Now under treatment....Before treatment.....
- Psoriasis is a chronic, recurrent, inflammatory skin disease of unknown origin.
- It is characterised by well-circumscribed erythematous, dry elevated lesions of various sizes, covered with mica like scales.
- It is said to be a disorder of excessive growth and reproduction of skin cells.
- Psoriasis affects both sexes equally and can occur at any age, although it most commonly appears for the first time between the ages of 15 and 25 years.
- Specific cause is not found yet,but it is believed to have a genetic component.
- These include stress, excessive alcohol consumption, and smoking.
- Individuals with psoriasis may suffer from depression and loss of self-esteem.
- Common features of psoriasis include red scaly patches to appear on the skin.
- This scaly patches caused by psoriasis is called psoriatic plaques.
- These plaques are formed very quickly over the skin and accumulates at these sites like silvery-white appearance.
- The common sites where the psoriatic plaques frequently occur are skin of the knees and elbows,but can affect any area including the scalp and genitals.
- The disorder is a chronic recurring condition which varies in severity from minor localised patches to complete body coverage.
- Finger-nails and toe-nails are frequently affected.Psoriasis can also cause inflammation of the joints, which is known as psoriatic arthritis.
- Plaque psoriasis ,
- Flexural psoriasis,
- Guttate psoriasis, and
- Pustular psoriasis,
- Erythrodermic psoriasis
are the common forms.
- Psoriatic arthritis,Psoriatic nails-leading to deformity of joints and nails.
- A diagnosis of psoriasis is usually based on the appearance of the skin.
- There are no special blood tests or diagnostic procedures for psoriasis.
- Sometimes a skin biopsy, or scraping, may be needed to rule out other disorders and to confirm the diagnosis.
- Psoriasis is usually graded as mild (affecting less than 3% of the body), moderate (affecting 3-10% of the body) or severe.
- The Psoriasis Area Severity Index (PASI) is the most widely used measurement tool for psoriasis.
PATENT'S QUALITY OF LIFE:
- Beyond the physical sufferings like itching and some pain,Psoriasis patients are also affected mentally due to strain.
- Other chronic diseases such as depression, myocardial infarction, hypertension, congestive heart failure or type 2 diabetes are also common among them.
- Individuals with psoriasis may also feel self-conscious about their appearance and have a poor self-image that stems from fear of public rejection and psycho sexual concerns.
- Psychological distress can lead to significant depression and social isolation.
- The treatment is based on the type of psoriasis, its location, extent and severity.
- The patient’s age, gender, quality of life, commodities, and attitude toward risks associated with the treatment are also taken in to consideration.
- Variation between individuals in the effectiveness of specific psoriasis treatments are common.
- Because of this, dermatologists often use a trial-and-error approach to find the most appropriate treatment for their patient.
- As a first step, medicated ointments or creams, called topical treatments, are applied to the skin.
- If topical treatment fails to achieve the desired goal then the next step would be to expose the skin to ultraviolet (UV) radiation.
- This type of treatment is called photo therapy.Photo chemotherapy[PUVA] is also related to this.
- The third step involves the use of medications which are taken internally by pill or injection.
- This approach is called systemic treatment.
- The three main traditional systemic treatments are methotrexate, cyclosporine and retinoids.
- Antibiotics are not indicated in routine treatment of psoriasis.
- However, antibiotics may be employed when an infection, such as that caused by the bacteria Streptococcus, triggers an outbreak of psoriasis, as in certain cases of guttate psoriasis.
- Patients undergoing systemic treatment are required to have regular blood and liver function tests because of the toxicity due to medication.
- Pregnancy must be avoided for the majority of these treatments.
RECURRENCE AND RISK:
- Most people experience a recurrence of psoriasis when systemic treatment is discontinued.
- Psoriasis is a life-long condition.
- There is currently no cure but various treatments can help to control the symptoms.
- Many of the most effective agents used to treat severe psoriasis carry an increased risk of significant morbidity including skin cancers, lymphoma and liver disease.
IN SIDDHA SYSTEM:
- Psoriasis is known as 'KALANJAGA PADAI NOI' in Siddha system.
- It comes under 18 types of skin diseases mentioned in the Siddha literature.
- Siddha system calls different varieties of psoriasis by various names.
*Chenthil uthir noi ,
*Yannai chori ,
*Varal thirambi are some among them.
- The famous Siddha Text "Yugi Sindhamani-800" describes a vatha disease "KALANJAGA VATHAM" characterised by pain and swelling over the joints associated with some pealing skin lesions.
- Based on this Prof.Dr.RAMANAN,MD(s) named the skin disease as 'KALANJAGA PADAI NOI'.
IN MY CLINICAL PRACTICE:
- Psoriasis cases are common in Siddha practice.
- Usually the cases I have met are very chronic and challenging.
- Resistant cases also seek siddha medicine after getting a very long treatment from Dermatologists.
- Before treatment,I use to investigate the patients thoroughly to rule-out for other systemic diseases.
- This is very essential for choosing a drug.
- The treatment is individualised according to the body constitution and condition of the patient.
- We are preparing an "external medicine for psoriasis" in the form of OIL which gives remarkable results.
- Initial stage cases respond very well to this external medicine.
- Internal medicine is administered to the patients who are chronic and resistant to other drugs.
- The recurrence rate is very minimal.
- Even recurrance occurs, the interval is too long.
-Psoriasis patients should be aware about the disease and the treatment methods.
-It will be very safe & effective if the patient go for a Siddha treatment from a reliable source.