Psoriasis

Psoriasis is non inflammatory, disease of skin characterized by well defined thick, red patches covered by larged, adherent, silvery scale, found especially in areas like scalp elbows ankle nails knees palms trunk back and in rare cases the whole body is affected. In Infants the napkin area is the most common affected site.
In psoriasis pathogenic T cells are activated, thereby releasing chemicals that causes the inflammation and leads to an abnormal growth of skin and the sweeling of the blood vessels underneath. When these Two cells are activated they behave like they are fighting a wound and in turn release a lot of chemical signals which causes the skin to have abnormal growth. So, the skin build up more than it can shed, thus causing a plaque of psoriasis.
It can occur at any age but, is more prevalent in people with metabolic disorders like diabetes and those who suffer from increased triglycerides and cardiovascular diseases.
Factors like stress, high blood pressure extreme cold temperature
and trauma ( koebner phenomenon attributed to German dermatologist Heinrich Kobner, which referes to skin lesions caused due to trauma) also trigger this condition. People suffering from metabolic syndrome ( obesity, hypertension, dyslipidemia insulin resistance) are at a higher risk of this disease because of the presence of similar pro inflammatory mediators.
Types of psoriasis
Plaque psoriasis the most common form of this condition, manifests as a red patches covered with silvery white build up of dead skin cells or scales. This is typically seen on the sclap, knees elbow and lower back. Itchy and painful, these scales may even crack and bleed.
Guttate psoriasis which manifests as a small red lesions on the skin, is mostly seen in children and it is caused due to respiratory or throat infections. It can apear all over the body.
Pustula psoriasis comprising white pustules surrounded by red skin is mostly seen on the palms and soles.
Inverse psoriasis mainifests as red lesions mainly in skin folds ( like the groin and in armpits) where there is a lot of friction.
In nail psoriasis the hard surface on top of the nails starts losing keratin cells. As a result pits form over the nails.it can also destroy the nail bed.
20 percent people develop psoriatics arthritis. It can also affect one or two major joints like shoulder knees or the spine. Depending on the joints which are affected the patient might be first experience morning stiffness which can last up to half an hour. If joints become swollen, red and tender and are not treated adequately, it can lead to permanent immobility.
Homoeopathic treatment
For psoriasis where the itching is followed by scratching which in turn is followed by rawness of the skin with affection of the areas like bends of the limbs groins neck back of hands and behinds ears, Graphites 30 four pills three times daily

Kali ars 30 potency five pills taken three times daily is useful for psoriasis with intolerable itching especially on undressing.
Back of fingers worse in summer Borax 30 five pills three times daily.
Intense itching burning worse after scratching and washing Sulphur 200 five pills once in a week.
Violent itching on thighs legs and ears with formation of dry scales Chrysaobinum 30 potency five pills three times daily.
Deep cracks in the bends of the elbow itching is better by scratching Mag acet 30 potency five pills three times daily.
Eruptions resulting after vaccination Thuja 200 once in a week.
All over the body Mezereum 30 potency five pills three times daily
Nails only Sepia 30 potency three times five pills daily.
Palms and soles petroleum
Scalp Graphites 30 potency five pills three times daily
Itching worse/ better
Better cold bath  Fagopyrum
Better hot bath Rhus ven
Worse hot bath Calc carb
Better open air Pulsatilla
Seasonal variations
Worse summer Kali ars
Worse  winter Mezereum
Causes
After depression.  Nat mur
After drug abuse Nux vom
After injury Arnica
After supperssed anger Staphysagaria
After throat infections Hepar sulph
Associated with
Joint pain Rhus tox
Pus.  Merc sol.