- Plaque psoriasis is a chronic autoimmune condition. It appears on the skin is thick patches and reddish scaly skin.
- Plaques typically appear red patches covered with a silvery white scale.
- In this the plaques may appear darker and thicker and more of a purple or grayish color or darker brown.
- Plaques can appear anywhere on the body appear on the knee, elbows, scalp.
- Plaques usually appear symmetrically on the body.
SYMPTOMS: – Common signs and symptoms include:
- Red patches of skin covered with thick, silvery scales
- Small scaling spots (commonly seen in children)
- Dry, cracked skin sometime it may bleed
- Itching, burning or soreness
- Thickened, pitted or ridged nails
- Swollen and stiff joints
CAUSE: – Psoriasis has no exact cause.
- There are multiple proposed risk factors for psoriasis although genetic predisposition is thought to be the main contributor.
- Environmental and behavioral factors may also play roles. In particular, increased rates of smoking, alcohol, and obesity are typically found among patients with psoriasis.
- Some medications and infections have also been identified as possible triggering factors for psoriasis.
- The following have been shown to trigger the development of psoriasis:
- High stress
- Infections (strep throat)
- Medications (malaria drugs, lithium)
- Heavy alcohol consumption
- A severe sunburn
- Reduced immunity
- Psoriasis tends to run in families, but it may be skip generations.
CLASSIFICATION: – The severity of plaque psoriasis is determined based on the amount of the body covered in plaques:
- Mild Psoriasis: Less than 2 percent
- Moderate Psoriasis: 3-10 percent
- Severe Psoriasis: 10 percent or more
DIAGNOSIS: – Plaque psoriasis can be identified during a visual examination.
- As psoriasis has a strong genetic association family history can aid in the diagnosis.
- You should also obtain your patients medical history and information about their specific symptom.
RISK FACTORS: – These factors can increase your risk:
- Family history. The condition runs in families. If psoriasis occurs in one parent then increases the risk of getting the disease.
- Stress. If patient suffer from stress it impact immune system, high stress levels may increase risk of psoriasis.
- Smoking. Smoking can increases risk of psoriasis but also may increase the severity of the disease. Smoking also play a key-role in the occurance of the disease.
HOW PLAQUE PSORIASIS ASSESED:- Patients with chronic plaque psoriasis should be assessed by a dermatologist. Factors may include the following:
- Age of onset of psoriasis
- Current age and sex
- Sites affected by psoriasis
- Symptoms (itch, soreness)
- The classification of psoriasis (localised or generalised, large plaque or small plaque)
- Extent and severity of psoriasis (often by PASI scoring)
- Functional impairment or disability due to skin disease (often using DLQI or Dermatology Life Quality Index scoring)
- Health problems including blood pressure, weight and body mass index .
- Smoking status and alcohol also play major role
- Current medications for psoriasis and other conditions
- Previous treatments and their effect
- Skin phototype
- Suitability of systemic therapy.
DIFFERENTIAL DIAGNOSIS: –
- LICHEN PLANUS
- BROWN DISEASE
- ERYTHEMA ANNULARE
- PITYRIASIS ROSEA
- SEBORRHEIC DERMATITIS
TAKE CARE OF SKIN: –
- A good moisturizer can keep plaques soft and make you less itchy.
- Avoid harsh soaps.
- Use CAC Twak Tail for softens the plaque.
- Uses aloevera gel twice or thrice a day.
- Apply medicated lotion,cream or ointment.
- Try using medicated shampoo for scales on your scalp. Learn about more skin care tips for psoriasis.
AYURVEDIC VIEW OF PLAQUE PSORIASIS:-
- Ayurvedic says that psoriasis accur due to an imbalance of dosha and also called energy. These dosha is vata, pitta, kapha.
- Vata is responsible for controlling bodily functions and also help in movement ,contribute to the dryness and skin scaling of psoriasis. Kapha is responsible for growth and provide the mositure to the body.
- The imbalance between these dosha can lead the skin disease .Ayurvedic treatments in psoriasis play a very important role.when apply herbal medication it help to detoxify the skin and remove the toxins.In psoriasis diet and lifestyle changes also play a major role.
AYURVEDIC HERBS USED IN PLAQUE PSORIASIS:
HOME REMEDIES USED IN PLAQUE PSORIASIS: –
- Use a petroleum jelly or thick moisturizer
- Mosturize the skin daily.
- Consuming a healthy diet high in vegetables.
- Use apple cidar vinegar for scalp.
- Tea – tree oil also apply on affected area.
OTHER ALTERNATIVES THERAPIES:- Other home remedies that people have tried include:-
DIET IN PLAQUE PSORIASIS: –
- Ayurvedic practices typically revolve around a vegetarian diet.
- Take gluten free diet.
- Avoid dairy product.
- Use omega-3 fatty acid it helps to reduce inflammation.
- Avoid dairy product.
- Take fruits and leafy vegetables in high amount.
- Avoid junk food
- Avoid citrus eatables
- Take proper sunlight
- Foods to avoid include high-carbohydrate ingredients and products that contain large amounts of sugar.
- Avoid excessive salty and spicy food.
Vaidya Karanvir Singh is the younger Vaidya in Chandigarh Ayurved & Panchakarma Centre. He is the fourth generation in his family who is practicing as a general consultant in Ayurved & Panchakarma treatment at Chandigarh. In his practice, he had treated more than 1000 plus patients worldwide.