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B-6 (Pyridoxine) - Helps the body to fight against infections and
diseases. Recommended dosage is 100mg three times a day.
B-12 (Cyancobalamine) - This helps in cell division within the
body. It is compulsory for vegetarians and optional for non-
vegetarians.
Vitamin C (ascorbic acid) - You can find it in citrus fruits, bell
peppers, broccoli, cauliflower, and leafy greens. Required daily.
Vitamin D - You can get this from sunlight.
Vitamin E (Alpha tocopherol) - It rehydrates the skin, protects
skin from any sort of damage, protects skin from drying and sun-
damage and does the job of antioxidant. It is found in vegetable
oils, nuts, olives and spinach.
Vitamin-K - Helps in the reducing under-eye circles and healing
bruises.
Hyaluronic acid - It has anti-aging properties. It is a good
moisturizer as well.
Essential fatty acid - Reduces irritation of skin. You can find them in vegetable oils, fish, and nuts.
Chromium - Reduces infection of the skin and fights against acne.
Zinc - It helps to promote healing process.
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18. Treating Eczema with Traditional Chinese
Medicine
Traditional Chinese medicine, called Zemaphyte, is used for
treatment of Eczema. Zemaphyte contains the following herbs:-
* Ledebouriella seseloides
* Potentilla chinensis
* Akebia clematidis
* Rehmannia glutinosa
* Paeonia lactiflora
* Lophatherum gracile
* Dictamnus dasycarpus
* Tribulus terrestris
* Glycyrrhiza uralensis
* Schizonepeta tenuifolia
Topical applications of chamomile also help in treating Eczema.
Topical Chinese preparations containing calendula, chickweed, or
oak bark45 have been helpful for some patients for treating Eczema
but results vary.
In the past, Burdock, sarsaparilla, red clover and wild oats were
used for treatment of Eczema.
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Chinese medicines, in the form of a tea extracted from the plant
materials, are said by some to be very effective for treatment of
Eczema. These plants contain a mixture of chemicals that are
similar to biosynthetisers.
Extracts of these plants are said to have an anti-inflammatory effect
and some have a sedative effect. Glycyrrhiza uralensis (licorice) is a
Chinese product, which contains glycyrrhetinic acid that is believed
by its users to have the same effect on skin as hydrocortisone has.
There are tremendous clinics offering traditional Chinese medicine
now. Some Chinese medicines may contain toxic materials as well,
which are very detrimental for the liver. The traditional creams that
the patients get may contain steroids.
Some steroids can have a bad effect and cause infections in the
body.
The traditional Chinese medicine is claimed to be more beneficial
than Western treatments. However, this type of treatment should
be under strict medical supervision.
“Three Yellow Cleanser” is a typical traditional Chinese Medicine,
which is claimed to be very effective for treating Eczema. It is
applied externally to the skin. Acupuncture, plus traditional Chinese
medicine, and internal and external therapy may relieve you of the
symptoms of Eczema.
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Part-VII: Coping with Eczema
19. The Impact of Eczema
Eczema has certain significant effects. A person having Eczema
may experience the following:
Itching-Although itching is one of the core symptoms of Eczema;
Eczema cannot be diagnosed just based on that. Research has
found that, during itching, scratching the area that is showing signs
of the eczema can cause the nerve signals to travel down the pain
fibers blocking you from experiencing the itch but the effect of the
scratching is to produce more itching and soreness after a short
time.
Redness-Redness of the skin testifies to increased blood flow.
When skin burns and blood vessels widen, the flow of blood
becomes red. When the deeper layers of the skin are infected, there
is increased redness.
Thickening- The skin areas affected with Eczema are much thicker
than the unaffected skin. Eczema usually affects the areas around
joints such as the elbow, behind the knees and in front of the ankles
et al. You could see splits in the skin there.
Blisters- There is less adhesion between the skin cells. This leads
to scaling and that is how the bacteria enter the deeper layers. This
causes oozing of fluids that gather into collections of small blisters.
Large blisters may occur due to skin infection.
Crusts- The fluid that comes out of the inflamed skin dries. It
contains protein. When the fluid in the inflamed skin evaporates, the
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protein left behind forms a crusty deposit. This is a typical effect of
Eczema.
According to surveys, Eczema can have a serious impact on
patient’s relationships. People can get into a clinical depression
because of Eczema. Children with Eczema are likely to underperform
at sports and school. Although it is not a fatal disease, it has all
these serious effects. Therefore, it is important that people get the
best information so that they do not delay treatment. Knowledge is
important.
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20. Eczema and Diet
Diet plays an important role in Eczema. If anyone does not eat
foods that give them the right vitamins and minerals in adequate
amounts, the effects of this distressing disease can be much worse.
A balanced diet is necessary for treating Eczema.
Food allergy is an important aspect of Eczema. Food allergy is food
intolerance. It is an unpleasant reaction to certain food items and is
non-psychological.
Foods that may cause an allergic reaction include:
Tree nuts
Peanuts
Cows’ milk
Soya
Eggs
Fish and Shellfish
Cereals containing gluten (including wheat, rye, and barley)
Sesame seeds, etc.
It is very difficult to diagnose a food allergy. Your doctor can
diagnose food allergy by skin tests or by lab tests. You should
confirm the existence of the allergy by excluding the suspect food
from your diet. After that, perform a challenge test. Dermatologists
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perform this test mostly in the absence of the patient or
investigator.
Once you have diagnosed and confirmed the specific food allergy,
you must eliminate the foods containing all the forms of what you
are allergic to but keep the diet healthy, enjoyable and well
balanced.
These tests require medical supervision because of the risk of
severe reaction (anaphylaxis). This severe reaction requires
treatment with adrenaline. If the dermatologist diagnoses food
allergy incorrectly, he might prescribe diets that can be very
harmful to the body.
Breast-feeding of your children is believed to help prevent allergies
from developing.
Allergies are inheritable.
Eczema has led increasing research into diet.
Environmental factors may make the skin even worse. Children with
atopic Eczema respond well when you remove the harmful food
items from their diet without making them aware of it. It is a
peculiar type of food intolerance. Food allergies can lead to
symptoms like runny nose, asthma, dilation of blood vessels,
flushing and obstruction while breathing.
Many people do not understand food allergies and many myths have
developed around them.
But, we know that Eczema and diet are interrelated and cannot be
isolated from each other.
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Part-VIII: Introduction and Understanding Psoriasis
21. Psoriasis - An Overview
Psoriasis is a chronic skin disease, which may be the result of
immune system disorder. It is hereditary, but not contagious. The
primary organ that is affected by psoriasis is the skin. But it also
affects the joints in a few cases.
Psoriasis can affect anyone at any age.
Types of Psoriasis
There are different kinds of Psoriasis:
Plaque Psoriasis: They are raised lesions with silvery scale and
inflamed skin beneath that appear on the knees, scalp, elbows, and
trunk. This form of psoriasis is the most common one.
Guttate Psoriasis: They are usually seen on the trunk, arms and
legs. These lesions appear as tiny red dots and may have scales. It
generally appears after a respiratory infection.
Inverse Psoriasis: These smooth, inflamed lesions mostly appear on
flexible surfaces like armpits, under the breast, groin and in skin
folds.
Pustular Psoriasis: This Psoriasis is generally spread over the
sufferer’s hand and feet and appears as little pimples filled with
pus.
Erythrodermic Psoriasis: This psoriasis is associated with
inflammation, pain and itching. It is often covered with fine scaling.
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Scalp Psoriasis: They are erythematic lesions with silvery white
scales and appear on the scalp.
Nail Psoriasis: As the name suggests, they appear on your nails and
cause them to yellow and harden. They then crack and separate
from the nail beds.
Psoriatic arthritis: They affect people with some sort of skin
disorders. This arthritis is generally in the joints of hands and feet,
but it affects the larger joints at times too. It brings stiffness, acute
pain and subsequent damage to the bones.
Oral psoriasis: This psoriasis is generally seen as whitish lesions on
the mucous membrane, which gets more severe by the day.
Other Facts about Psoriasis:-
Psoriasis is widely found in lighter skinned people. 2% to 3% of the
U.S.A. population suffers from this disease.
Psoriasis may be hereditary and also has much to do with the
climatic condition of the area.
400 deaths every year in US are Psoriasis related, and
approximately 1.5 million people seek medical help every year in
the U.S.A. alone.
Psoriasis is more common in women.
Psoriasis mostly begins in children below the age of 10.
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Psoriasis Grading
Psoriasis is graded as mild, moderate or severe. The Psoriasis
Area Severity Index is the most widely used measurement tool
for Psoriasis. It grades from 0 (no disease) to 72 (maximum).
Psoriasis Vs Quality of life
Psoriasis takes a toll on one’s life. It may lead to depression,
hypertension, congestive heart failure, type-2 diabetes or
myocardial infarction (heart attack). Sufferers tends to get self-
conscious about their looks.
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22. What is Psoriasis?
Psoriasis is a chronic skin disease, which causes swelling with
scales. The cell turnover, a process where the skin cell grows deep
in the skin and slowly rises to the top, normally takes about a
month but, with psoriasis, it happens very fast (usually within in few
days). The cell rises and is stored on the surface.
Psoriasis mainly affects the skin and the joints and appears as
inflamed, scaly lesions.
There are several factors in the appearance of psoriasis, including
stress, alcoholism, some medicines, etc. Psoriasis can affect either
sex.
There is no cure for psoriasis. It continues through your life, and
may be subdued sometimes, but flares up again.
There are five types of psoriasis and each has some unique
symptoms. Plaque psoriasis is the most common form of psoriasis
and appears as a red raised patch.
Another is guttate psoriasis. This is red, drop-shaped and affects
mostly children and young adults.
The third is the pustular psoriasis, which is seen as white pus
formed lesions, surrounded by red skin.
There is also Inverse psoriasis, which is smooth and occurs in skin
folds.
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The fifth is Erythrodermic psoriasis, which spreads over the entire
body.
Any kind of Psoriasis may be the cause of great discomfort to the
patient. The skin cracks, bleeds and itches. This causes pain and, in
severe cases, leads to hospitalization.
Treatment of psoriasis depends on the specific type.
A quick overview of psoriasis:
Psoriasis is a chronic, scaling skin disease with redness and
inflammation.
Psoriasis mostly appears as raised red patches of skin covered with
silver white scales.
Psoriasis is a hereditary, but not contagious disease.
Its exact cause is unknown.
Psoriasis is an acceleration of the usual replacement processes of
the skin’s cells.
About 10% of people with psoriasis develop psoriatic arthritis.
The five kinds of psoriasis are plaque, guttate, inverse, pustular and
erythrodermic.
The more severe forms of psoriasis may demand intensive medical
care and may be life threatening.
There is no cure for psoriasis but it can be controlled. It requires
lifelong therapy.
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The reactions from other people because of the unpleasant
eruptions can bring seclusion from society and an inferiority
complex.
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23. Types of Psoriasis
Psoriasis is a chronic skin disease, which has different forms. It is
essential for you to know the actual form of psoriasis you suffer
from as the different types of psoriasis need different treatments.
At times, one type of psoriasis appears and evolves into another.
The different types are:
Plaque Psoriasis
is a very common form of psoriasis. It shows as a raised red
inflamed area with scaly silvery patches. It varies in size and can
wax or wane. It is commonly found in areas such as the knees,
elbows, arms, legs, genital areas, chest, scalp, and lower back.
Initially, it is almost unnoticeable. However, the affected area
gradually enlarges and the silvery scaly flakes form. In its severe
stage, cracking of the skin, bleeding and lots of discomfort occur
which have an impact on everyday activities.
Guttate Psoriasis
Most people who get Psoriasis develop Guttate Psoriasis. It is found
in children and young adults with a history of streptococcal
infections. A mild case of Guttate Psoriasis may gradually vanish
from the body on its own and never appear again, but there is
always a chance that it may reappear. Sometimes, it flares up later
as Plaque Psoriasis. There are red, drop-sized dots on trunks, legs,
face, scalp and ears. They may appear after a cold, tonsillitis, and
skin injury or after a course involving certain medicines.
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Pustular Psoriasis
Sunburns, infections or, possibly, reaction to certain medicines may
result in Pustular Psoriasis. This is divided into two categories;
localized and generalized. When it is confined to limited areas like
the hands and feet, it is referred to as Localized Psoriasis. They are
red drop-sized pus filled lesions that make using the hands or
walking very painful.
But, Generalized Pustular Psoriasis spreads widely.
It may be triggered by an infection, pregnancy or, possibly,
discontinuation of steroids or some medicine. This is a rare Psoriasis
that may even be life threatening. People with this form of Psoriasis
feel ill and exhausted.
These are not infectious, but the patient may have fever, anemia
and severe itching. They can lose their appetite.
Inverse Psoriasis
Is a smooth patch of inflamed skin. It is found mostly in skin folds
around the genitals, armpits or under the breasts. This psoriasis
appears white, as if soaked in water, and looks like a fungal
infection. It mostly affects overweight people. Friction and sweating
tend to make it worse
Inverse Psoriasis can also be very severe.
Erythrodermic or Exfoliative Psoriasis
This form of Psoriasis is one of the least common, can spread widely
over most body parts and may become life threatening. It makes
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the skin lose its protective function and the body becomes prone to
all harmful bacterial and other external attacks.
Certain medicines, alcohol, emotional stress, or suddenly stopping
psoriasis medicine may lead to this form of Psoriasis.
It is associated with severe redness where the skin has a burned
look. The patient exhibits an increased heart rate, severe itching
and pain.
This psoriasis is mainly an aggravated form of plaque psoriasis and
may be linked to the discontinuation of the medication for the
plaque psoriasis.
This form may lead to body abnormalities and even be fatal by
complicating the functions of the heart and causing heart failure.
Seborrhoeic psoriasis
This mostly affects the sufferer’s scalp. A seborrhoeic-affected scalp
looks like it has severe dandruff, with patches of thick flaky skin
extending over the forehead and ears. Many people get the
seborrhoeic inflammation, or a form of dandruff eczema. The
dermatitis is characterized by crusted vesicles (crusted, small sacs
or cysts that ooze).
Nail psoriasis.
This attacks the patient’s nails, giving them a very ugly appearance.
It discolors and cracks them. The nails thicken and then come away
from the nail bed. A sign that may indicate this type of psoriasis is
the appearance of brown spots on the nail.
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Psoriatic arthritis
This is a related condition. Its symptoms are inflammation and dry,
scaly, thick inflamed skin. Psoriatic arthritis attacks the joints; the
hands, feet, knees and ankles. They become stiff and cause a lot of
pain. This pain may even spread throughout the back, buttocks and
neck.
About one quarter of people suffering from psoriasis can develop
psoriatic arthritis.
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24. What is the Real Cause of Psoriasis?
Psoriasis is one of the most common diseases. It is a chronic skin
disease that affects 1% to 3% of world’s population. Red patches
occur on the body of the person suffering from Psoriasis.
The causes of Psoriasis are believed to include:
Genetic causes
Four genes are associated with Psoriasis where cause is believed to
be linked to malfunctioning of the immune system that usually
protects the body against infections and diseases.
Immune system causes
White blood cells regulate the immune system and produce
antibodies that help the body to fight against infections and
diseases. When a person is suffering from Psoriasis, the white blood
cells can start fighting against the normal tissues in the skin and
severely affect the patient’s joints.
The white blood cells contain chemicals that may be detrimental to
the skin.
Stress Triggers
Stress, unexpressed anger, and emotional disorders, like depression