PSORIASIS

These are red, scaly (silvery white) patches which can appear anywhere on the skin. It is uncommon before age of 10 and common between 15-30 years.

CAUSE

Unknown. Possibly genetically determined.

Precipitating factors are:

Psychological emotional stress

Cold weather

Injury

Septic focus

Drugs like Steroids, Brufen, Lithium, Antimalarials and Beta-

adrenergic blockers

SYMPTOMS

Usually affects both sides of body symmetrically

Well circumscribed red, dry plaques (flat areas on skin) of various sizes, covered with scales Removal of scales gives rise to pin-point bleeding points. Sites can be anywhere on the body especially on e.g. elbow, knees, sacrum and occiput.

Lesions are coin shaped or circular with central clearing

Joints can get affected especially finger joints

Nails frequently become pitted and thick with brownish black

discoloration

Do's and Dont's

Try to avoid or overcome the precipitating or trigger factors.

A warm climate may help to control relapses. Coal-tar, steroidal preparation are effective for a short time and should not be continued for long.

Artificial ultraviolet light may help.

There is some evidence to link alcohol with psoriasis. So avoid alcohol altogether.

Raise your general immunity with a good nutritious diet and regular exercise.

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