Friends today I am discussing about Severe skin problem Psoriasis. What is psoriasis? Psoriasis is a chronic autoimmune condition that causes the rapid buildup of skin cells. This buildup of cells causes scaling on the skin’s surface. Inflammation and redness around the scales is fairly common. Typical psoriatic scales are whitish-silver and develop in thick, red patches. Sometimes, these patches will crack and bleed. Psoriasis is the result of a sped-up skin production process. Typically, skin cells grow deep in the skin and slowly rise to the surface. Eventually, they fall off. The typical life cycle of a skin cell is one month. In people with psoriasis, this production process may occur in just a few days. Because of this, skin cells don’t have time to fall off. This rapid overproduction leads to the buildup of skin cells. Scales typically develop on joints, such elbows and knees. They may develop anywhere on the body, including the: hands feet neck scalp face Less common types of psoriasis affect the nails, the mouth, and the area around genitals. type 2 diabetes inflammatory bowel disease heart disease psoriatic arthritis What are the different types of psoriasis? There are five types of psoriasis: Plaque psoriasis Plaque psoriasis is the most common type of psoriasis. The AAD estimates that about 80 percent of people with the condition have plaque psoriasis. It causes red, inflamed patches that cover areas of the skin. These patches are often covered with whitish-silver scales or plaques. These plaques are commonly found on the elbows, knees, and scalp. Guttate psoriasis Guttate psoriasis is common in childhood. This type of psoriasis causes small pink spots. The most common sites for guttate psoriasis include the torso, arms, and legs. These spots are rarely thick or raised like plaque psoriasis. Pustular psoriasis Pustular psoriasis is more common in adults. It causes white, pus-filled blisters and broad areas of red, inflamed skin. Pustular psoriasis is typically localized to smaller areas of the body, such as the hands or feet, but it can be widespread. Inverse psoriasis Inverse psoriasis causes bright areas of red, shiny, inflamed skin. Patches of inverse psoriasis develop under armpits or breasts, in the groin, or around skinfolds in the genitals. Erythrodermic psoriasis Erythrodermic psoriasis is a severe and very rare type of psoriasis. This form often covers large sections of the body at once. The skin almost appears sunburned. Scales that develop often slough off in large sections or sheets. It’s not uncommon for a person with this type of psoriasis to run a fever or become very ill. This type can be life-threatening, so individuals should see a doctor immediately. What are the symptoms? Psoriasis symptoms differ from person to person and depend on the type of psoriasis. Areas of psoriasis can be as small as a few flakes on the scalp or elbow, or cover the majority of the body. The most common symptoms of plaque psoriasis include: red, raised, inflamed patches of skin whitish-silver scales or plaques on the red patches dry skin that may crack and bleed soreness around patches itching and burning sensations around patches thick, pitted nails painful, swollen joints Not every person will experience all of these symptoms. Some people will experience entirely different symptoms if they have a less common type of psoriasis. Most people with psoriasis go through “cycles” of symptoms. The condition may cause severe symptoms for a few days or weeks, and then the symptoms may clear up and be almost unnoticeable. Then, in a few weeks or if made worse by a common psoriasis trigger, the condition may flare up again. Sometimes, symptoms of psoriasis disappear completely. When you have no active signs of the condition, you may be in “remission.” That doesn’t mean psoriasis won’t come back, but for now you’re symptom-free. Is psoriasis contagious? Psoriasis isn’t contagious. You can’t pass the skin condition from one person to another. Touching a psoriatic lesion on another person won’t cause you to develop the condition. It’s important to be educated on the condition, as many people think psoriasis is contagious. What causes psoriasis? Doctors are unclear as to what causes psoriasis. However, thanks to decades of research, they have a general idea of two key factors: genetics and the immune system. Immune system Psoriasis is an autoimmune condition. Autoimmune conditions are the result of the body attacking itself. In the case of psoriasis, white blood cells known as T cells mistakenly attack the skin cells. In a typical body, white blood cells are deployed to attack and destroy invading bacteria and fight infections. This mistaken attack causes the skin cell production process to go into overdrive. The sped-up skin cell production causes new skin cells to develop too quickly. They are pushed to the skin’s surface, where they pile up. This results in the plaques that are most commonly associated with psoriasis. The attacks on the skin cells also cause red, inflamed areas of skin to develop. Genetics Some people inherit genes that make them more likely to develop psoriasis. If you have an immediate family member with the skin condition, your risk for developing psoriasis is higher. However, the percentage of people who have psoriasis and a genetic predisposition is small. Approximately 2 to 3 percent of people with the gene develop the condition, according to the National Psoriasis Foundation. Read more about the causes of psoriasis. Diagnosing psoriasis Two tests or examinations may be necessary to diagnose psoriasis. Physical examination Most doctors are able to make a diagnosis with a simple physical exam. Symptoms of psoriasis are typically evident and easy to distinguish from other conditions that may cause similar symptoms. During this exam, be sure to show your doctor all areas of concern. In addition, let your doctor know if any family members have the condition. Biopsy If the symptoms are unclear or if your doctor wants to confirm their suspected diagnosis, they may take a small sample of skin. This is known as a biopsy. The skin will be sent to a lab, where it’ll be examined under a microscope. The examination can diagnose the type of psoriasis you have. It can also rule out other possible disorders or infections. Most biopsies are done in your doctor’s office the day of your appointment. Your doctor will likely inject a local numbing medication to make the biopsy less painful. They will then send the biopsy to a lab for analysis. When the results return, your doctor may request an appointment to discuss the findings and treatment options with you. Psoriasis triggers: Stress, alcohol, and more External “triggers” may start a new bout of psoriasis. These triggers aren’t the same for everyone. They may also change over time for you. The most common triggers for psoriasis include: Stress Unusually high stress may trigger a flare-up. If you learn to reduce and manage your stress, you can reduce and possibly prevent flare-ups. Alcohol Heavy alcohol use can trigger psoriasis flare-ups. If you excessively use alcohol, psoriasis outbreaks may be more frequent. Reducing alcohol consumption is smart for more than just your skin, too. Your doctor can help you form a plan to quit drinking if you need help. Injury An accident, cut, or scrape may trigger a flare-up. Shots, vaccines, and sunburns can also trigger a new outbreak. Medications Some medications are considered psoriasis triggers. These medications include: lithium antimalarial medications high blood pressure medication Infection Psoriasis is caused, at least in part, by the immune system mistakenly attacking healthy skin cells. If you’re sick or battling an infection, your immune system will go into overdrive to fight the infection. This might start another psoriasis flare-up. Strep throat is a common trigger. Treatment options for psoriasis Psoriasis has no cure. Treatments aim to reduce inflammation and scales, slow the growth of skin cells, and remove plaques. Psoriasis treatments fall into three categories: Topical treatments Creams and ointments applied directly to the skin can be helpful for reducing mild to moderate psoriasis. Topical psoriasis treatments include: topical corticosteroids topical retinoids anthralin vitamin D analogues salicylic acid moisturizer Systemic medications People with moderate to severe psoriasis, and those who haven’t responded well to other treatment types, may need to use oral or injected medications. Many of these medications have severe side effects. Doctors usually prescribe them for short periods of time. These medications include: methotrexate cyclosporine (Sandimmune) biologics retinoids Light therapy This psoriasis treatment uses ultraviolet (UV) or natural light. Sunlight kills the overactive white blood cells that are attacking healthy skin cells and causing the rapid cell growth. Both UVA and UVB light may be helpful in reducing symptoms of mild to moderate psoriasis. Most people with moderate to severe psoriasis will benefit from a combination of treatments. This type of therapy uses more than one of the treatment types to reduce symptoms. Some people may use the same treatment their entire lives. Others may need to change treatments occasionally if their skin stops responding to what they’re using. Learn more about your treatment options for psoriasis. Medication for psoriasis If you have moderate to severe psoriasis — or if psoriasis stops responding to other treatments — your doctor may consider an oral or injected medication. The most common oral and injected medications used to treat psoriasis include: Biologics This class of medications alters your immune system and prevents interactions between your immune system and inflammatory pathways. These medications are injected or given through intravenous (IV) infusion. Retinoids Retinoids reduce skin cell production. Once you stop using them, symptoms of psoriasis will likely return. Side effects include hair loss and lip inflammation. People who are pregnant or may become pregnant within the next three years shouldn’t take retinoids because of the risk of possible birth defects. Cyclosporine Cyclosporine (Sandimmune) prevents the immune system’s response. This can ease symptoms of psoriasis. It also means you have a weakened immune system, so you may become sick more easily. Side effects include kidney problems and high blood pressure. Methotrexate Like cyclosporine, methotrexate suppresses the immune system. It may cause fewer side effects when used in low doses. It can cause serious side effects in the long term. Serious side effects include liver damage and reduced production of red and white blood cells. Learn more about the oral medications used to treat psoriasis. Diet recommendations for people with psoriasis Food can’t cure or even treat psoriasis, but eating better might reduce your symptoms. These five lifestyle changes may help ease symptoms of psoriasis and reduce flare-ups: Lose weight If you’re overweight, losing weight may reduce the condition’s severity. Losing weight may also make treatments more effective. It’s unclear how weight interacts with psoriasis, so even if your symptoms remain unchanged, losing weight is still good for your overall health. Eat a heart-healthy diet Reduce your intake of saturated fats. These are found in animal products like meats and dairy. Increase your intake of lean proteins that contain omega-3 fatty acids, such as salmon, sardines, and shrimp. Plant sources of omega-3s include walnuts, flax seeds, and soybeans. Avoid trigger foods Psoriasis causes inflammation. Certain foods cause inflammation, too. Avoiding those foods might improve symptoms. These foods include: red meat refined sugar processed foods dairy products Drink less alcohol Alcohol consumption can increase your risks of a flare-up. Cut back or quit entirely. If you have a problem with your alcohol use, your doctor can help you form a treatment plan. Consider taking vitamins Some doctors prefer a vitamin-rich diet to vitamins in pill form. However, even the healthiest eater may need help getting adequate nutrients. Ask your doctor if you should be taking any vitamins as a supplement to your diet. Learn more about your dietary options. Living with psoriasis Life with psoriasis can be challenging, but with the right approach, you can reduce flare-ups and live a healthy, fulfilling life. These three areas will help you cope in the short- and long-term: Diet Losing weight and maintaining a healthy diet can go a long way toward helping ease and reduce symptoms of psoriasis. This includes eating a diet rich in omega-3 fatty acids, whole grains, and plants. You should also limit foods that may increase your inflammation. These foods include refined sugars, dairy products, and processed foods. Stress Stress is a well-established trigger for psoriasis. Learning to manage and cope with stress may help you reduce flare-ups and ease symptoms. Try the following to reduce your stress: meditation journaling breathing yoga Emotional health People with psoriasis are more likely to experience depression and self-esteem issues. You may feel less confident when new spots appear. Talking with family members about how psoriasis affects you may be difficult. The constant cycle of the condition may be frustrating, too. All of these emotional issues are valid. It’s important you find a resource for handling them. This may include speaking with a professional mental health expert or joining a group for people with psoriasis. Psoriasis and arthritis Psoriatic arthritis is a chronic condition. Like psoriasis, the symptoms of psoriatic arthritis may come and go, alternating between flare-ups and remission. Psoriatic arthritis can also be continuous, with constant symptoms and issues. This condition typically affects joints in the fingers or toes. You may also be affected in your lower back, wrists, knees, or ankles. Most people who develop psoriatic arthritis have psoriasis. However, it’s possible to develop the joint condition without having a psoriasis diagnosis. Most people who receive an arthritis diagnosis without having psoriasis have a family member who does have the skin condition. Treatments for psoriatic arthritis may successfully ease symptoms, relieve pain, and improve joint mobility. As with psoriasis, losing weight, maintaining a healthy diet, and avoiding triggers may also help reduce psoriatic arthritis flare-ups. An early diagnosis and treatment plan can reduce the likelihood of severe complications, including joint damage. Psoriasis may begin at any age, but most diagnoses occur in adulthood. The average age of onset is between 15 to 35 years old. According to the World Health Organization (WHO), some studies estimate that about 75 percent of psoriasis cases are diagnosed before age 46. A second peak period of diagnoses can occur in the late 50s and early 60s. According to the WHO, males and females are affected equally. Caucasians are affected disproportionately. People of color make up a very small proportion of psoriasis diagnoses. Having a family member with the condition increases your risk for developing psoriasis. However, many people with the condition have no family history at all. Some people with a family history won’t develop psoriasis. Primary Homoeopathic Remedies Arsenicum album People likely to respond to this remedy usually are anxious, restless, and compulsively neat and orderly. They are often deeply chilly, experience burning pains with many physical complaints, and become exhausted easily. The skin is dry and scaly and may tend to get infected. Scratching can make the itching worse, and applying heat brings relief. Graphites People needing this remedy often have a long-term history of skin disorders. The skin looks tough or leathery skin with cracks and soreness. Itching is often worse from getting warm, and the person may scratch the irritated places till they bleed. Trouble concentrating, especially in the morning, is also often seen when this remedy is needed. Petroleum This remedy is often indicated for people whose physical problems are aggravated by stressful emotional experiences. It is especially suited to individuals with extremely dry skin, and problems that involve the palms and fingertips. The person may feel a cold sensation after scratching, and the skin is easily infected and may look tough and leathery. Itching will be worse at night, and from getting warm in bed. People who need this remedy may also have a tendency toward motion sickness. Sepia This remedy may be helpful to a person who feels dragged out and irritable, often with little enthusiasm for work or family life. The person's skin may be look dry and stiff. Psoriasis may appear in many places on the body, including the nails and genitals. Signs of hormonal imbalance are often seen (in either sex), and problems with circulation are common. Exercise often helps this person's energy and mood. Sulphur Intensely burning, itching, inflamed eruptions that are worse from warmth and bathing suggest a need for this remedy. Affected areas often look bright red and irritated, with scaling skin that gets inflamed from scratching. This remedy is sometimes helpful to people who have repeatedly used medications to suppress psoriasis (without success). Other Remedies Calcarea carbonica This remedy is suited to people who are easily fatigued by exertion, sluggish physically, chilly with clammy hands and feet, and often overweight. Skin problems tend to be worse in winter. Typically solid and responsible, these people can be overwhelmed by too much work and stress. Anxiety, claustrophobia, and fear of heights are common. Cravings for sweets and eggs are often also seen when Calcarea is needed. Mercurius solubilis People who seem introverted and formal—but are very intense internally, with strong emotions and impulses—may benefit from this remedy. They tend to have swollen lymph nodes and moist or greasy-looking skin, and are very sensitive to changes in temperature. The areas affected by psoriasis may become infected easily. Mezereum A person who needs this remedy usually is serious, and often feels strong anxiety in the region of the stomach. Scaly plaques may itch intensely, thickening or crusting over if the person scratches them too much. Cold applications relieve the itching (although the person feels generally chilly and improves with warmth). People who need this remedy often have a craving for fat, and feel best in open air. Rhus toxicodendron When this remedy is indicated for a person with psoriasis, the skin eruptions are red and swollen, and often itch intensely. Hot applications or baths will soothe the itching—and also muscle stiffness, toward which these people often have a tendency. The person is restless, and may pace or constantly move around. A craving for cold milk is often seen when a person needs this remedy. Staphysagria This remedy may be helpful to individuals whose psoriasis has developed after grief or suppressed emotions. Any part of the body can be involved but the scalp is often affected. People who need this remedy often seem sentimental, meek and quiet, and easily embarrassed — but often have a strong internal anger or deeply-buried hurt.

THE ROLE OF HIJAMAH IN RAKTAMOKHSHANA IN THE PRACTICE OF AYURVEDA. Although i am not a VEYD but i take a very keen interest in the medical modus of Ayurveda. It is one of the oldest forms of medicinal and therapeutic methods of healing the human body. Known to be more than 12000 years old as stated by some historians. It has the most closest relationship to Tibb E Nabwi in terms of healing by herbs as well as other healing aspects of its liniments. There are many principles that lie within this modus. However i wish to highlight the concepts of blood letting and Wet cupping in relation to this wonderful ancient therapy. Raktamokshana is one of the Panchakarma Ayurvedic treatments or the 5 basic techniques of detoxification. It is made of two words – Rakta i.e blood and Mokshana i.e to leave, and combining both these words makes the word Raktamokshana which means ‘to let out blood’. Raktamokshana is an effective blood purification therapy, in which carefully controlled removal of small quantities of blood is conducted to neutralize accumulated Pitta toxins of many blood borne diseases. This is because Raktamokshana decreases the quantum of enhanced Pitta dosha and thus the diseases caused by Pitta are also relieved. 2 Main Types of Raktamokshana : 1) Shastra Visravana : This procedure of bloodletting is performed by using metal instruments . It is further of two types Pracchana ( Bloodletting through multiple incisions ) Siravyadha ( Venepuncture ) 2) Anushastra Visravana : This raktamokshana is performed without the use of metal instruments. This is of three types – Jalaukavacharana ( Application of Leeches ) – This is indicated for Pitta dosha diseases. Shrungavacharana ( Sucking through cow’s horn ) – This is indicated for Vata dosha diseases. Alabu ( Vacuum extraction by using vegetable called Alabu / Bottle Gourd ) This is indicated for Kapha dosha diseases. ( 1) Of all these types, Siravyadha or the Venepuncture is regarded as the best. Indications of Raktamokshana: Raktamokshana or the technique of bloodletting Ayurvedic treatment is mainly advised for Pitta dosha (fire body humor) and Rakta (blood tissue) imbalance and toxicity. This is highly effective in diseases like skin diseases, edema, abscess, inflammations, dullness, uremia and pericarditis. At Indus Valley Ayurvedic Centre, we have found favorable result with Raktamokshana in Allergies, Skin disorders such as Eczema, Allergic Dermatitis, Tonsillitis and Sciatica. This procedure also decreases the load on the vital organs of heart and liver. Benefits of Raktamokshana: It has been specified in Ayurveda text that Raktamokshana Ayurvedic treatment of Panchakarma works both as curative as well as preventive therapy. As in Ayurvedic medicine, the Basti Karma is regarded as partial or even the complete treatment method, similarly in the Ayurveda surgery text, Raktamokshana is considered as the partial or complete treatment in itself. Jalaukavacharana ( Leech Therapy ) Leech is water living animal used for blood detoxification purpose. The Leech therapy ( Jalaukavacharana ) is another form of Raktamokshana practiced since ancient times in the Ayurvedic treatment of blood letting. Leech used in Therapy There near about 600-650 species found around the world. Out of this variety, only 15-20 are used for treatment purpose. Hirudo ventralis (Indian cattle leech) is used in India for treatment purpose. The size of the leech varies from half inch to eighteen inches. And the Leeches may be found in a variety of colors like black, brown, yellowish maroon etc. Procedure of Leech Therapy of Raktamokshana: Leech therapy is safe, painless & doesn’t require any change in routine life style. In this therapy after diagnosing a person, leech is applied to specific body part and is made to stay there. Once the leech finishes sucking blood from the site, then either the leech separates itself or may be separated manually by sprinkling of some herbal medicine. Proper dressing is done after the procedure. At a time single leech can suck 10-60ml blood . One session of leech therapy requires about 20- 60 min. Benefits of Leech Therapy: When the leech is used for bloodletting in the technique of Raktamokshana, as the leech sucks impure blood from the body, this helps to provide considerable detoxification, immunity boosting and also improves the blood circulation in the body. This particular variety procedure of Raktamokshana Panchakarma is highly recommended for ailments like pigmentation, scar, wound , Osteoarthritis, Rheumatoid arthritis, Gouty arthritis, Psoriatic arthritis, Atopic dermatitis, pain , edema ,itching , burning on skin etc. Procedure of Raktamokshana Panchakarma : Since Raktamokshana is a specialized procedure , Purva karma , Pradhan karma and Paschat karma or (the Pre, Main and Post procedures) are explained. Purva Karma ( Pre procedure ) of Raktamokshana : Indications for Raktamokshana : In healthy persons , if , it is done at regular intervals diseases arising from blood does not occur .(2) Diseases such as oedema , gout , psoriasis , filariasis , tumours , glaucoma , trachoma , erysipelas, diseases of liver and spleen etc . ( 3) Contraindications : Anemia , generalized oedema , emaciation , ascites , pregnancy etc . Proper instruments , herbs , tourniquet , gauze pieces , cotton swabs , bandages etc . Take informed consent . Pradhana Karma ( Main procedure ) of Raktamokshana: PRACCHANA : The part should be tied with tourniquet to dilate the vessels . Then without injuring Marmas , tendons multiple incisions are given parallel to the local blood vessels . By this method, the superficial doshas are removed and also relieves tension on that part . SIRAVYADHA : The vein is selected according to the disease . After proper oleation and sudation , liquid gruel is given .Then patient sits in erect position or lies down . SIZE OF PUNTURE : In muscular areas puncture should be the size of yava ( barley grain ) and in other areas it should be ½ barley or 1 brihi ( rice grain ). JALAUKAVACHARANA : Small nicks are given around the diseased part . When blood starts oozing , leech is applied .When it starts sucking mouth takes the shape of horse’s hoof and lift it’s neck . Then cover its neck with wet cotton . When leech has sucked enough blood , it leaves that spot and drops down . If it doesn’t leave , turmeric powder is sprinkled around the mouth .( 4, 5 ) SHRINGA YANTRA : It is applied on a flat , round , fleshy part of the body . 2 – 3 nicks are given on the site of blood letting . Horn is applied and air is sucked out from narrow part creating a vacuum . The blood comes out . (6 ) ALABU YANTRA (Cupping): A small nick is given on the skin . Put a leaf by the side of nick . Keep a cotton ball dipped in spirit and light it . Immediately put Alabu on that . As fire extinguishes the skin edges are caught tight with margins of Alabu yantra .When blood letting completes , the base gets slackened .( 7 ) Paschat Karma ( Post Procedure ) of Raktamokshana : After completion of procedures , whenever blood flow stops tourniquet and instruments are removed . Tight dressing is applied and gentle massage around the wound with medicated oil is done . The above information in relation to Ayurveda practice was taken from:- INDUS VALLEY AYURVEDIC CENTER ....By Dr. Sonica Krishen.

*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*

Today my topic is on #Psoriasis#Dryskin #severe skin problem. Most of the peoples are worrying about this I will try to give solutions. Psoriasis Psoriasis is a chronic autoimmune condition that causes the rapid buildup of skin cells. This buildup of cells causes scaling on the skin’s surface. Inflammation and redness around the scales is fairly common. Typical psoriatic scales are whitish-silver and develop in thick, red patches. Sometimes, these patches will crack and bleed. Psoriasis is the result of a sped-up skin production process. Typically, skin cells grow deep in the skin and slowly rise to the surface. Eventually, they fall off. The typical life cycle of a skin cell is one month. In people with psoriasis, this production process may occur in just a few days. Because of this, skin cells don’t have time to fall off. This rapid overproduction leads to the buildup of skin cells. Scales typically develop on joints, such elbows and knees. They may develop anywhere on the body, including the: • hands • feet • neck • scalp • face Less common types of psoriasis affect the nails, the mouth, and the area around genitals. According to one study, around 7.4 million Americans have psoriasis. It’s commonly associated with several other conditions, including: • type 2 diabetes • inflammatory bowel disease • heart disease • psoriatic arthritis • anxiety • depression What are the different types of psoriasis? There are five types of psoriasis: Plaque psoriasis Plaque psoriasis is the most common type of psoriasis. The American Academy of Dermatology (AAD) estimates that about 80 percent of people with the condition have plaque psoriasis. It causes red, inflamed patches that cover areas of the skin. These patches are often covered with whitish-silver scales or plaques. These plaques are commonly found on the elbows, knees, and scalp. Guttate psoriasis Guttate psoriasis is common in childhood. This type of psoriasis causes small pink spots. The most common sites for guttate psoriasis include the torso, arms, and legs. These spots are rarely thick or raised like plaque psoriasis. Pustular psoriasis Pustular psoriasis is more common in adults. It causes white, pus-filled blisters and broad areas of red, inflamed skin. Pustular psoriasis is typically localized to smaller areas of the body, such as the hands or feet, but it can be widespread. Inverse psoriasis Inverse psoriasis causes bright areas of red, shiny, inflamed skin. Patches of inverse psoriasis develop under armpits or breasts, in the groin, or around skinfolds in the genitals. Erythrodermic psoriasis Erythrodermic psoriasis is a severe and very rare type of psoriasis. This form often covers large sections of the body at once. The skin almost appears sunburned. Scales that develop often slough off in large sections or sheets. It’s not uncommon for a person with this type of psoriasis to run a fever or become very ill. This type can be life-threatening, so individuals should see a doctor immediately. Homoeopathic Remedy Options • Arsenicum album. People likely to respond to this remedy usually are anxious, restless, and compulsively neat and orderly. ... • Graphites. People needing this remedy often have a long-term history of skin disorders. ... • Petroleum. ... • Sepia. ... • Sulphur. ... • Calcarea carbonica. ... • Mercurius solubilis. ... • Mezereum.

32 year old male comes with plaque on the arm. lesion is present since 2 weeks. itching is present. patient complaints of joint pain. No h/o dm, fever. Give your diagnosis and management.