Thursday, October 11, 2012

Coping With Psoriasis 'Virtually' -- http://community.advanceweb.com/blogs/nppa_4/archive/2012/10/11/coping-with-psoriasis-it-s-virtual.aspx


The Dermatology Nurses' Association (DNA) will host a Virtual Psoriasis Symposium on Saturday, Nov. 10.  This event offers a unique educational format for dermatology and primary care nurses as well as nurse practitioners who treat patients with psoriasis.
An estimated 7.5 million Americans are affected by psoriasis. This educational event is designed to provide a better understanding of the condition as well as techniques for treating patients who have it.
While earning continuing education credits, you can gain a comprehensive overview of psoriasis. Registration will be open right up until the day of the event.
Joining the Psoriasis Symposium will help you gain understanding of the epidemiology and pathophysiology behind psoriasis, why it's "more than skin deep," the comorbidities and risk factors and treatment options, including which options best suit your particular psoriasis patients.
Patients tend to have difficulty dealing with psoriasis. During the session, you will learn how to assist them in coping with and overcoming this chronic autoimmune disease.

Tuesday, March 13, 2012

How to Tell the Difference between Scalp Psoriasis and Dandruff



Ayushya Varsha is offering a Psoriasis treatment kit which is a combination of brands available in the market packaged  into one based on experiences through patients.

How to Tell the Difference between Scalp Psoriasis and Dandruff

Two flaky heads are never the same – especially when one is caused by psoriasis and the other is dandruff. It is often difficult to tell them apart as they both share the same visible symptoms of white and grey flakes of dead skin and they both itch. However, make no mistake about it, they are two different scalp problems and require their own treatment approach. So, do you have scalp psoriasis or dandruff? Here are the key things you should know and look for to know the difference.

Difference I: They have different root causes
Whilst scalp psoriasis and dandruff are both caused by a high skin turnover rate, they have different underlying causes. In both conditions, the replacement process by which dead skin cells are shed to make room for new cells is sped up, and so they clump together to form big clusters. However, whilst the scales produced by psoriasis are reminiscent of dandruff flakes, that is the only similarity between them.
Scalp psoriasis is first and foremost a genetic condition that is deeply rooted in the immune system. Sometimes it is inherited from your parents – one naughty little gene can start the trouble – and at other times it can appear out of nowhere. If you have existing psoriasis on other body parts, you are even predisposed to having an outbreak of scalp psoriasis if you hurt your head. This process is known as the Koebner phenomenon, and it describes how psoriasis can spread to an area of skin injury – for example, if your cat scratches your forehead, if your head gets sunburnt on the beach or if you knock it on the doorframe.
However, the shedding of dead skin cells that is at the heart of dandruff is reported to have altogether different causes. Some dermatologists point their fingers at a little fungus called Malassezia. Everybody has minute amounts of this yeast, particularly in greasy areas where skin oils build up (on the scalp and the upper torso), but for some individuals it develops into dandruff. This yeast feeds off the skin oils and secretes oleic acid, which triggers the scalp to bump up its production of skin cells, which leads to dandruff. Other reasons that have been listed include hormonal imbalances (as it normally starts after puberty, when hormones are going haywire), irregular hair brushing, infrequent shampooing, dry skin and stress.

Difference II: They look different
The second major difference between the two conditions is their appearance and the locations where they surface. You don’t need to have a trained eye to see the dissimilarity!
Firstly, whilst dandruff normally appears where the hair grows, scalp psoriasis has no bounds. It can extend beyond the hairline and into the forehead, as well as onto the back of the neck and around the ears.
Secondly, the actually flakes are different. The scales that are produced by scalp psoriasis are generally small and may even look powdery with a silvery sheen. However, dandruff flakes are usually bigger and more “built up”, like a section of roof tiling. There might be a degree of overlapping, particularly in cases of severe scalp psoriasis when the scales are thicker and form “crusts”, but usually this key visual difference between the two is present.
Thirdly, scalp psoriasis is characterized by inflammation and redness, whereas dandruff is not. Sometimes the itchiness that dandruff causes makes some people scratch their heads until their scalps glow red, but its not the same as the inherent red patches with psoriasis.

Difference III: They (might) need different treatment
Since the symptoms are alike, the first line of treatments for scalp psoriasis and dandruff are sometimes similar. However, if the cases are particularly stubborn, they require different approaches. Psoriasis in particular may be resistant to regular treatments due to its genetic nature.
Both scalp conditions normally respond well to certain medicated shampoos which contain coal tar and salicylic acid. This type of acid is great for de-scaling and smoothing over patches of skin. They are also normally available over-the-counter.
For severe dandruff, you might be prescribed an anti-yeast shampoo containing either selenium sulphide, or ketoconazole. Both of them are natural born killers when it comes to the tiny fungus living on your head.
However, anti-yeast shampoos will do nothing for your psoriasis (unless you have an existing yeast condition that is exacerbating your psoriasis!). For severe cases of scalp psoriasis, you might be prescribed a topical steroidal ointment or a few sessions of phototherapy with ultraviolet (UV) light.
Having either scalp psoriasis or dandruff can be very embarrassing, especially when you’re wearing dark clothing and the flakes stand out like little stars at night. However, it’s not the end of the world. By diagnosing your condition properly, you can determine which products to use and which approach works best. Don’t forget to browse our site for psoriasis treatment ideas.

Sunday, March 11, 2012

MANMATI'S SUCCESS STORY OF INFERTILITY


CLINICAL STUDY on LIV. 52 HB
Summary: In this case a 25 year female who was infertile presented for infertility having married for 9 years. In course of 5 months of treatment which includes 4 months on Liv. 52 HB as in the study the patient turned negative on status of Hepatitis B antigen. The AST and ALT values were reduced to normal values within 2 months of initiation of the treatment. The patient is 5 months through her pregnancy and has tolerated the drug well with no missed abortion or any associated signs of discomfort.
 THE CASE STUDY-
The drug Liv. 52 HB has been successfully evaluated in a study which began  under the guidance of Dr. P. Patki (Head - Medical Services & Clinical Trials - R&D, The Himalaya Drug Company). The following will detail the study as it has progressed to reach its objectives.
The patient (Manmati Shah) a 25 year old Hindu female reported along with her husband (Vijay Kr. Shah), a resident of village Karsua, Post Waidhan, District Singrauli, Madhya Pradesh for infertility. The history of the presenting comlaint was as old as 9 years.
The initial treatment included a mixed approach and used both modern and ayurvedic medicines for treatment. The initial prescription with the treatment starting 12th of February, 2011 and the first follow up on 24th, February, 201 was  as follows –
Rx
Tab Liv. 52 - DS
2 TID x 15 days
Tab PANCH NIMBADI BATI
2 TID x 15 days

Syp. DASHMOOLARISHTHA
15 ML BID WITH 15ML FRESH WATER x 15 days
Cap OXYTARD
1 BID x 15 days
Syp. DASHMOOLARISHTHA
10 ML BID WITH 15ML FRESH WATER x 15 days
PROTEIN POWDER
2 TSP. WITH MILK TWICE DAILY
FOLLOW UP 1  -  (24/02/2011)
Rx
Tab Liv. 52 - DS
2 QID x 50 days
Syp. PUNARNAVARISHTHA
15 ML BID WITH 15ML FRESH WATER  x 50 days
Cap OXYTARD
1 BID x 50 days
Cap MAP-DSR
1 OD x 50 days
Tab. LAMIVIR - HBV
1 OD x 50 days
Tab. BALOX
1 BID X 10 days


Fowllowing this period from 18th of March the treatment was further revised as follows limiting the medications only to Ayurveda –
FOLLOW UP 2 -  (18/03/2011)
Rx
Cap. LIV. 52 HB
2 BID x 30 days
Syp. TRIGUNASAVA
10 ML BID WITH 10ML FRESH WATER  x 30 days
Cap OXYTARD
1 BID x 30 days
FOLLOW UP 3  -  (20/04/2011)
Rx
Cap. LIV. 52 HB
2 BID x 60 days
Syp. TRIGUNASAVA
10 ML BID WITH 10ML FRESH WATER  x 60 days
Cap OXYTARD
1 BID x 60 days




FOLLOW UP 4  -  (25/05/2011)
The treatment was continuing. This included evaluation of confirmation of pregnancy status and AST, ALT, HbsAG and HCV status.
FOLLOW UP 5  -  (19/06/2011)
Rx
Cap. LIV. 52 HB
2 BID x 60 days
Syp. TRIGUNASAVA
10 ML BID WITH 10ML FRESH WATER  x 60 days
Cap OXYTARD
1 BID x 60 days
FOLLOW UP 6  -  (27/07/2011)
The treatment was continuing. This included evaluation of confirmation of pregnancy status and AST, ALT, HbsAG and HCV status.
At this point after having attained the positive turn in AST and ALT values as early as in May following 2 months of use in July a Negative status has also been attained for Hepatitis B.








Future course as adopted -
The patient remains under observation and the new born shall be evaluated at birth for HBsAg Status to confirm safety during pregnancy and also evaluate the prevention of placental transmission of Hepatitis Antigen across to the developing foetus.
Objectives achieved thus far –
1.)    In 4 months of time frame Hepatitis stus has been achieved as Negative.
2.)    AST and ALT values returned to normal in 2 months of time.
3.)    Dependence on a coalesce use of an antiviral drug as lamivudine is not required since the status has been achieved independent of lamivudine once Liv. 52 HB was initiated.
4.)    Safe to use during pregnancy by initial observations as no adverse events were reported except for occassional bloating sensations of the stomach.
Further continuing evaluations –
1.)    The status of the baby at birth with respect to HbsAg.
2.)    Since AST and ALT values have been attained at a normal value and are sustained; a long term use may have a potential impact on HCV status as well.
3.)    The patient shall remain under observation for 2 years with observations made 6 monthly since studies show reversal of Hepatitis B status as positive.
4.)    Since patients with a dual status of Hepatits B and Hepatitis C positive are at a long term risk of developing Liver Cancer, the extended evaluations may lend a scope into evaluating a possible role in Liver Cancer.




Saturday, March 10, 2012

ONYCHOMYCOSIS - NAIL FUNGAL INFECTION

ONYCHOMYCOSIS - NAIL FUNGAL INFECTION


The nail infections of the fungal type are the thickening and discoloration of the toe nails. There are certain types of fungi that feed on the toe nails, that is, keratin. Fungi grow in dark and moist environments and some footwear are ideal for the growth of the fungi. When your nail catches a fungal infection, it gets chalky, brown and yellow.

The nail would become brittle. The nail will become loose and thicken and it is likely that the infection would spread to the other nails too. You must see the skin expert for advice if you tend to have thickened nails. Nail infection can happen at any age although it happens with increasing age. Attention must be paid to the changes in nails and this may lead to local infections too.

There are quite a variety of treatments available for fungal infections of nails and these treatments are general as well as surgical. A thickened nail has to undergo a diagnosis.

Lacquers, ointments and creams are to be applied topically and these can be bought from the pharmacist while other medicines would need a prescription. Many nails are not resolved even with the application of drugs. The nails have to be cut short for the drug to get penetrated. This is generally done with the help of a file.  A small nail drill can also be used. There are tablets available for the infection and these can be taken orally. However, only taking tablets would not help in the cure as ointments have to be applied. Surgery is often used for removing a fungus affected nail. The nail is sometimes fully removed and then the new nail can be treated with drugs.

A nail infection is not much harmful but it should be stopped from getting enhanced and if regular and proper care is taken, it would be easier to come out of this nail problem.

Friday, March 09, 2012

URTICARIA - SHEETAPITTA


Urticaria

This is a vascular reaction of the skin characterized by the transient appearance of elevated patches which are redder of paler than the surrounding skin and often attended by itching. In Ayurveda this is called Shita pitta.
Allergens, taking cold bath immediately after exercise, when the body is hot , and mental excitement are the most important factors for the causation of this disease .Intestinal worms and exposure to the cold wind often cause Urticaria .these patches appear all over the body suddenly or gradually. There may be severe itching .The patient is usually constipated He may get attacks of cold, cough, bronchitis and stomach disorder.

Monday, March 05, 2012

ALOPECIA

ALOPECIA

Hair loss… 
 
Hair loss is a problem of many people and most of them get frustrated because they spent a lot for things promoted widely via television and media channels. Commercial products of 100% efficacy cannot be a cure for each and every type of alopecia because there are so many triggerring factors causing alopecia or hair loss. [hereditary, stress, hormones, medicines, irregular food habits, environment etc]. As per Ayurveda the answer is Prakriti [basic nature]. Just like human fingerprints each individual has unique basic nature so the treatment and its result may vary from person to person. (PRAKRUTI ASSESSMENT). Ayurveda is India's traditional, natural system of medicine that has been practiced for more than 5,000 years. Ayurveda means the "science of life".

World Health Organization [WHO] has recognized Ayurveda as prime alternative therapy. Ayurveda is the ancient Indian medical science, the origin of which can be traced back from Vedas which are the ancient books of knowledge, or science, from India.

Ayurveda believes in three doshas which are vata, pitta, and kapha.
Each person has a unique blend of the three doshas, known as the person's prakriti [basic nature].
Due to this Ayurvedic treatment is always individualized. In Ayurveda, a disease is viewed as a state of imbalance in one or more of a person's doshas.

'Alopecia' is a medical terminology which is used for various types of hair loss. There are different types of alopecia like androgenetic alopecia, diffuse alopecia, traction alopecia, cicatricial alopecia etc. But among all, alopecia areata is a highly unpredictable, autoimmune skin disease resulting in the loss of hair on the scalp and elsewhere on the body.

Perfect etiology of alopecia areata is not known but medical science believes that the affected hair follicles are mistakenly attacked by a person's own immune system (white blood cells), resulting in the arrest of the hair growth stage.

Alopecia areata -

1.) usually starts as one or more small, round, smooth bald patches on the scalp.
2.) It can progress to total scalp hair loss (alopecia totalis)
3.) complete body hair loss (alopecia universalis).

(LIFE TIME SKIN CLINIC REGISTRATION)

Saturday, March 03, 2012

FREE ONLINE SKIN CLINIC



FREE AYURVEDIC SKIN CLINIC

This is an online Ayurvedic skin clinic where you can consult for free and buy your prescriptions online by paying through your email. This will also feature articles on skin issues from time to time.

LEUCODERMA

Vitiligo is a widespread disorder now a days. Generally it happens due to autoimmunity which is the most known reason. Depigmentation of skin happens first which acquires skin area in shape of a spot or patch forming vitiligo spots. No one can predict its spreading without medicines. This all depends on how far a person’s immunity is affected as per our studies.

Facial vitiligo is a very bad situation in the life of a vitiligo patient. As the face gets a white spot it almost disturbs the psychosomatic state of the person’s mind. One can feel embarrassed and get into deep depression after onset of facial vitiligo.

Signs and symptoms

The most notable symptom of vitiligo is depigmentation of patches of skin that occurs on the extremities. Although patches are initially small, they often enlarge and change shape. When skin lesions occur, they are most prominent on the face, hands and wrists. Depigmentation is particularly noticeable around body orifices, such as the mouth, eyes, nostrils, genitalia and umbilicus. Some lesions have hyperpigmentation around the edges. Patients who are stigmatised for their condition may experience depression and similar mood disorders.

Treatment

There are a number of treatments that treat vitiligo. Treatment options generally fall into four groups.

UVB phototherapy

Exposing the skin to UVB light from UVB lamps is the most common treatment for vitiligo. The treatments can be done at home with a domestic UVB lamp or in a clinic. Normally a small lamp is needed if the spot is small. Treatment can take a few weeks if the spots are on the neck and face and if they existed not more than 3 years. If the spots are on the hands and legs and have been there more than 3 years, it can take a few months. In a clinic the treatments are done 2-3 times a week, and at home every day, which makes the home treatments more effective. If the spots are on a large area of the body, full body treatment in a clinic or hospital will be needed. Both UVB broadband and UVB narrowband lamps can be used.[8][9] However these treatments are unreliable at best.[citation needed] There is no treatment that totally repigments the skin. Adding a psoralen, a photosensitizer that increases the effect of the UV light, can aid in partial repigmentation.
Studies have shown that immunomodulator creams such as Protopic and Elidel also cause repigmentation in some cases, when used with UVB narrowband treatments. A 1997 report suggests that combining vitamin B12 and folic acid supplements with sun exposure caused repigmentation in 52% of cases.

PUVA phototherapy

Ultraviolet light (UVA) treatments are normally carried out in a hospital clinic. Psoralen and ultraviolet A light (PUVA) treatment involves taking a drug which increases the skin's sensitivity to ultraviolet light. The skin is then exposed to high doses of ultraviolet A light. Treatment is required twice a week for 6–12 months or longer. Because of the high doses of UVA and psoralen, PUVA may cause side effects such as sunburn-type reactions or skin freckling.
Narrowband ultraviolet B (UVB) phototherapy is now used more commonly than PUVA as it is less damaging to the skin. As with PUVA, treatment is carried out twice weekly in a clinic or every day at home, and there is no need to use psoralen.
A few preliminary trials have been carried out using the herb ginkgo biloba. A small-scale open-label pilot clinical trial found the progression of vitiligo stopped in all participants and indicated an average repigmentation of vitiligo lesions of 15%. The authors concluded that "larger, randomized double-blind clinical studies are warranted and appear feasible".

Transplanting melanocytes

In October 1992, a scientific report was published of successfully transplanting melanocytes to vitiligo affected areas, effectively repigmenting the region. The procedure involved taking a thin layer of pigmented skin from the patient's gluteal region. Melanocytes were then separated out to a cellular suspension that was expanded in culture. The area to be treated was then denuded with a dermabrader and the melanocytes graft applied. Between 70 and 85 percent of patients experienced nearly complete repigmentation of their skin. The longevity of the repigmentation differed from person to person.

Skin camouflage

In mild cases, vitiligo patches can be hidden with makeup or other cosmetic camouflage solutions. If the affected person is pale-skinned, the patches can be made less visible by avoiding sunlight and sun tanning of unaffected skin.

Reversal

The traditional treatment is the application of corticosteroid cream.

De-pigmenting

In cases of extensive vitiligo the option to de-pigment the unaffected skin with topical drugs like monobenzone, mequinol or hydroquinone may be considered to render the skin an even colour. The removal of all the skin pigment with monobenzone is permanent and vigorous sun-safety must be adhered to for life to avoid severe sun burn and melanomas. Depigmentation takes about a year to complete.

Non-segmental

In non-segmental vitiligo (NSV), there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area. Vitiligo where little pigmented skin remains is referred to as vitiligo universalis. NSV can come about at any age, unlike segmental vitiligo, which is far more prevalent in teenage years.

Classes of non-segmental vitiligo include:

 Generalized Vitiligo - the most common pattern, wide and randomly distributed areas of depigmentation
Universal Vitiligo - depigmentation encompasses most of the body
Focal Vitiligo - one or a few scattered macules in one area, most common in children
Acrofacial Vitiligo - fingers and periorificial areas
Mucosal Vitiligo - depigmentation of only the mucous membranes

Segmental

Segmental vitiligo (SV) differs in appearance, etiology and prevalence from associated illnesses. Its treatment is different from that of NSV. It tends to affect areas of skin that are associated with dorsal roots from the spine and is most often unilateral. It spreads much more rapidly than NSV and, without treatment, it is much more stable/ static in course and it is associated with auto-immune diseases and a very treatable condition that responds to topical treatment.
Vitiligo is a disorder characterized by patchy loss of skin pigmentation due to immune attacks on melanocytes. While there is no significant proof or evidence for this, many doctors believe that it can be caused by defects in many genes. Variations in genes that are part of the immune system or part of melanocytes have both been associated with vitiligo. The immune system genes are associated with other autoimmune disorders. In one case, the gene TYR, which makes the melanocyte more susceptible to the immune system in vitiligo, also makes the melanocyte more susceptible to the immune system in the skin cancer malignant melanoma. So people with vitiligo caused by the TYR gene are less likely to have malignant melanoma. A genomewide association study found 10 independent susceptibility loci for generalized vitiligo, responsible for 7.4% of the genetic risk. Some patients had vitiligo alone; others had generalized vitiligo with other autoimmune diseases. Most loci were associated with both forms. (The exception was PTPN22, which was only associated with generalized vitiligo.) In the MHC region, which controls the immune system, major association signals were identified in the class I gene region (between HLA-A and HLA-HGC9) and class II gene region (between HLA-DRB1 and HLA-DQA1). Outside the MHC region, association signals were identified near RERE, PTPN22, LPP, IL2RA, GZMB, UBASH3A and C1QTNF6 genes, which are associated with other autoimmune diseases. TYR encodes tyrosinase, which is not a component of the immune system, but is an enzyme of the melanocyte that catalyzes melanin biosynthesis, and a major autoantigen in generalized vitiligo. The major alleles of TYR are associated with vitiligo, and the minor alleles are associated with malignant melanoma. Vitiligo-associated 402R tyrosinase may be more efficiently presented to the immune system. Melanoma-associated 402Q may fail to be identified by the immune system. The transcriptional profile of melanocytes from vitiligo patients have been studied. Oligonucleotide microarrays containing approximately 16,000 unique genes were used to analyse mRNA expression in melanocytes from vitiligo patients and age-matched healthy controls. In total, 859 genes were identified as differentially expressed. Vitiligo is sometimes associated with autoimmune and inflammatory diseases,commonly thyroid overexpression and underexpression. A study comparing 656 people with and without vitiligo in 114 families found several mutations (single-nucleotide polymorphisms) in the NALP1 gene.The NALP1 gene, which is on chromosome 17 located at 17p13, is on a cascade that regulates inflammation and cell death, including myeloid and lymphoid cells, which are white cells that are part of the immune response. NALP1 is expressed at high levels in T cells and Langerhan cells, white blood cells that are involved in skin autoimmunity. Polymorphisms of CD4 were shown to be associated with the vitiligo and other autoimmune diseases like type I Diabetes Mellitus.
Among the inflammatory products of NALP1 are caspase 1 and caspase 5, which activate the inflammatory cytokine interleukin-1β. Interleukin-1β is expressed at high levels in patients with vitiligo. There are compounds which inhibit caspase and interleukin-1β, and so might be useful drugs for vitiligo and associated autoimmune diseases. In one of the mutations, the amino acid leucine in the NALP1 protein was replaced by histidine (Leu155->His). The original protein and sequence is highly conserved in evolution, and found in humans, chimpanzee, rhesus monkey, and bush baby, which means that it is an important protein and an alteration is likely to be harmful. Addison's disease (typically an autoimmune destruction of the adrenal glands) may cause vitiligo.

Wednesday, February 22, 2012

WHAT IS PSORIATIC ARTHRITIS?



Ayushya Varsha is offering a Psoriasis treatment kit which is a combination of brands available in the market packaged  into one based on experiences through patients.


What Is Psoriatic Arthritis?

Psoriatic arthritis is a chronic (long-lasting) disease in which a person with psoriasis develops the symptoms and signs of arthritis joint pain, stiffness and swelling. Psoriasis is a common, inherited skin condition that causes grayish-white scaling over a pink or dull-red skin rash.
Approximately 5% to 10% of the 3 million people who have psoriasis develop psoriatic arthritis. Psoriatic arthritis affects men and women equally and usually begins between ages 30 and 50. However, the disease can also occur in children. Most people have mild symptoms, but in some cases, the symptoms can be quite severe.

Types of Psoriatic Arthritis

There are five types of psoriatic arthritis. They are classified by their severity, whether both sides of the body are equally affected and which joints are involved.
Asymmetric inflammatory arthritis – Often the knee, ankle, wrist or finger are involved, with a total of one to four inflamed joints. Usually, the arthritis does not affect both sides of the body equally (that is, the disease is not symmetric).
Symmetric arthritis – Multiple joints are inflamed, often more than four, and the same joints on both sides of the body are affected. Fingernails often are ridged and pitted. This condition can mimic rheumatoid arthritis.
Psoriatic spondylitis – One or both sacroiliac joints (the joints linking the spine and pelvis at the lower back), and sometimes other spine joints, are inflamed, causing morning stiffness in the back.
Isolated finger involvement – This often involves only the last finger joint near the nail. One or more of these joints may be inflamed.
Arthritis mutilans – This is the most severe and rarest form of psoriatic arthritis. In this form, the fingers shorten because of destruction of the joints and nearby bones.
Although each type of psoriatic arthritis is somewhat distinct, some people show a blending of symptoms or have more than one type.
Psoriasis can develop before or after the arthritis, but psoriasis develops first in about 75% of cases. A person may begin to get morning joint stiffness before the arthritis is recognized. People who have psoriasis that involves the nails, especially nail pitting, are much more likely to develop arthritis than those without this problem (50% versus 10%).
The cause of psoriatic arthritis is unknown. There is some evidence that infection or trauma can play a role in the development of the disease. For example, psoriatic arthritis seems to flare up in people whose immune systems are affected by human immunodeficiency virus (HIV) infection. Also, heredity seems to play a role. Up to 40% of people with psoriatic arthritis have a family history of skin or joint disease. Certain genes seem to be involved in certain types of psoriatic arthritis. For example, the gene HLA-B27 has been associated with psoriatic spondylitis.

Symptoms

A pink or dull-red, scaly skin rash occurring in patches, especially on the back of the arms, front of the legs and scalp
Inflammation of the joints, especially in the fingers, toes or spine
Morning joint stiffness
Lower back pain

Psoriatic arthritis can affect other parts of the body. For example, fatigue and anemia are common in people with active psoriatic arthritis. Frequently, the arthritis is accompanied by inflammation of tendons and the spots where tendons attach to bones, such as in the heel or fingers.

Diagnosis 

Usually, a doctor can diagnose psoriatic arthritis based on your symptoms and a physical examination. In contrast to lupus or rheumatoid arthritis, autoantibodies are not usually present in the blood. Your doctor may order X-rays of the affected joints, but X-rays don't always indicate what type of arthritis you have. In a few cases, the X-rays may give the radiologist a clue that you have psoriatic arthritis rather than rheumatoid arthritis or another type of arthritis.

Expected Duration

Psoriatic arthritis tends to be lifelong. However, some people's symptoms vary significantly, so that it may be mild at times and more severe at other times. It's unusual for the joint problems to disappear completely.

Treatment

The main treatment is to take nonsteroidal anti-inflammatory drugs ans Ayurveda has its own ways of it to cope with this stiffness using various types of preparations including ones which contain Gold. When joints deteriorate despite aggressive medical therapy, your doctor may recommend surgery to reconstruct or replace the joint, especially if the pain is localized and intense and you have difficulty functioning.
Your doctor may recommend physical and occupational therapy to maintain muscle strength and the joint's range of motion. Splinting, a removable brace to immobilize an inflamed joint, may help reduce symptoms and inflammation. Exercise is important, especially for people with spondylitis because being active tends to reduce back symptoms.

Prognosis

The outlook for people with this disease varies. For some, psoriatic arthritis is a minor annoyance that requires medication only at times when symptoms are worse. However, in up to 25% of people with psoriatic arthritis, the condition causes disability with severe, unrelenting joint damage over time. With appropriate therapy, the majority of people with psoriatic arthritis have good control of their pain, improved function and limited joint damage.


Saturday, February 18, 2012

SCALP PSORIASIS



Ayushya Varsha is offering a Psoriasis treatment kit which is a combination of brands available in the market packaged  into one based on experiences through patients.

One may present with psoriasis only on the scalp or on the skin and scalp together. In many patients, scalp psoriasis exists for several years before it appears on the body. Many times, mild psoriasis on the scalp may be wrongly diagnosed and treated as dandruff. 
Scalp Psoriasis may be wrongly interpreted as dandruff  because of the transparent flaky nature of the scales.
A patient may have psoriasis on the skin first and then the scalp may be affected, or both may be affected simultaneously.

Psoriasis on the scalp can be differentiated in three categories, mild, moderate and severe.

1) Mild cases:  The first change noticed may be dryness in the scalp and hair. The hair may feel dry to touch. The second change seen is development of dandruff. Patient may typically exclaim, "I thought it was dandruff!" In such cases itching may be mild or moderate, which is more irritating and disturbing, in the initial stages.

Scratching leads to falling of fine dandruff on the neck and shoulders. The scalp itching is often awkward.

The closest differential diagnosis at this stage is seborrhea dermatitis. In seborrhea the scalp is oily, and the dandruff is rather sticky, like sebum and yellowish. Scalp psoriasis is dry, silvery and scaly.

2) Moderate cases: This stage may be seen a few years after the start of psoriasis.

The scalp may show single or multiple patches of scales. The scales may be white or silvery, moderately thick. There may be more concentration behind the ears, temples, occipital and parietal areas. Scales are visible and beneath and surrounding them, the scalp is reddish. 10-20 % of the scalp may be affected. The eyebrows, beard, may show patches of dandruff, dryness and itching. Hair fall may be prominent.

3) Severe cases: In severe cases of scalp psoriasis, there are large crusty patches of scales all over the scalp. The scalp redness is very much marked and the scales and redness many times can be seen beyond the hair line, on the forehead, behind ears and on the back of the neck. Around 50-80 % or more area of the scalp may be affected.

The scratching and suffering is unbearable. The scalp may bleed on scratching.
There may be super added fungal or bacterial infections.
If patient does not have psoriasis on the body, after this stage, psoriasis generally spreads to other parts of the body. 



Ayurveda uses a set of cleansers, immuno stimulants, applications and anti infectives to cover an over all picture of Psoriasis and associated conditions.


Some patients have good relief by using scalp moisturizers; the best being hair oil, some patients get severe discomfort by using hair oil. Each patient must use his or her own discretion. Tar shampoo and anti-dandruff shampoo are useful, and can be used in association with homeopathic treatment

PSORIASIS AND ITS CARE IN AYURVVEDA



Ayushya Varsha is offering a Psoriasis treatment kit which is a combination of brands available in the market packaged  into one based on experiences through patients.

Psoriasis and Its Ayurveda Management



Psoriasis is an inflammatory disorder that affects the skin and nails. It is marked by patches of thick, red skin covered with silvery scales that occur primarily on the elbows, knees, lower back and scalp. It can be painful and cause psychological and emotional distress, though in itself it is not lifethreatening.

Psoriasis develops when the ordinary life cycle of skin cells is accelerated. This is a chronic condition, where there are periods when it becomes really bad alternating with times when in imporves or goes into remission.

Causes - As per modern science there is no clear reason for Psoriasis and is believed to be an autoimmune condition. Some people's genes have a tendency towards acquiring psoriasis which could be triggered off by injury, throat infection, certain drugs and physical or emotional stress. Although the exact causes are not known, it is widely understood to be a genetic immune disorder.

Seriousness - Although Psoriasis is a chronic, stubborn condition of the skin, it is rarely serious. However, the sore, dry, scaly skin can give it the appearance of a serious disease. It has been reported that around 10% of those affected by Psoriasis also get affected by a condition called Psoriatic Arthritis. This is an affliction of the joints particularly of fingers and toes occassionally in the lumbar joints causing a low backache. Like Psoriasis this form of arthritis can also wax and wane.
Though there are some things that can affect the condition of the disorder to aggravate. Some things that can make Psoriasis worse are stress and infections.

Some medicines can also make it worse. These medicines include lithium and certain high blood pressure medicines, such as beta-blockers abd angiotensin-converting enazyme (ACE) inhibitors, as well as pain relievers like some non-sterodial anti=inflammatory drugs (NSAIDS) such as Ibuprofen.

Cure - Unfortunately, there is no known complete cure for psoriasis except Ayurveda Treatment. However, there are various treatments available which provides relief from symptoms for varying periods of time.

The severity of psoriasis may be the subject to and influenced by several factors which can be under your control. Here is a partial lidt of lifestyle and/or dietary changes to consider :
  • Make sure that a 'dermatologist' or a skin specialist jas made the diagnosis that indeed you have psoriasis.
  • Reduce stress level.
  • Whenever possible, expose the Psoriasis affected areas to fresh air and mild sunlight.
  • Do not consume alcohol, or consume very small amounts.
  • Do not smoke.
  • Do not eat spicy, hot or acidic foods.
  • Rinse the affected skin only in lukewatrm water, sea water or baking soda bath.
  • Do not use synthetic or aggressive soaps which contain harsh ingredients or detergents. Use body wash or soaps with a cucumber, Glycerin or Aloe Vera base. You can also use these soaps to wash your scalp.
  • If you use topical products to control you psoriasis, it is recommended to keep your skin somewhat moist after you have taken you shover or bath.
  • Use medicated oil for your scalp.
  • If you are living close to ocean, try to take regular sea baths, leave your skin somewhat wet and let the salt crystals dry on your skin. Avoid bathing in polluted seas.
  • Regular daily doses of sunlight taken in short exposures are recommended. Avoid a sunburn which may make psoriasis worse.
  • Consider buying a tanning, or sun bathing lamp. Get the type which excludes or filters the damaging UV rays. Be careful not to overdo it and burn yourself.
  • Remember psoriasis cannot be cured, however, it can be asserted by regularly using your medications.
  • Some medications or treatments may have an adverse affects. Remember to discuss your condition with your doctor regularly.
  • Discuss the suggestions above with your doctor before you try them. make sure they will not conflict with your current prescription medications.
According to Ayurveda Psoriasis is the complex of All Skin Diseases,and it is due to impurified Doshas Specially Pitta and Kaffa are the responsible for this disease.The Impure Doshas(Toxins,Aam) impurifies the Blood whih results in Such Skin Diseases.
Successfull Treatment Of Psoriasis In Ayurveda At Atharva Hospital:
It Includes Panchakarma:
1. Detoxification of The Impure Doshas Form The Body By The Unique Ayurveda Panchakarma Treatment Especially,

Vamana(Drug Induced Vomiting)
Virechana(Drug Induced Purgation)
with this Panchakarma Treatment The Impurified Doshas Flush out from the Body.

2. Immunomodulators:
The reason for Psoriasis is also Immunodeficiency,so In Ayurveda we are Offering Immunomodulator Herbs to Enhance The Immunity to conqure Psoriasis Successfully,

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