Psoriasis poster

psoriasis poster

1. INTRODUCTIO
N
PSORIASIS
TYPES
Vulgaris
Flexural
Guttate
Pustular
Nail
BACKGROUN
D
Individuals with psoriasis feel self-
conscious about their appearance and
have a poor self-image that stems from
fear of public rejection and psychosexual
concerns. Most of the drugs used in
psoriasis provide only a temporary relief,
whereas they are riddled with potential
toxicities and cost concerns. Hence,
there is a constant need to explore
newer, effective, orally administered, and
cost-effective drugs with minimal or no
adverse effects.
OBJECTIVE
●The aim of study is to find suitable
homoeopathic medicines to increase the
resistance or decreasing the
susceptibility so that patient may go into
remission and if remission is achieved it
is to be prolonged with the help of
suitable medicinal intervention
 
●To control the severity and intensity of
psoriatic presentation presenting
symptoms, frequent episodes of relapse
in reported cases.
Psoriasis is a non-infectious, chronic
inflammatory disease of the skin,
characterised by well-defined
erythematous plaques with silvery scale,
with a predilection for the extensor
surfaces and scalp, and a chronic
fluctuating course
MATERIALS AND METHODS
*Study Design: Descriptive observational study
*Study Time: The study was conducted for 3 years (2010-2013)
*Study approval: By Delhi Homeopathic Anusandhan
Parishad.
An exhaustive history was taken and all patients underwent
detailed physical examination. Their clinical severity was
assessed as per "Psoriasis Area and Severity Index" (PASI) score
and “Glasgow Homoeopathic Hospital Outcome scale” ( GHHOS)
A standardized data collection form was prepared and necessary
data was obtained from patients and their attendants. Additional
information including aggravating factors and comorbidities
associated with psoriasis were collected.
The recruited patients underwent pretreatment baseline
investigations like complete blood counts, blood sugars, liver,
renal and thyroid function tests. The patients were then
administered oral Constitutionally or symptomatically selected
homeopathic medicines, three times a day for 3-6 weeks. They
did not receive any other drug apart from topical coconut oil as
emollient. At each visit, clinical assessment was done and the
PASI score and GHHOScale was recorded by the same observer.
New symptoms, if any, were noted. The blood parameters were
repeated at the end 12 weeks.
INCLUSION CRITERIA
Clinically confirmed cases of psoriasis were included of both
sexes and all ages.
EXCLUSION CRITERIA
▪Pregnancy
▪Concomitant serious diseases
▪Patient undergoing treatment for some other disease like
malignancy
*Route of medicine administration: - oral route
*Dosage and potency: - Minimum dose according to
susceptibility.single, simple remedy generally 30,200,1M
*Follow up of patients in every 3, 6 to 12 weeks depending upon
the severity of the condition
KEY WORDS: Psoriasis constitutional medicines, Auspitz’s
sign, Koebner’s phenomenon, Remission, etc.
COMPLICATIONS
Psoriatic Arthritis

2. RESULT ANALYSIS
Out of 375 patients who visited the skin OPD of Dr B R Sur Homoeopathic
Hospital, Delhi, 60 patients were clinically diagnosed to have psoriasis.
were the most commonly associated diseases seen in these patients.
Maximum Age group found : Majority of the patients belonged to the
age group of 30-50 years.
Commonest Variety found: Chronic plaque was the commonest
clinical type (44%) followed by palm plantar (19%) and scalp psoriasis
(12%).
Commonest Location: scalp followed by lower limbs.
Commonest comorbidity: Type 2 diabetes mellitus, hyperlipidemia
and thyroid diorders
Commonest associated symptom: Pruritus and joint pains
Medicines used maximum : The prescriptions were made on basis of
totality of symptoms and the patients showed marked improvement by the
constitutional medicine (Phosphorus followed by natrum mur, sulphur,
lycopodium, opium, arsenicum alb, causticum, nux vomica etc) during
treatment.
Phosphorus 200 was given to 14 patients out of which 10 went into
remission & 4 were static. Natrum Mur 200 was given to 6 patients out of
which 4 went into remission & 2 were static. Sulphur.30, 200 was given to
6 patients out of which 4 went into remission & 2 were static. Similarly lyco
200, opium 200, phos 200 and other constitutionally selected medicines
were given according to symptom similarity.
Initially all the patients had follow up every 3 weeks and then fortnightly
according to the need. The change in the symptoms like itching, erythema,
scaling, thickening etc along with physical generals, mental generals and
other associated complaints were recorded. Any new symptoms showed
by the patients were also recorded.
HOMEOPATHIC APPROACH
*Homeopathy stimulates body’s natural healing capacity
*It acts at functional level to restore altered immunity.
*Delays progress of disease
*Reduces the intensity of complaints
*Prevents deformity
*Increases the period of remission
*Prevent relapses
CASES
BEFORE
BEFORE
DURING
DURING
N AM E – I SH WA R SI N G H
AG E/ SE X-20/M
D U R AT I O N O F C O M P L AI N T- SINCE 1
MONTH
C L I N I C AL T YP E-PLAQUE TYPE OF
PSORIASIS
D U R AT I O N O F T R E AT M E N T-3  MONTHS
M ED IC I N E PR E SC R I BED- LYCO 200
N AM E- R . C .S H AR M A
AG E/ SE X-47/M
D U R AT I O N O F C O M P L AI N T- PSORIASIS
VULGARIS SINCE 2 YEARS
C L I N I C AL T YP E-PLAQUE TYPE OF
PSORIASIS
D U R AT I O N O F T R E AT M E N T-5 MONTHS
M ED IC I N E PR E SC R I BED- PHOS 200
N AM E – M R . V . VI N C EN T
AG E/ SE X-52/M
D U R AT I ON O F C O M P L AI N T- SINCE 2
YEARS
C L I N I C AL T YP E-PLAQUE TYPE OF
PSORIASIS
M ED IC I N E PR ES C R I BED-SULPHUR 200
BEFORE
BEFORE
DURING
DURING
N AM E - H IM AN SH U
AG E/ SE X -15/M
D U R AT I ON O F C O M P L AI N T- PSORIASIS
SINCE 2 YEARS
C L I N I C AL T YP E-PLAQUE TYPE OF
PSORIASIS
M ED IC I N E PR ES C R I BED-GRAPHITES 200BEFORE DURING

3. N AM E - R . P. M I S HR A
AG E/ SE X-50/M
D U R AT I ON O F C O M PL AI N T-2 YEARS
C L I N IC A L T YP E-GUTTATE PSORIASIS
M ED I C IN E PR ES C R IB ED-NITRIC ACID 200
N AM E - M U R AR I
AG E/ SE X- 39 yrs/M
D U R AT I ON O F C O M PL AI N T- 2yrs
C L I N IC A L T YP E- PLAQUE TYPE PSORIASIS
M ED I C IN E PR ES C R IB ED- NATRUM MUR 30(1
dose)
N AM E - K. S C H A UH A N
AG E/ SE X-49/M
D U R AT I ON O F C O M PL AI N T- SINCE 17
YEARS.
C L I N IC A L T YP E-PLAQUE TYPE PSORIASIS
M ED I C IN E PR ES C R IB ED- LYCOPODIUM-200
N AM E – T EK C H AN D
AG E/ SE X-58/M
D U R AT I ON O F C O M PL AI N T- SINCE 8 YEARS
ASS OC I AT E D C OM P L AI N T- JOINT PAIN,
BLEEDING PILES PER RECTUM
C L I N IC A L T YP E-PSORIASIS ARTHROPATHICA
M ED I C IN E PR ES C R IB ED- SULPHUR 200
N AM E - R AJ U GO PA L
AG E/ SE X-40/M
D U R AT I ON O F C O M PL AI N T- SINCE 3 YEAR
C L I N IC A L T YP E- PLAQUE TYPE PSORIASIS
M ED I C IN E PR ES C R IB ED- SULPHUR 1M
BEFORE
BEFORE
BEFORE
BEFORE
BEFORE
DURING
DURING
DURING
DURING
DURING
Homoeopathic remedies chosen on the basis of the patients
totality of symptoms.
Guttate attacks carry better prognosis than those of a slower
and more diffuse onset and have longer remissions after
treatment.
An early onset and family history of the disease appear to
worsen the prognosis.
Relapse is the rule, however completely the lesions are
treated.
Drugs found most effective are phosphorus, Sulphur, Natrum
Mur, Nitric Acid , lycopodium.
CONCLUSION
ACKNOWLEDGEMENT
I express my gratitude to Dr V K Chauhan, Principal, SHMC
for his constant support and encouragement throughout the
project
I am thankful to Dr Anil K Nair(CMO), Co-guide, Drs Parul
Kaushik , Swati Rawat, preeti,manpreet ,vaishali ,sidharth
,nupur,swatiandbhawna, Interns, whose support has helped
me in taking the project in an effective manner.
Dr Neena Mehan
Asst. Professor
Department of Medicine, SHMC
Project Guide