. Treatment is possible only for relieving symptoms that are painful or for minimizing their appearance. Some topical wart treatments prescribed by the doctor may include:

Podofilox and Podophyllin (Condylox)
Trichloroacetic Acid (TCA)
Imiquimod (Aldara)
Some surgeries that the physician might conduct to remove genital warts that do not disappear with time include:

Interferon injections
Laser treatments
Cryosurgery, or freezing warts
Electrocautery, or burning warts with electric currents
Excision, or cutting off warts
Periodic Pap smears after the initial treatment is recommended for women with genital warts to monitor changes in the cervix.

Genital Warts - Can They be Treated? 

Many people bite nails when they are anxious or stressed. However, knowing its harmful effects will only increase their anxiety and stress. About 30% of children, 45% of teenagers and 25% of young adults have the habit of biting their nails. Nail biting is one habit which sets in due to various reasons and just continues due to nervousness, boredom, frustration or stress. People tend to unconsciously bite their nails and over a period of time, it becomes very difficult to get rid of the habit.

A good understanding of the harmful effects of biting nails, to the overall health and oral health, can be a good starting point to quitting the habit. The harmful effects of nail biting on oral health effects are listed below:

Source of infection: The fingernails are more difficult to clean than the fingers and the rest of the hand. Therefore, there is a good amount of bacteria residing there, which get into your mouth and your stomach when you bite nails. The next time you wonder why your stomach is upset, take a good look at your nails.
Tooth chipping: The enamel is thinnest at the tip of the front teeth. When biting nails, there is a constant pressure on this thin enamel which can chip after a certain point of time. Another way that a tooth chips is because of the pressure when biting a nail. The tooth can hit hard on the opposing tooth, leading to a fracture or chipping.
Altered shape of the teeth: In many cases, the front teeth appear worn off or are squared. This is because there is always pressure on the teeth from the nails.
Induce gap between the front teeth: When nail biting continues for years at a stretch, the two front teeth can develop a gap between them.
Tooth sensitivity: With the enamel wearing off, the dentin is exposed and this can cause tooth sensitivity in many people.
Joint problems: The temporomandibular joint (TMJ) near the ears helps in opening and closing the mouth. Constant pressure on the joint due to nail biting leads to inflammation of the joint which can cause ear ache, headaches, improper closing of the jaw and clicking sounds.
Delay treatment with braces: A person with braces with a nail biting habit will have very bad consequences. There is pressure from both the braces and the biting. This could also lead to the failure to correct the misaligned teeth.
How to manage this habit?

Identify the root cause of the habit
Identify alternate ways to manage stress (exercise, yoga, hobby, etc.)
A nail polish that has a bitter or offensive taste or smell
Well manicured and painted nails, which you won t feel like biting
Get family and friends to remind or chide you, whichever works.

Nailbiting - 7 Harmful Effects of it!

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 

Exposure to the sun for a long period of time can result in several skin problems. They occur on the basis of heat, humidity and the rays of the sun. Here are the most common skin problems caused due to sun exposure:

Sunburn: Sunburns occur as a result of overexposure of the skin to the harmful ultraviolet rays of the sun. Melanin in the skin protects it from the sun s rays, but in case of overexposure, melanin fails to work and sunburn is caused. The symptoms of sunburn include the skin turning red, burning in the affected areas, skin tightness and a sensation of itching. Severe symptoms are blisters, chills, fever and fatigue.
Age spots: Age spots are caused due to overexposure to the sun. They are brown marks, which appear on the surface of the skin, especially in the arms, hands and other body parts. Age spots get more prevalent with ageing. Symptoms of this condition include brown and gray pigmentation on the skin surface. The pigmentation occurs in a circular shape and is flat on the skin.
Photosensitivity: This condition is also known as sun allergy. People with photosensitivity are likely to get burned from sun exposure very easily, and symptoms of sunburn are observed. Symptoms include red and pink skin rashes accompanied by itching and burning. The area gets scaly and blistered.
Moles: Moles occur commonly due to sun exposure. They may appear on any part of the body. Moles may vary from being harmless to cancerous. Common symptoms include raised skin and the skin tone changing into reddish brown or black. Moles are round in shape, and some moles are painful.
Solar elastosis: This condition is commonly known wrinkles and occurs when the elastic tissues of the skin get deteriorated due to sun exposure. The skin turns limp on account of no strength of the tissues and collagen. Wrinkles appear, and the skin seems loose and sagging. Deep lines are formed on the skin.
Skin cancer: Skin cancer accounts for being the most severe and fatal result of prolonged exposure to the sun without any kind of protection. There are many forms of skin cancer. The most primary skin cancers include Melanoma, basal cell carcinoma and squamous cell carcinoma.
Polymorphous light eruption: This condition, known as PMLE in short, affects women between the age group of twenty to forty. It also occurs in light sensitive people who spend more time under the sun. Symptoms include a red or pink, bumpy rash and raised areas on the skin surface. Itchiness and dry patches are indicated.
A large number of skin problems occur due to long hours of sun exposure. Some of these are chronic problems, which require proper treatment.

Skin Problems Caused due to Sun Exposure

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