Clinical Study of Types of Psoriasis and Homoeopathic Management.

Psoriasis is a common, chronic, recurrent², non-infectious genetically determined, inflammatory skin disorder of unknown cause, papulosquamous skin disease that may appear at any age and affect any part of the skin.

25cases were studied (20male & 5female), the diagnosis was made clinically; some cases were referred by Dermatologists. In 6 Cases BMI was above 30, 6 cases were US based, in 3 cases sever negative impact was present, the types of Psoriatic cases were as shown in table below. Improvement Scale :47.6% cases got above 70% improvement, 28.5% cases got above 50% improvement, 14.4% cases got above 30% improvement, 9.5% cases got above 10% improvement, The medicines found useful were Calcaria  Carb, Graphites,Nat murur, Pulsatilla, Ars Alb, Thuja oc, Sepia, Acid Nitric, Sulphur and Thyroidin. Following nosodes were given Tuberculinum, Syphilinum and Carcinosin. The potencies used were in 30, 200 and 1M. The 30 potency was repeated weekly, 200 potencies were repeated fortnightly and 1M potency was repeated after a month. Nosodes were given in 1M potency. Along with treatment diet advice, Psychological counseling was given.

Conclusions:

It is a common belief that Psoriatic diseases difficult to cure, but if you take detailed life space investigation, read the mind of psoriatic patient we can overcome the challenges in treating Psoriatic diseases. In conventional system of medicine treatment is unsatisfactory as the ‘cause’ is unknown; hence the treatment is only palliative; In Homoeopathic system psoriatic skin diseases can be treated successfully. Guttate psoriasis, Pustular psoriasis^{, Psoriatic} Tongue and Erythrodermic psoriasis which are successfully treated by the author, details of cases are published in reference cited journals

Clinical presentations ⁴:

Plaque psoriasis is the most prevalent form of the disease. About 80 percent of all those who have psoriasis have this form. Females develop plaque psoriasis earlier than males. The first peak occurrence of plaque psoriasis is in people aged 16-22 years. The second peak is in people aged 57-60 years. The skin is red and covered with silvery scales. Circular- to oval-shaped red plaques that sometimes itch or burn are typical of plaque psoriasis. The patches usually are found on the elbows, knees, trunk, or scalp but may be found on any part of the skin. Most plaques of psoriasis are persistent.

Guttate psoriasis often comes on quite suddenly. A variety of conditions like upper respiratory infections, streptococcal l infections, tonsillitis, stress, injury to the skin and the administration of certain drugs (including antimalarials and beta-blockers).have been known to bring on an attack of Guttate psoriasis, Guttate psoriasis looks like small, salmon-pink (or red) drops on the skin.. Guttate psoriasis usually occurs on the trunk

Erythrodermic psoriasis is a particularly inflammatory form of psoriasis that often affects most of the body surface. This is the least common type of psoriasis and can be quite serious. A very large area of the body, if not most of the body, is bright red and inflamed. The body can appear to be covered in a red, peeling rash. The rash usually itches or burns. It may occur in association with von Zumbusch pustular psoriasis. It is characterized by periodic, widespread, fiery redness of the skin. The erythema of the skin are often accompanied by severe itching and pain.

Pustular psoriasis is an uncommon form of psoriasis. Pustular psoriasis in this variety, tiny, superficial, sterile pustules appear either on the surface of psoriatic lesions or on previously unaffected skin. The degree of underlying erythema is variable but constantly present. The localised variety mainly involves the palms and soles while the generalised type has widespread involvement accompanied by severe constitutional symptoms. A generalized type with acute symptoms of fever, chills, nausea, headache, and joint pain is called the von Zumbusch type. Pustular psoriasis of the palms and soles is usually chronic and presents with red patches studded with white-to-yellow pustules.

Nail psoriasis can affect the fingernails and toenails. Most people who have psoriasis of the nails also have skin psoriasis. Psoriasis of the nails involves any of a number of changes to the nail area. Clear yellow-red nail discolouring that looks like a drop of blood under the nail plate may occur. Little pits may form in the nails. These pits develop when cells are lost from the nail's surface. Psoriasis of the nails occurs in fewer than 5% of people.

Psoriasis of the Scalp the scalp may have fine dry scaly skin, or have heavily crusted plaque areas. The plaque can flake off or peel off in crusted clumps. Sometimes psoriasis of the scalp is confused with seborrheic dermatitis. In seborrheic dermatitis, the scales are greasy looking, not dry.

Inverse Psoriasis or flexor is Bright red, smooth (not scaly); patches are found in the folds of the skin. The most common areas are under the breasts, in the armpits, near the genitals, under the buttocks, or in abdominal folds. These irritated and inflamed areas are aggravated by the sweat and skin rubbing together in the folds. Yeast overgrowth may trigger the skin lesions of psoriasis

Psoriatic arthritis is a specific condition in which a person has both psoriasis and arthritis.  Psoriatic arthritis is an autoimmune disease, rarely; a person can have psoriatic arthritis without having skin psoriasis. Usually, the more severe the skin symptoms are, the greater the likelihood a person will have psoriatic arthritis