Psoriasis Information and Treatment - Homeopathy

Psoriasis is a chronic skin disease that causes skin cells to grow too quickly. In psoriasis, patches of red, thickened skin with silvery scales develop, usually on the elbows, knees, scalp, and trunk. These areas can be itchy and painful. The areas usually involved are the elbows, knees, and the skin behind the ears, the trunk, and the scalp. The disease may also affect the underarms and genital areas.

Nails may become rough and pitted, and less commonly, a form of arthritis develops called psoriatic arthritis. Psoriasis can be a persistent problem, and tends to run in families. Stress, infections such as a sore throat, reaction to certain drugs, and skin injuries may trigger an attack or make it worse.

Symptoms of Psoriasis

Following are the major psoriasis symptoms:

1. Red and irritated skin with bright silvery scales
2. Sometimes accompanied with slight itching

Causes of Psoriasis

Following are the major psoriasis causes:

1. Due to abnormality in the mechanism in which the skin grows and replaces itself
2. Abnormality with the metabolism of amino acids
3. Use of certain medicines
4. Due to infections
5. Heredity factors are also responsible
6. Physical and emotional stress

Plaque psoriasis

·         Psoriasis is a very diverse skin disease that appears in a variety of forms. Each form has distinct characteristics. Typically, people have only one type of psoriasis at a time, but occasionally two or more different types of psoriasis can occur at the same time. Psoriasis can also occasionally change from one form to another. Trigger factors may "convert" some forms of psoriasis, such as plaque, to another form, such as pustular. Generally, one type of psoriasis will clear and then another form of psoriasis will appear later.

·         Plaque psoriasis is the most prevalent form of the disease. Its scientific name is psoriasis vulgaris (vulgaris means common). It is characterized by raised, inflamed, red lesions covered by a silvery white scale. It is typically found on the elbows, knees, scalp and lower back.

Guttate psoriasis

·         Guttate psoriasis is a form of psoriasis that often starts in childhood or young adulthood. The word guttate is from the Latin word meaning "drop." This form of psoriasis resembles small, red, individual spots on the skin. Guttate lesions usually appear on the trunk and limbs. These spots are not usually as thick as plaque lesions.

·         Guttate psoriasis often comes on quite suddenly. A variety of conditions have been known to bring on an attack of guttate psoriasis, including upper respiratory infections, streptococcal infections, tonsillitis, stress, injury to the skin and the administration of certain drugs (including anti malarial and beta-blockers). A streptococcal infection of the throat (strep throat) is a common guttate psoriasis trigger. Strep throat can be present without symptoms and can still cause a flare of guttate psoriasis. Talk with your doctor about getting a strep test to determine if you have an underlying strep infection. Guttate psoriasis may persist despite clearance of the strep infection. Some doctors prescribe antibiotics to help prevent an occurrence of an infection that can cause the outbreak of guttate psoriasis.

 

Inverse psoriasis

·         Inverse psoriasis is found in the armpits, groin, under the breasts, and in other skin folds around the genitals and the buttocks. This type of psoriasis first shows up as lesions that are very red and usually lack the scale associated with plaque psoriasis. It may appear smooth and shiny. Inverse psoriasis is particularly subject to irritation from rubbing and sweating because of its location in skin folds and tender areas. It is more common and troublesome in overweight people and people with deep skin folds.

Erythrodermic psoriasis

·         Erythrodermic psoriasis is a particularly inflammatory form of psoriasis that often affects most of the body surface. It may occur in association with von Zumbusch pustular psoriasis. It is characterized by periodic, widespread, fiery redness of the skin. The erythema (reddening) and exfoliation (shedding) of the skin are often accompanied by severe itching and pain.

·         Patients having an erythrodermic psoriasis flare should make an appointment to see a doctor immediately. Erythrodermic psoriasis causes protein and fluid loss that can lead to severe illness. Oedema (swelling from fluid retention), especially around the ankles, may also develop along with infection. The body's temperature regulation is often disrupted, producing shivering episodes. Infection, pneumonia and congestive heart failure brought on by erythrodermic psoriasis can be life threatening. People with severe cases of this condition often require hospitalization.

·         Known triggers of erythodermic psoriasis include abrupt withdrawal of systemic treatment; the use of systemic steroids (cortisone); an allergic, drug-induced rash that brings on the Koebner response (a tendency for psoriasis to appear on the site of skin injuries); and severe sunburns.

Pustular psoriasis

·         Primarily seen in adults, pustular psoriasis is characterized by white pustules (blisters of non-infectious pus) surrounded by red skin. The pus consists of white blood cells. It is not an infection, nor is it contagious. It may be localized to certain areas of the body–for example, the hands and feet. Pustular psoriasis also can be generalized, covering most of the body. It tends to go in a cycle–reddening of the skin followed by formation of pustules and scaling.

·         Pustular psoriasis reportedly may be triggered by internal medications, irritating topical agents, overexposure to UV light, pregnancy, systemic steroids, infections, emotional stress and sudden withdrawal of systemic medications or potent topical steroids.

Types of pustular psoriasis

Von Zumbusch

·         The onset of von Zumbusch pustular psoriasis can be abrupt. Widespread areas of reddened skin develop, and the skin becomes painful and tender. Within a few hours, the pustules appear. The pustules then dry and peel over the next 24 to 48 hours, leaving the skin with a glazed, smooth appearance. A fresh crop of pustules may then appear. Eruptions often come in repeated waves that last days or weeks.

·         Von Zumbusch pustular psoriasis rarely appears in children, although when it does, the prospect of improvement may be much better than for adults.

·         Von Zumbusch pustular psoriasis is associated with fever, chills, severe itching, dehydration, a rapid pulse rate, exhaustion, anaemia, weight loss and muscle weakness. The goal of treatment is to restore the skin's barrier function, prevent further loss of fluid, stabilize the body's temperature and restore the skin's chemical balance. Chemical imbalances can put excessive stress on the heart and kidneys, especially in older people.

·         Because this form can be life-threatening, medical care must begin immediately. If you can't get in to see your doctor, you should go to the emergency room to get treatment. People with von Zumbusch pustular psoriasis often require hospitalization for rehydration and initiation of topical and systemic treatments, which typically include antibiotics.

Palmo-plantar pustulosis

·         Palmo-plantar pustulosis (PPP) is a type of pustular psoriasis that causes pustules on the palms of the hands and soles of the feet. PPP is characterized by multiple pencil eraser-sized pustules in fleshy areas of the hands and feet, such as the base of the thumb and the sides of the heels. The pustules appear in a studded pattern throughout reddened plaques of skin, then turn brown, peel and become crusted. The course of PPP is usually cyclical, with new crops of pustules followed by periods of low activity.

·         Those who are at risk for PPP should seriously consider not smoking, as some studies suggest that these patients may have an abnormal response to nicotine which can trigger flares of PPP.

Acropustulosis (acrodermatitis continua of Hallopeau)

·         This rare type of psoriasis is characterized by skin lesions on the ends of the fingers and sometimes on the toes. The eruption occasionally starts after an injury to the skin or infection. Often the lesions are painful and disabling, producing deformity of the nails. Occasionally bone changes occur in severe cases. This form has traditionally been hard to treat. Topical preparations that are occluded may help some patients. Systemic medications have been used with some success in clearing the lesions and restoring the nails.

Genital psoriasis

·         Psoriasis can occur in the genital area at the same time it occurs elsewhere on the body, or it can appear in the genital area only. People with genital psoriasis may have affected areas that range from small, red spots to large patches.

·         The most common type of psoriasis in the genital region is inverse psoriasis.

Scalp psoriasis

·         Scalp psoriasis is very common. In fact, at least half of all people who have psoriasis have it on their scalp. As with psoriasis elsewhere on the body, skin cells grow too quickly on the scalp and cause red lesions covered with scale to appear.

·         Scalp psoriasis can be very mild, with slight, fine scaling. It can also be very severe with thick, crusted plaques covering the entire scalp, which commonly can cause hair loss. Psoriasis can extend beyond the hairline onto the forehead, the back of the neck and around the ears (a common area). Most of the time, people with scalp psoriasis have psoriasis on other parts of their body as well. But for some, the scalp is the only affected area.

Homeopathy medicines works well in Psoriasis

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