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Article: Psoriasis | Skin Disease | Psoriasis Supplements

Psoriasis | Skin Disease | Psoriasis Supplements

Psoriasis 

Author:

Dr. Veena Deo

Psoriasis is a non-infectious, chronic inflammatory disease of the skin characterized by circumscribed red patches covered with white scales. It is a chronic skin condition that can affect the joints and connective tissues. The prevalence is approximately 2% in European populations but may be lower in African and some Asian populations, e.g., Japanese. Psoriasis may start at any age, but it is unusual before 5 years. Psoriasis affects more than 6 million people in the United States.

Recent studies suggest that human leukocyte antigen (HLA)-Cw6 itself is the true Psoriasis gene. Researchers state that if the BMI is high, then the chances of Psoriasis increase.

There are two epidemiological patterns of Psoriasis: Type-1 and Type-2. Type-1 occurs in the teenage and early adult years, often with a family history of Psoriasis, and there is an increased prevalence of HLA group Cw6. Type-2 occurs onset in the fifties or sixties; here, family history is less common, and HLA Cw6 is not so prominent. In general, if the age of onset is earlier, the presentation will be more severe, and the lifetime course of the disease will be more severe.

Psoriasis is genetically complex, and a large number of genes are thought to be important in its pathogenesis.

If one spouse has Psoriasis, then the chance of a child being affected is in the order of 15 to 20%. If both spouses have Psoriasis, then the chance of a child being affected is 50%.

Forms of Psoriasis:

  1. Stable plaque psoriasis: This type of Psoriasis is most common. Individual lesions are well-demarcated and range from a few millimeters to several centimeters in diameter. They are red, with a dry silvery-white scale, which may only be obvious after scraping the surface. The elbows, knees, and lower back are commonly affected. Some other parts of the body also get affected. Scalp: it occurs in approximately 60% of patients. It is not clear why this is so common. In this case, temporary hair loss is uncommon, but rarely, permanent focal hair loss may be present. Nails: Separation of the nail from the nail bed. Palms: Individual plaques may be poorly demarcated and barely erythematous, making this type of Psoriasis difficult to differentiate from eczema of the Palms.

  2. Guttate psoriasis: Generally, it occurs in children and adolescents. In many cases, a Streptococcal sore throat occurs. The rash often appears rapidly. Individual lesions are droplet-shaped, seldom over 1 cm in diameter, and scaly. The majority of patients go on to develop plaque psoriasis later in life.

  3. Erythrodermic psoriasis: In this type of psoriasis, the skin becomes red, or more rarely, just red with very little scale.

  4. Pustular psoriasis: It is of two types: Generalized Form and Localized Form. In the Generalized Form, it is not common; it is rarer but serious. Onset is usually sudden, with a large number of small sterile pustules erupting on a red base. The patient may become rapidly ill with a fever coinciding with the appearance of new pustules. In the Localized type/Form, generally, palms and soles are primarily affected. This is a chronic condition characterized by small sterile pustules lying on a red base, which resolve to leave brown macules.

Tests Required:

A biopsy is seldom necessary and contributes little. Throat swabbing for streptococci or other evidence of recent infection may occasionally be useful in suspected Guttate psoriasis.

Management Of Psoriasis:

Explanation, reassurance, and instructions are more important. Patients should be encouraged to share decision-making about treatment with their physician.

Allopath Treatment is given in four categories: 1) Topical agents 2) UV Therapies 3) Systemic agents 4) Intensive inpatient or day-patient care.

Herbs To Treat Psoriasis:

  • Milk Thistle: Helps to improve immunity. Hence can be used in Psoriasis.
  • Combining Yellow dock with red clover and burdock is useful to treat Psoriasis. Ref: University of Maryland Medical Centre.
  • Coleus – Forskohlii – Useful to treat Psoriasis.
  • Curcuminoid and Turmeric (Haldi) can be used as a Herbal Supplement and are also useful for topical application.
  • Neem Oil is also useful for topical application.

Natural Home Remedies:

  • Primrose oil is advisable. It can be used topically also.
  • It is observed that the chances of Psoriasis are higher in obese persons. So try to reduce weight.
  • Use moisturizer regularly.
  • Epsom salt bath is advisable.
  • Take a low-calorie and low-fat diet. A diet that can reduce weight is advisable.
  • Eat Broccoli, Cabbage, Cauliflower. Omega-3 fatty acids present in Fish Oil help to reduce inflammation. Nimbidin present in Neem Oil acts as an anti-inflammatory.
  • For Topical Treatment – Aloe, Apple Cider Vinegar, and Oatmeal Bath are useful. Pomegranate Seed Oil is useful. Borage seed oil can be used in Psoriasis. Vitamin D3, Vitamin B12, Selenium, and Omega-3 Fatty acid have the efficacy to treat Psoriasis.
  • Warm a small quantity of Olive Oil and give a gentle massage to the scales.
  • Apply Petroleum Jelly externally.
  • Before taking a sunbath, consult your doctor as a controlled amount of sunlight is beneficial, but too much sunlight may worsen outbreaks.
Avoid:
  • Smoking,
  • Alcohol intake
  • Do not use hot water for a bath.

Though I have mentioned the quantity of ingredients in some Natural Home Remedies, consult the Ayurvedic Physician for the quantity of ingredients and also for Natural Home Remedies before taking them.