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PSORIASIS - SKIN DISEASE

By Dr. T. VISHNU MURTHY
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NATURAL SKIN

Naturally the skin is constituted by three substances:

  1. Melanin which contributes black colour.
  2. Hemoglobin which contributes red or blue colour depending upon its state of oxidation or reduction
  3. Keratin which contributes light yellow colour.

Melanin is the main substances importing colour to the skin and this is produced from the amino acid tyrosine by the action of a copper containing enzyme called tyrosinase. Tyrosinase converts tyrosine into dihydroxyphenylalanine (DOPA) Which is further converted to dopaquinone by the same enzyme. Each melanocyte supplies the melanin pigment to nearly 30 keratinocytes. This pigment is ultimately lost long along with the keratinized cells exfoliating from the surface of the skin

PSORIAIS - Disorder production of skin cells

It is variety of skin disease and involves both the sexes equally. The most frequent manifestation is called plaque type psoriasis where the lesions characteristically consist of well demarcated erythematous plaques which one covered with loosely adherent silvery scales, the silvery colour of the scales becoming more prominent when attempts one made to scrape them off. This can be happen irregular production of skin cells and also called as skin cells disorder, i.e. fast growth of skin cells

Scaly patches on the scalp mey be the only manifestation of psoriasis is some cases. Scalp involvement is rare in children except when there is extensive psoriasis or erythroderma. In severe cases, the lesions may occur all over the body. In some cases, the lesions are confined to the plans and soles only where they produce fissuring and scaling in localized areas. This is called palmo-plantar psoriasis. The lesions may be completely asymptomatic but several patients have very severe itching. The disease undergoes spontaneous remissions and relapses at variable intervals, but most patients worse during winter. It is generally not a fatal disease.

Some patients also have involvement of the joints (psoriasis arthropathy) in a manner which resembles rheumatoid arthritis. It differs, however, from the latter by the fact that in psoriasis the distal interphalangial joints may also be involved and that the rheumatoid factor in serum is not found. Such patients are usually positive for HLA B27. Occationally ,a patient may have only joint involvement due to psoriasis and no skin lesions.

In some cases one or more of the nails are also involved showing one of the following characteristic changes

  1. occurrence of the multiple pin – point sized pits on the surface of the nail plate.
  2. separation of the nail plate from the nail bed which shows as an area of yellowish discoloration ( onycholysis ).
  3. thickening, brownish discoloration and irregularity of the nail plate (onychodystrophy ). Sometimes, involvement of the nails and the joints may be the only manifestations of psoriasis and may remain so far several months or years. The hair and the mucous membranes are generally not involved.
GUTTATE PSORIASIS

Is a variant of psoriasis which manifests as sudden eruptions of numerous, 0.5 to 1.0 cm small ( guttate ), erythematous and scaly papules some what resembling the psoriasis lesions. Such an eruption is particularly common in children and may occur 2-4 weeks after an infection caused by group A beta haemolytic streptococci. These eruptions are generally short – lived, but may be recurrent sometimes these lesions may persist and transform in to the plaque type of psoriasis.

PUSTULA PSORIASIS

is another variant in which the lesions are mostly superficial pustules. These pustules may be located over the psoriasis form plaque or even on normal skin and contain large numbers of polymorphs. The lesions may be limited to the palms, soles only with or without fever and toxaemia, or the pustules may appear all aver the body when the disease is potentially more serious and requires urgent treatment.

The aetiology of psoriasis is poorly understand. Genetic factors seem to play an important role in the occurrence. Normally, the epidermal cells divide at a fixed controlled rate. At this rate a newly formed cell at the basal layer takes nearly one month transform into and get shed off from the skin surface as a keratinized cell. In psoriasis lesions this rate is increased almost ten-fold. This leads to formation of immature epidermal cells which are shed as scales.

The reason why psoriasis is usually worse during winter is not known, but sunlight has a very beneficial effect on psoriasis. That may possibly be the reason why psoriasis is usually not seen the covered parts of the body

SIMPTOMS

Generally the skin of the person suffering from psoriasis appears red and irritated and may be covered with bright silvery scales. Sometimes there is also a little itching area usually involved are elbows, knees, the skin behind ears, trunk and scalp. The disease may also affect the under arm and genital areas. The lesions of psoriasis are always dry and rarely become infected and blood will also come from itching parts.

AVOID OF SOME FOOD HABITS

The proteins from non-veg causes to the irregular growth of skin cells of the human body. So avoid non-veg food and also steroid food, green chilly, tomato, potato, also alcohol, and beverage packed food or drinks etc….

DIAGNOSE

I follow the pulse diagnosis only.

TREATMENT: ANCIENT TREATMENT WITH HERBAL MEDICINE

WITH OUT DRUGS

I can estimate the seriousness of psoriasis lesions through pulse diagnose without grattage test / auspitz sign or by taking a skin biopsy. Am giving excellent ayurvedic treatment through ancient method. Here the formula is individual for the psoriasis patient but not common formula to every patient. The patient has to take herbal medicine for one year course or more according to fitness of the body.

RESULTS : Excellent, if the patient follow the food restrictions as per guidance.