Introduction
Psoriasis is an autoimmune condition where the immune system mistakenly attacks healthy skin cells, resulting in rapid skin cell turnover and the formation of raised, red, and silvery skin. Psoriasis can cause areas of inflammation and excess skin production, which can lead to scaly patches. These patches are called psoriasis plaques and are usually found on the elbows and knees. Psoriatic plaques can affect any part of the body, including the scalp (scalp psoriasis), palms, feet, and genitals.
Signs and Symptoms of Psoriasis
The signs and symptoms of psoriasis may vary according to the type and from one person to another.
Common signs and symptoms include:
- A patchy rash that ranges from small scaling spots to large eruptions
- Dry, cracked skin that can bleed
- Nails that are pitted or cracked
- Itching, burning, or soreness of skin
- A cyclic rash that flares for several weeks or months before subsiding
Causes of Psoriasis
The exact cause is unclear, but it involves a combination of genetic, environmental, and immune system dysregulation. The common triggers for psoriasis include stress, bacterial infections, injury to the skin, and certain medications.
Understanding Psoriasis in Ayurveda
In Ayurveda, psoriasis is compared to “Kitibha Kushta” (a type of skin lesion). According to Ayurvedic principles, the development of psoriasis is attributed to an imbalance in the doshas, primarily Vata and Kapha. Let’s look into this perspective:
Vata Dosha: Vata is responsible for the control of bodily movements and sensory perception. In psoriasis, imbalanced Vata may result in symptoms such as dry skin and scaly patches.
Kapha Dosha: Kapha governs bodily fluids, stability, and strength. An aggravated Kapha dosha can lead to itching and a rapid turnover rate of the skin.
Treatment and Management
Topical corticosteroids, retinoids, vitamin D analogues, and calcineurin inhibitors are commonly used for mild to moderate psoriasis. Systemic therapies such as oral medications (methotrexate, cyclosporine) or biologic agents (TNF inhibitors, interleukin inhibitors) may be prescribed for more severe cases.
Palliative Care provided by SGP’s PSA can also be an integral part of managing psoriasis, particularly for individuals with advanced disease or persistent symptoms. Palliative Care provided by SGP’s PSA aims to enhance the quality of life by addressing pain management, symptom control, emotional support, and psychosocial well-being.
FAQs about Psoriasis
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No, psoriasis is not a contagious condition. Those who have never experienced psoriasis may mistakenly believe that it is contagious. However, this is not the case. The scaly patches caused by psoriasis will not spread to another person.
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Most people who have psoriasis can work with little or no difficulty and have successful careers. However, certain factors, such as environmental conditions, chemicals, gloves and frequent hand washing, may exacerbate psoriasis. It is important to discuss this with your employer and find ways to reduce the risk of exacerbation. Additionally, it is recommended to take time off from work to attend appointments and receive treatment.
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There is no known cure for psoriasis. However, with proper treatment and management, psoriasis symptoms can be well controlled, allowing patients to live their lives without restriction. Eating a balanced diet and working out regularly can help reduce stress, which can make a huge difference when it comes to psoriasis.
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Psoriasis cannot affect fertility, birth defects, premature birth, and the rate of miscarriage. However, the drugs used to treat psoriasis may pose potential problems during pregnancy. Hence, it is advised to consult your healthcare provider if you are planning a pregnancy.
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No, psoriasis is not the same as eczema, which is characterized by itchy skin and the absence of scaly patches. It is important to consult a general practitioner or dermatologist to determine if you have psoriasis or eczema, as neither condition is the same.
