Psoriasis is a chronic auto-immune disease that appears on the skin. It occurs when the immune system sends out faulty signals that speed up the growth cycle of the skin cells. This is a problem that is fast increasing. Both adults and children are equally affected and it is a rare disorder in the case of children. The scalp is a common site for the occurrence of the problem, but it can also affect other parts of the body wherever there are folds of the skin like the elbows, knees and the likes. Psoriasis gives rise to a host of psychological problems and these vary in their degree and intensity depending on the individual, his age, mental ability to cope, support systems, etc. Unwillingness to socialize or to have sexual relations may be a fall-out of psoriasis and trichologists often have to double up as psychologists to help the patient out of this personal crisis.

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SIGNS & SYMPTOMS

  • Excessive flaking of scalp with constant irritation.
  • Dry rough patches appearing in hairline, behind ears, in eyebrows and at times on sides of nostrils.
  • In advanced stages of the disorder folds of skin on body may also show involvement,
  • On peeling of scales, scalp may start bleeding.
  • Exposure to sun causes intense burning of the scalp.

RISK FACTORS

  • History of Autoimmune disorders in family
  • After acute illness
  • After stressful period
  • Injury to scalp ( Koebner Phenomenon)

OUR APPROACH

Psoriasis is of autoimmune nature. One can have long periods of remission and the aim of the treatment is to control the severity and frequency of the symptoms without administering any steroidal agents.

TREATMENT

  • After a careful physical and Capilloscopy examination the severity if the disorder is assessed.
  • Topical emollients are given to soothe the inflamed scalp.
  • Advice to stop oiling since oil many times causes aggravation.
  • Any commercial product is advised to be refrained from as the scalp is very sensitive.
  • If needed a specific amino acid is given in therapeutic dosage only after ruling out uncontrolled blood pressure and increased levels of uric acid.
  • Guidance is given on cautions to be followed so as avoid any relapses.

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