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Are you suffering from itchy skin, red scaly patches, papules and plaques? Are you suffering from exfoliation of skin? All these symptoms indicates that you may be suffering from psoriasis. Psoriasis is a common, chronic relapsing/remitting immune mediated inflammatory skin disease. The skin lesions seen in psoriasis may vary in severity from minor localized patches to complete body coverage. It is a long term skin problem that causes skin cells to grow too rapidly, resulting in thick white silvery or red patches of skin. Normally, skin cells shed off about every 4 weeks and the new skin cells grow to replace the outer layers of the skin as they shed. But in psoriasis, new skin cells move rapidly to the surface of the skin in days rather than weeks which form thick patches called as plaques. They most commonly appear on knees, elbows, scalp , hands, feet or lower back. It can affect any age group but it is more common in adults. Psoriasis can be embarrassing and many people avoid swimming and other activities where patches can show. Cold and dry climate, infections, stress, dry skin and certain medicines are few factors that can flare up psoriasis. It runs in families. It is not a contagious disease , it can’t  spread by touch.



Psoriasis appears as red or pink areas of thickened, raised, and scaling skin. It classically affects areas over the elbows, knees, and scalp. Although any body area may be involved, it tends to be more common in areas of trauma, scratching, or abrasions.

Psoriasis may vary in appearance. It often appears as small flattened scaly bumps and larger thick plaques of raised skin.

There are several different types of psoriasis, including psoriasis vulgaris (common type), guttate psoriasis (small, drop-like spots), inverse psoriasis (in the folds like of the underarms, navel, groin, and buttocks), and pustular psoriasis (small pus-filled yellowish blisters). When the palms and the soles are involved, this is known as palmoplantar psoriasis. Sometimes pulling off one of these small dry white flakes of skin causes a tiny blood spot on the skin. This is medically referred to as a special diagnostic sign in psoriasis called the Auspitz sign.Genital lesions, especially on the head of the penis, are common. Psoriasis in moist areas like the navel or the area between the buttocks (intergluteal folds) may look like flat red patches. This may be confused with other skin conditions like fungal infections, yeast infections, skin irritation, or bacterial infections.

Finger and toenails often exhibit small pits (pinpoint depressions) and/or larger yellowish-brown separations of the nail bed called “oil spots.” Nail psoriasis may be confused with and incorrectly diagnosed as a fungal nail infection .

Scalp psoriasis may look like severe dandruff with dry flakes and red areas of skin. It may be difficult to differentiate between scalp psoriasis and seborrhea dermatitis when only the scalp is involved. However, the treatment is often very similar for both conditions.

Psoriasis is associated with joint problems in about 10%-35% of patients. The joint disease associated with psoriasis is referred to as psoriatic arthritis. Patients may have inflammation of any joints (arthritis), although the joints of the hands, knees, and ankles tend to be most commonly affected. Psoriatic arthritis is an inflammatory, destructive form of arthritis and is treated with medications to stop the disease progression.The average age for onset of psoriatic arthritis is 30-40 years of age. In most cases, the skin symptoms occur before the onset of the arthritis.

PSORIASIS is not a simple disease to prescribe medicine for. It requires a detailed case taking which requires personal history, family history, past history of disease , mental symptoms of the patient and history of the medications taken. Detailed case taking directs towards the correct constitutional medicine which can help out in treating the patient suffering from psoriasis. Based on the totality of symptoms few medicines like graphites, ars iod , psorinum helped me in treating cases of psoriasis with great success.

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