Dx. Rx. since 3yrs. on and of after taking various treatment. 23yr old male worker. burning+itching++. no any other complaint.

Intensive itching. Bleeding., offensive smell pus discharges foul felthy Rx dx..

65yo/F Pt not very active and c/o pain and swelling in lower extremities. Looks to have +1 pitting edema. Wound shallow, surrounded by small blisters. Treatment?

age-20/M last 2yrs skin lesion on thighs and back side, some times itching sensation, no any burning sensation, diagnosis and treatments

*PSORIASIS* Skin lesion characterized by erythematous, scaly papule or plaque. Sharply defined skin lesion. *SITE:* Usually Extensor surface involved mainly knee, elbow, hand, lumbosacral region, scalp involved. Lesion developed at site of trauma *(KOBNER’S PHENOMENON)* also seen in Lichen Planus, Viral warts, Pityriasis rubra piloris. Skin lesion covered with Silvery Scales. On scrapping of scales leaves behind punctuate bleeding spot called *AUSPITZ SIGN.* *Different Clinical Forms of Psoriasis:*  *Nummular (Discoid) Psoriasis:* Most common form, coin shaped lesion.  *Guttate Psoriasis :* Rain Drops like small lesion.  *Palmo-plantar Psoriasis :* Sterile pus in palm and soles.  *Genital Psoriasis :* Lesion on Penis or Vulva.  *Erythrodermic Psoriasis :* Exfoliative dermatitis like lesion.  *Generalised Psoriasis:* Lesion over whole body.  *Scalp Psoriasis :* Lesion Present but no Alopecia.  *Nail Psoriasis :* Nails are affected. *Histological Changes in Skin Lesion:*  *Parakeratosis :* Immature cell in stratum corneum.  *Acanthosis :* Hyperplaisa of Stratum Malphighian layer.  Loss of glandular cell layer.  Dialated and tortuous blood vessesls around dermal Papillae. *Nail Changes in Psoriasis :*  Pitting  Subungual hyperkeratosis.  Destruction of Nail Palate.  Oncholysis (Separation of nail Palate from nail bed).  Discolouration of Nail Palate. Psoriatic arthritis :  Asymetrical oligoarthritis(Most of Cases)  Symettrical seronegative arthritis (RF-ve).  Arthritis of DIP joint. *Homoeopathic Treatment:*  ARSENICUM ALBUM : Dry, rough, scaly eruptions with Itching followed by burning. Generally worse after cold and scratching. Sometimes SULPHUR one dose require where arsenic is prescribed to complete the case as it is complementary of Arsenic.  BORAX : Itching on back of finger joints with intense itching and stinging. Aggravated from warm and ameliorated from cold weather. Unhealthy skin.  KALIUM ARSENICUM : Dry, Scaly ruption with intense itching worse after undressing ,change of weather , warmth. Patient is chilly and sensitive to cold.  ARSENICUM IODATUM : Dry, scaly eruptions with exfoliation of skin in large scales leaving raw excluding surface beneath. If history of TUBERCULOSIS is present then it acts better than any remeady.  HYDROCOTYLE ASIATICA : Excessive thickening of skin with marked exfoliation of skin. Specially indicated in “Psoriasis Gyrate” .  SEPIA OFFICINALIS : Dry, scaly thick crust upon joints and on elbows. Psorotic lesion especially over bends of the joints. Peeling off skin of palms and soles.  MEZERIUM : Especially for Scalp Psoriasis where there is thick exudates of purulent pus under the crust. Itching aggravate in bed.  CHRUSAROBINUM : Especially indicated in psoriasis with vesicular eruptions, foul smelling discharge with crust formation. *DrSaurabh Suman Prasad* *Intern* Dr. Yarubir Sinha Homoeopathic Medical College and Hospital laheriasarai,Darbhanga *Bihar*