Psoriasis is a chronic autoimmune and most common skin disease. It is characterized as a systemic inflammatory disease. It is not confined to any part of the body or any region on the skin. This is caused by an autoimmune reaction of the body. A sequence of immune responses takes place that causes inflammation in the skin. Because it is not caused by any organisms or virus it is not contagious. Being in contact with the affected person or touching them will not transmit the disease from one to another.
The main reason for the sprouting of psoriasis is not known, but the autoimmune reaction has been put forth as a believed one. Genetic defects that are passed on as an inheritance affects the immune system in our body. Thus the autoimmune responses trigger psoriasis. Psoriasis can be mild to severe on the skin, the skin cells start proliferating when the T cells release inflammatory response, these skin cells form patches, thickened layers on the skin.
Though a permanent cure for psoriasis is not available for the disease, there are widely advanced treatments. They promise relief and reducing the symptoms of the disease. A sped up the skin, the process happens in psoriasis. The cells in the skin grow deeper and slowly comes to the surface which occurs within a few days which should take a long time naturally. The overproduction of the skin cells results in the piling up the cells one over the other. Thus scales, thickening of the skin, rashes etc develop.
Hence, the psoriasis treatment or cure is all about stopping the overproduction and rapid growth of the skin cells. Managing the symptoms is the practical reason behind all the promising treatments so far.
Signs and symptoms of psoriasis:
The symptoms of psoriasis vary from person to person. However amongst various types of psoriasis exist, plaque psoriasis is considered as the hallmark of psoriasis. There are many other types of psoriasis, such as nail psoriasis, scalp psoriasis, guttate psoriasis, pustular psoriasis, inverse psoriasis and erythrodermic psoriasis. Psoriasis can be always forever. In some, the flares of psoriasis stayed disappear and reappear after a span of time. This is called the remission of psoriasis. Each type of psoriasis shows specific symptoms to recognise them.
An individual suffering with plaque psoriasis shows typical reasons that are reddish, raised in appearance. A silvery scaled, plaques appear on the skin. They look glossy and shiny, plaques will be itchy, irritating, sore and painful. Knees, elbows, buttocks, scalp are the most often affected regions in the body. Rarely the skin prone to this disease may develop cracks and starts bleeding, the skin at the joints can show this.
Though the name indicates mere arthritis psoriatic arthritis comes along with psoriasis. In some cases, arthritis may develop prior to the appearance of the lesions. The joints become swollen, stiffened, painful inflamed and sore. It becomes painful to more, walk depending upon the joint affected. Redness and swelling are noticeable in the area surrounding the affected joints. Psoriatic arthritis in turns brings along with major problems to the body. Spondylitis, dactylitis, enthesitis, distal interphalangeal predominant psoriatic arthritis, symmetric psoriatic arthritis, asymmetric psoriatic arthritis, psoriatic arthritis mutilans, are the forms of psoriatic arthritis.
Spondylitis is the pain from the neck to the lower back. The spinal column to the tailbone gets affected. Pelvic area, sacroiliac areas, the discs, the ligaments associated with them will be damaged.
Enthesitis is the pain in the points of articulation of the tendons and ligaments to bones and joints. The inflammation present at the points of the insertion is responsible for it. The tendons in the foot like Achilles tendon, ligaments of the pelvis, the tendons and ligaments in the ribs and spine at their insertion points develop inflammation and becomes painful.
In distal interphalangeal predominant psoriatic arthritis the distal joints of the fingers, that means the joints nearer to the nails of the fingers develops the inflammation. They become red, sore and painful. They cause discomfort in holding things, gripping and to grab. Enthesitis causes tissue calcification and tissue fibrosis.
Dactylitis is a psoriatic arthritis condition in which the fingers develop sausage-like appearance due to the inflammation developed. Both the fingers of hand and legs show this condition. They become sore and in most cases become deformed. The nails get removed from the nail bed, pita and ridges can be noticed on the nails.
Asymmetric psoriatic arthritis is a kind of psoriatic arthritis in which the joints of hands and legs on one side gets affected, while in symmetric psoriatic arthritis the same joints on both sides get detected by psoriatic arthritis and the inflammation make them painful and sore, of this, the dactylitis is the rarest. This inflammation comes along with the psoriasis infection. Gout and rheumatoid arthritis differ from psoriatic arthritis by the psoriasis of the skin and other parts of the body.
Psoriasis of the mouth and tongue:
Alike the skin, psoriasis can affect the skin and mouth along. For the tongue psoriasis, the condition called geographic tongue. It is characterized by the smooth skin patches on the tongue. The texture of the tongue is altered with swelling and redness. White silvery and yellow borders are seen around the red patches/cracks and fissures develop in the surface.
All the people who are living with geographic tongue need not have oral psoriasis. Food intake and drinking can become difficult in such cases. Psoriasis affecting the mouth is the rarest condition to happen. Although when it does, the symptoms can be noticeable. The skin around the mouth peels off, sores or pustules develops instead. Gums sheds the skin and bleeds, burning sensation occurs when taking the food, cheeks can also be observed with sores.
Uveitis This indicates the inflammation, the inflammation of the uvea and iris, the inflammation of the iris are observed in psoriasis especially in psoriatic arthritis. Inflammation of the tendons and vertebrae is common in psoriatic arthritis.
Erythrodermic psoriasis happens rarely in an individual. It is fatal if not tried to counteract the symptoms. The whole body becomes reddish with allover the scare. Itchy, irritating and painful feeling occurs. Dehydration, discharge if fluids, and proteins, and in complexities heart failure happens. Body temperature fluctuates. Cold, fever, chills, arrhythmia weakness in the body, feeling unwell are seen.
In acropustulosis pustules are seen over the fingers of hands and toes. Nail psoriasis/ symptoms are observed along with this. The pustules become as scales after bursting, bright redness is seen. Von zumbuseh psoriasis has non-infected pus in the pustules. These pustules spread across the wide area of the body. The cyclic process of muscular appearance and disappearance of occurs with the pustules leaving off within a couple of days. Fever with chills and weight loss are its characteristics.
Palmoplantar pustular psoriasis affects the fingers of hands and feet. It can happen together with enthesitis or alone. Soles, feet, palms show pustules. These dry off leaving brown spots and smooth skin Discomfort and uneasiness while walking and nothing will happen.
Scalp psoriasis covers a wide area of the scalp with red patches. They may be silvery and glaze. Scales spread all around the patches. Mostly covers the head corners and back of the head. Hair loss, itching and irritation occur along with the licking of the sores. Salicylic acid and coal tar shampoos are used.
Guttate psoriasis, small pustules develop from smallest sizes to the big on the palms soles or anywhere exclusively chest, call, legs. Children and teenagers are affected, guttate psoriasis can develop pustular psoriasis.
Inverse psoriasis makes the skin red, inflamed, smooth without scales. They are itchy, sore, painful. It develops in people with obesity because they develop skin folds, which soak up with sweat. Rubbing and sweating in the folds exaggerates psoriasis. folded areas like armpits, groin, buttocks, lower skin of the breasts and folds in the thighs and belly are affected.
In nail psoriasis, the nails develop discolouration into yellowish colour. Pitted and ridges develop on the nails. Nail bed thickens, develops inflammation and gradually the nail displaces from the nail bed. Black lines and half-moon are seen on the nails.
Taking Epsom salt baths, moisturizing the body often, taking time for sun exposure, foot care and self-care etc… pacifies the flare-ups. Psoriasis recurs until it is completely reduced by medication or treatments.
Learn more about Ayurvedic Treatment for Psoriasis.