the good medicine july 2011

THE GOOD MEDICINE

M E D I C A T E D

GHEE

EFFECTIVE IN

T R E A T M E N T

OF SKIN

DISORDERS

HOW IS PREGNANCY

RELATING

TO PSORIASIS?

July 2011VOLUME 1 • ISSUE 7

PSORIASIS !!

IS

THERE

A CURE?

ARE LIFESTYLE

CHOICES AFFECTING

YOUR PSORIA

SIS?

DIET FOR MANAGING

PSORISIS

Rs.10/-

INSIDEHealth Scan .............................. 4

Inside Out .................................. 5

LifeStyle...................................... 6

Salon............................................ 8

Mom & Me................................. 9

Healthy Cooking.....................14

SPOT LIGHT :

Psoriasis !! Is there a Cure?..........4

Are Lifestyle Choices Affecting Your Psoriasis?.................................. 6

Diet for managing psoriasis......14

How is pregnancy relating to

psoriasis...............................................11

Disclaimer: The views and opinions

expressed by authors of articles

published in this journal are not

necessarily those of the publisher.

Subject to the jurisdiction of Chen-

nai.

EDITORIAL NOTE:

Correspondence:

The Good MedicineNo 4, JT Durairaj nagar, MMDA water tank road,Aminjikarai, Chennai-29 Mobile: 9962007700Email id: [email protected]

Welcome to the July issue. Skin the most vital organ in our body when being a! ected by a skin disease like psoriasis a! ects the individual both physically and mentally. Most of the psoriatic patients want to know why they developed such a skin disease and they are craving to " nd out what is the solution for this problem, what should they do? And what they should not do? Hence this issue has been focussed on Pso-riasis and doctors from di! erent " elds of medicine have given their expert opinions and suggestions. Hope this magazine will give a new hope to the ones a! ected with this dreadful disease. We thank all the writers who have contributed for this issue and those who are interested in pub-lishing their articles in the upcom-ing issues of this magazine kindly send their articles in word format with their photo and contact de-tails to the following Email id: [email protected].

Editor & Publisher:Dr.B.Nishant

ManagerMrs.Harini Nishant

Advisory Board: Dr.LM.JosephDr.J.Joice Thilagam Dr.Allen SamuelDr. Sherlin SheebaDr.Shahsi Mohan Shar-maDr.ThamizhvananDr.Shantha KumarDr.GunasekaranDr. Selvaraj Printed at: Mass Typography5A, Poes Road, Teynampet,Chennai-18

Published & owned by : Dr.B.NishantNo 4, JT Durairaj Nagar MMDA Water Tank Road AminjikaraiChennai –29

Dr.B.Nishant

THE GOOD MEDICINE /JULY 2011 / 1

THE GOOD MEDICINE Vol: 1 Issue: 7 JULY 2011


HEALTH SCAN

PSORIASIS AND OBESITY IN

CHILDREN

The prevalence of psoriasis - a chronic, inflammatory disease of the skin - is signifi-cantly higher among overweight and obese children.

Psoriasis, often viewed merely as a burden-some skin condition, may put children at risk for metabolic disease (such as diabetes, metabolic syndrome, and heart disease).

Using electronic health records to study 710,949 racially and ethnically diverse chil-dren, the researchers found that obese chil-dren were almost 40 percent more likely to have psoriasis than normal weight children. At even greater risk, extremely obese chil-dren were nearly 80 percent more likely to have psoriasis than normal weight children. Moreover, it was four times more likely for psoriasis to be severe or more widespread in obese children than in normal weight children. The study also showed that, com-pared with children without psoriasis, teens with the skin condition had 4 to 16 percent higher cholesterol levels and liver enzymes,

regardless of their weight. It was found that teens with psoriasis (regardless of their body weight) have higher cholesterol levels, putting them at risk for heart dis-ease.

As the researchers follow these patients over 30 to 40 years, they will be able to determine if these increased cardiovascu-lar risk factors in turn increase the risk for major adverse cardiac events.

ALCOHOL CAN

DAMAGE SKIN

CAUSING PSORIASIS

Alcohol consumption is known to cause multiple health problems which affect or-gans such as liver, heart, kidney, blood and bone marrow. It is also responsible for nutri-tional deficiencies and an overall decrease in immunity. Alcohol abuse has a deleteri-ous effect on the skin and is responsible for causing various skin conditions like rosa-cea, porphyria cutanea tarda, post-adoles-


HEALTH SCAN

cent acne, discoid eczema and psoriasis.

A recent article reviewed the direct and indirect changes of alcohol on the skin. Alcoholic liver abnormality disturbs the estrogen and bile salt metabolism with peculiar signs of in-flammation and redness on the skin. In male alcoholics, there is an increase in the female hormone called estrogen and a decrease in the male hormone testosterone. This causes a feminizing effect such as development of breasts, feminine pattern of body and pubic hair and redistribution of body fat. Liver cirrhosis and portal hypertension account for the distinctive skin condition around the belly button called ‘caput medusae’ -distended veins.

Alcoholics tend to have an increase in systemic and superficial skin problems with bacte-rial and fungal infections. This is because of alcohol-induced nutritional deficiency and impaired absorption of zinc and vitamins from the intestines, which results in decreased immunity. The deficiencies of zinc, vitamin C and trace elements cause a weakening of mucosal barriers, poor wound healing and a tendency for infections.

Other abnormalities of the skin include fissuring in the corners of the lips, pinpoint bleeds due to vitamin B deficiency (called pellagra), development of red and purple hemorrhag-ic spots on the skin and a tendency for bruising easily.

Psoriasis is a chronic inflammatory immune-mediated disease with multiple causative factors which affects skin too causing increased thickness of the skin due to its cells divid-ing more than they should normally. Evidently, alcohol abuse increases the possibility of aggravating or producing psoriasis. A study involving 82,869 women for 14 years indicates that the intake of more then 2.3 alcoholic drinks per week significantly increases the possibility of new onset psoriasis. The same study also found that the consumption of strong beer in females can singularly cause psoriasis. Similarly, an excessive intake of alcohol more than 100g daily increases the possibility of exacerbating and developing psoriasis in males.

Patients under medication for psoriasis taking alcohol have been reported to have a poor response to therapy. There is a peripheral involvement of the back of the hands and fin-gers in the psoriasis associated with profuse drinkers similar to that seen in immunocom-promised individuals. There are many theories as to how alcohol provokes and aggravates psoriasis such as immune suppression, stimulating production of inflammatory cytokines and cell cycle activators which speed up the growth and multiplication of skin cells, and an increased propensity for superficial infections and damage.

To sum up, there is evidently an definite link between the contribution of alcohol and the development of skin problems including psoriasis. In case of psoariasis alcohol not only aggravates the disease but also causes resistance to the treatment. Medical treatment alone for a skin disorder is insufficient. Education and counseling about the effects of alcohol intake needs stressing and the patient requires constant reinforcement to ensure that he keeps away from his regular daily tipple.


S P E C I A L

MEDICATED

GHEE

EFFECTIVE IN

TREATMENT

OF SKIN

DISORDERS

A new research study in the department of Rasa Shastra, Faculty of Ayurve-da at Banaras Hindu Uni-versity (BHU), has found anti-bacterial and anti-pso-riatic properties in ‘Pan-chatikta Grhita’ (a specifi-cally designed ayurvedic formulation of medicated ghee mixed with powdered drugs of five different in-gredients).

The study has also validat-ed the shelf life of specifi-cally designed ayurvedic formulations of medicated ghee and oil to be from 18 to 24 months.

Panchatikta Grhita is a widely used medicine for the treatment of vari-ous kinds of ‘Kushtha’ (18 types of skin disorders) as described in classical ayur-vedic texts.

PSORIASIS !! IS THERE

A CURE?

Psoriasis is one of the dread-ed dermatological ailments that can be completely treat-ed with Homeopathic medica-tions. Psoriasis is a non- infec-tious inflammatory disease of the skin. The Major abnor-mality of the skin condition is due to increased epidermal proliferation due to excessive division of the cells in the ba-sal layer. It may start at any age but it is rare below the age of 10 years. There are instances wherein a child can develop due to genetic influence. For example child with one affected parent (psoriatic parent) has 15% chance of developing the disease and this increase to 50 % if both the parents are af-fected.

INSIDE OUT

Dr.J.Joice Thilagam Homeopathic Consultant


Constant dryness, peeling of skin and itching with bleeding are the most common complaints for such patients. The itching can become very severe when the affected part is exposed to sunlight, detergents, and other household chemicals. These patches usually appear on the scalp, nails, flexures, palms and napkin ar-eas. Stress and anxiety plays a vital role in psoriatic exacerbation, for in-stance a parent who lost his son in an accident can go into depression, insomnia and psoriasis is not an ex-ception for such individuals. Stress can trigger, maintain and exacerbate psoriasis. In turn psoriasis can cause high stress levels in the patients.Skin and brain have got the same origin in the womb - the neuroecto-derm. Skin as the fifth sense organ, is supplied by millions of nerve end-ings that are directly connected to the autonomous nervous system and the brain. These all are interlinked and affected by scores of hormonal secretions from the different endo-crinal glands in the body. The immu-nological system mediated by T lym-phocytes is also part of this intricate psycho-neuro-endocrino-immunlog-ical network. The stress response is affected by all these pathways. It is but natural that the skin, which is profusely supplied by millions of net-works from the brain and autonom-ic nervous system and supplied by micro-blood vessels throughout the body, will be affected by the stress re-sponse in more than one way. How to Diagnose Psoriasis : Never-theless, you must reach your doctor as soon as you notice the onset of

psoriasis symptoms. A careful medi-cal history and a physical examina-tion are required before conducting a psoriasis test. This helps to elimi-nate the possibility of a misdiagno-sis. Psoriasis can manifest in a vari-ety of forms. These include pustular, plaque, inverse, guttate, and erythro-dermic forms. Although there is no special blood test to diagnose psoriasis, your der-matologist will be able to identify the psoriasis signs and symptoms. To confirm psoriasis diagnosis, your doctor may consult a pathologist to conduct a skin biopsy of the lesion.Microscopic examination of skin bi-opsy confirms psoriasis symptoms. If the biopsy results show clubbed rete pegs, then a psoriasis diagnosis is confirmed. Additionally, upon re-moving skin plaques caused by psori-asis, pin point bleeding from the skin is observed. Serum Uric Acid may be elevated in chronic cases. HLA anti-gens are also present in early onset of psoriasis. In cases where sudden onset of pso-riasis signs and symptoms occur, an individual may be screened for Hu-man Immunodeficiency Virus (HIV).

Since Psoriasis is stress linked it be-comes more difficult to treat it com-pletely but it’s not impossible. Ho-meopathy is one system of medicine which treats the patient both in the mental and physical plane. Skin is a vital organ and suppression of skin eruptions leads to more serious out-comes for the future. Homeopaths believe that skin erup-tions like psoriasis are an outward manifestation of internal suffering

psoriasis !! is there

a cure?


of the human being, so suppressing these eruptions with topi-cal application will only temporarily ease the problem. Patients usually approach their doctors at very latter stage of the disease and they try to use anti fungal creams and local cortico ste-roidal applications. Such type of creams will give a brief relief to the patient but the pathology lies deep within and this can rebound in a severe form later. It is always advisable not to use medicated topical ap-plications for the pso-riatic patches rather it is advisable to use natural topical appli-cations like coconut oil, ghee or petroleum jelly which will main-tain moisture thereby preventing the scaling of the patches. Oral doses of homeopathic medications will help the patches disappear and helps in reversing the pathology. Psoria-sis can be treated fast-er if diagnosed earlier. Psoriatic patients are advised to consult a homeopathic doctor an early stage who will take a case taking

about your physical condition and psychological status based on which internal medications are pre-scribed.

lifestyle

ARE LIFESTYLE CHOICES

AFFECTING YOUR

PSORIASIS?Dr.Santosh Shah

Dermatologist Mumbai

1. Keep the body well hydrated with alkaline wa-ter. For those with psoriasis, simply increasing your water intake can help to reduce the irritation and itching associated with psoriasis! Drink at least 8 eight ounce glasses (2 liters) of water per day if you

are a smaller person! Considerably more is needed if one is larger, working outside, playing a sport, or

INSIDE OUT


doing something else physically tax-ing. Those with psoriasis should con-sume between 10 and 12 glasses (3 liters) of icy water per day to cool the skin and to assist the body in proper excretion of oil, waste, and toxins. Water moistens the skin, greatly re-ducing the dry itchy patches of skin. Most importantly, water helps re-lieve stress during the day and re-laxes the body for sleep. The hypo-thalamus is the body’s thermostat which regulates temperature, but it cannot achieve this objective without adequate water. Water is needed for skin tissue repair, efficient digestion, absorption, circulation and secretion. Drinking water with an alkaline pH is one of the best ways to improve your overall health and skin condition. Proper hydration of the body should be a part of any psoriasis treatment plan.

2. Stress as a physical, emotional and psychological event —can be a significant factor in psoriasis. Stress can also affect how we respond to treatment for psoriasis. Stress can be an initiating symptom, or cause a worsening of existing lesions. Living with psoriasis is, in itself, psychologi-cally and emotionally stressful. How those around you relate to the effects of your psoriasis can lead to addition-al stress.

3. Keep the skin well moisturized. Hydrate the skin with creams or lo-tions such as Jojoba oil, Keri lotio. Vaseline and ointments should be avoided as they can cause the sweat glands to become blocked and make rashes worse. Moisturizers can be

applied to the affected psoriasis ar-eas as frequently as required to re-lieve itching, scaling and dryness. Moisture therapy helps to restore the skin’s most important function,

which is to form a barrier to prevent bacteria and viruses getting into the body and therefore help to prevent a rash becoming infected. Be aware that moisturizers containing lanolin have been known to cause a reac-tion in some users. Ideally, moistur-izers should be applied three to four times a day. Apply in a gentle down-ward motion in the direction of hair growth to prevent accumulation of cream around the hair follicle (this can cause infection of the follicle).

4. Use soap substitutes such as un-scented cleansing bar, for dry, sensi-tive skin. Bubble bath should never be used as it may cause dryness and irritation of the eczema and/or pso-riasis. 5. Reduce or eliminate coffee and

lifestyle


other stimulants as well as reducing or eliminating alcohol. Stimulants and al-cohol are acidic and work against your attempts to cure your psoriasis!

6. Avoid skin irritants such as animal dander (dogs and cats), feathers, harsh fabrics (denim and corduroy), tight clothing, and sometimes even wool and silk. Cotton clothing is recommended as much as possible.

7. Launder clothing with mild soap or detergent :Use no additives such as en-zymes, fabric softeners. Wash new cloth-ing prior to wearing.

8. Antihistamines: can be taken after 7:00 PM to control itching, which tends to be worse at night.

9. Keep nails clean and short to pre-vent scratching, which can lead to worse irritation or infection. If your nails are affected by psoriasis, try the following: Trim your nails to reduce the risk of in-juring them; trauma can worsen nail psoriasis. Try soaking affected nails and follow up with moisturizer. Carefully

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file thickened toenails with an emery board after soaking. Re-duce toenail pressure and fric-tion – which can cause toenails to thicken -- by wearing well-fit-ted, roomy shoes. Consider using nail hardeners or artificial nails that can help to improve the ap-pearance of intact nails.

10. Avoid temperature and humidity extremes. Don’t over-dress or overheat. When humid-ity is low as during the winter in heated homes, a humidifier may be helpful.

11. Avoid swimming in chlo-rinated pools. Lake and ocean

swimming is fine. Apply mois-turizers afterwards.

12. Injury to the skin can cause the formation of a psoriasis patch known as the Koebner Phenom-enon, and it can occur in other skin diseases, such as eczema and lichen planus. It can take 2 to 6 weeks for a psoriasis lesion

LIFESTYLE

THE GOOD MEDICINE /JULY2011 / 9

to develop after an injury. Types of in-juries that can trigger a flare include: Abrasion - even mild abrasion, In-creased friction from clothing or skin rubbing against skin in folds, such as armpits or under breasts, Sunburn, Viral rashes and rashes resulting from a reaction to medication.

13. Low levels of calcium have been reported as a trigger for psoriasis. Oddly enough, even though medi-cations made from vitamin D are used to treat psoriasis, low lev-els of vitamin D do not trig-ger a flare-up.

14. Many medica-tions can also af-fect psoriasis. The fol-lowing d r u g s are known to either worsen pso-riasis or induce a flare-up: o Chloroquine -- used to treat or pre-vent malaria o ACE inhibitors -- used to treat high blood pressure. Examples include monopril, captopril, and lisin-opril.o Beta blockers - also used to treat high blood pressure. Examples in-clude lopressor and atenolol. o Lithium -- a medication used to treat bipolar disordero Corticosteroids, such as pred-nisone or solumedrol, can actually dramatically improve psoriasis. How-

ever, abruptly stopping the drug or rapidly tapering off of it can trig-ger a flare-up.

2 0 T R E AT M E N T

TIPS FOR SCALP

PSORIASIS

Dr.Ashok Kumar Dermatologist

Ahmedabad

1. Scalp psoriasis treat-

ment involves eliminating or lift-

ing the scales from the scalp before the treatment

itself, so that the topical rem-edies can easily penetrate.

2. Removing the scales can be accomplished by the use of topical Salicylic acid.

3. Providing as much moisture to the scalp as possible is vital for the effective Scalp psoriasis treat-ment.

SALON


SALON

4. One among the most typically prescribed and used treatments for Scalp psoriasis are coal tar shampoos, gels, and lotions.

5. Tar shampoo for Scalp psoriasis treatment should be used every day (or a few times a week as a minimum); the shampoo should be left on the scalp for around 5 minutes.

6. If the tar Scalp psoriasis treatment does not work, subsequently topical steroids may be giv-en. 7. If there are only several plaques on the scalp, then steroid injections can as well be used for Scalp psoriasis treatment.

8. Mild Scalp psoriasis may well be dealt with without any medications, by means of an emol-lient ointment, cream, or oil.

9. Scalp psoriasis treatment is more comfort-able to execute by the use of shampoos, lotions and sprays, compared to the use of creams or ointments.

10. Alcohol-based solutions, used for Scalp pso-riasis treatment, may possibly “sting” the scalp.

11. Psoriasis can be effectively controlled with UV light (i.e. the UVB “brush”), at the doctors of-fice or at home. Short hair will enable the UVB light to easier get to the scalp.

12. Usual shampoos may dry your scalp, and as a result make the state of your Scalp psoriasis worse.

13. A number of oils, when added to any regu-lar shampoo, typically are of assistance to Scalp psoriasis treatment. Add 5-50 drops of essential Tea tree oil or essential Rosemary oil to any reg-ular moisturizing shampoo bottle and shake it well.

14. Scalp psoriasis is hard to treat as the hair covers the scalp. 15. Scalp psoriasis treatment demands pa-tience and a “trial and error” method.

16. Consuming on a daily basis 1 Tbsp of Co-conut oil may possibly be of assistance to the Scalp psoriasis treatment.

17. Introducing an Omega-3-6-9 supple-ment to your diet can sufficiently aid you with the Scalp psoriasis treat-ment.

18. Excimer 308 nm laser can be used effec-tively for the Scalp pso-riasis treatment.

19. A n t i - d a n d r u f f shampoos are noted to help some people with Scalp psoriasis (as well as they are known to have no impact on the others).

20. Scalp psoriasis is treatable, as long as you persever


MOM AND ME

HOW IS PREGNANCY

RELATING TO

PSORIASIS?

Dr.Prema SureshGynaecologist and Obstetrician

Coimbatore

There have been few studies attempting to establish a link between hormonal fluctua-tions and psoriasis. However women notice that their psoriasis improves while they are pregnant, and worsens after they have given birth. The condition tends to worsen during the menopause, which is also a period when psoriasis is more likely to appear for the first time.

Although some scientific studies have at-tempted to establish links between hormo-nal fluctuations and psoriasis, we do not precisely know which hormonal mecha-nisms trigger the condition and affect its course.Some researchers believe that the greater amounts of oestrogen and progesterone se-

creted by the body protect it against pso-riasis. These hormones exert a temporary immunosuppressive effect which has bene-ficial effects on the autoimmune processes occurring in psoriasis. Other scientists stress the beneficial role of cortisone. During pregnancy, the body se-cretes more cortisone, which has an anti-inflammatory action on psoriatic lesions

THE GOOD MEDICINE / JULY 2011 / 12

MOM AND ME

(acting in the same way as a cortisone cream). What if I am pregnant?

Psoriasis is not necessar-ily a barrier to pregnancy. Nor does it affect a wom-an’s ability to raise chil-dren. Many people who have psoriasis are afraid of passing it on to their chil-dren. As psoriasis is not a contagious disease, there is no risk of passing it on to a child through cuddling or breastfeeding. However, there is a genetic predispo-sition towards psoriasis. Ac-cording to research, there is an 8% to 15% risk of trans-mitting it when one of the parents has psoriasis and a 50% to 60% risk when both partners are affected. Women with psoriasis of-ten worry about becoming pregnant. They ask them-selves if the baby will de-velop normally. Will they be able to breastfeed? Will their psoriasis get worse during pregnancy? Are the

treatments they are using

safe for the baby?

The treatment of pregnant women is problematic, es-pecially if they have severe psoriasis. They need to stop most systemic medication as it may lead to congenital abnormalities.Women should tell their dermatologist early on if they are planning to be-

come pregnant. The derma-tologist will then be able to assess if their psoriasis treat-ment can be continued dur-ing pregnancy and prescribe a new medication if necessary. Women who suffer from pso-riatic arthritis sometimes feel greater pain because of preg-nancy-related weight gain. It is certain that multiple factors lead to psoriatic le-sions improving in pregnant women. The improvement is probably primarily due to in-creased levels of cortisol as this hormone is secreted by both the adrenal glands of both the mother and the foe-tus. However, it is most cer-tainly also due to other sub-

stances which have yet to be identified. It is postulated that hormonal factors and/or a disturbance in vitamin D metabolism dur-ing pregnancy may cause flares of pustular psoriasis. In the first three months fol-lowing childbirth, the majori-ty of women with psoriasis ex-perience renewed eruptions, including those who had no-ticed an improvement during pregnancy. Results vary from one study to another. Some studies note that nearly 88% of women report a re-lapse in the four months after they have given birth. The American study quoted

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above shows that 41% of women surveyed reported that their psoriasis worsened during the period immediately after childbirth, but 55% noticed no change.Treatments during pregnancy?There are not many drugs available to treat pregnant women as most antipsoriatic drugs are toxic for the foetus. Sometimes psoriasis improves spontaneously during pregnancy which means medication can be reduced.It is also important to look after the skin during pregnancy so that it does not dry out. Topical treatments

Most systemic treatments have to be stopped during pregnancy, so dermatologists tend to prescribe local, topical medication to treat psoriatic lesions.However, medications for external use are not free from side effects as they are absorbed by the body. Some should be completely avoided during pregnancy as they are potentially teratogenic. Topical treatments to avoid: Vitamin A derivatives for local use: these should be avoided because of their teratogenic effect. Vitamin D derivatives: these can be used in small quantities in very specific areas.

Possible local treatments:

Emollients: soothing and moisturising creams may be used without incurring any risk. Corticosteroids (Cortisone): dermatologists sometimes prescribe corticosteroids in small quantities for use on very limited areas. It can increase the risk of stretch marks, so it should not be applied to certain parts of the body such as the breasts, abdomen and hips. Exfoliants such as urea and salicylic acid: these treatments can be used if their application is limited to small areas of the skin. Systemic treatments

Systemic treatments are often teratogenic, meaning that they can lead to serious deformi-ties in the developing foetus. These risks are very high when medication is taken during the first trimester of pregnancy. Consequently, most orally administered medicines are stopped during pregnancy.

Breastfeeding?

Women, including those who have suffered from psoriasis during pregnancy and/or after childbirth, should not hesitate to breastfeed.Only women who have to use a systemic treatment or local treatment on extensive areas of the skin should avoid breastfeeding as these treatments can be absorbed into the breast milk and may be transmitted to the child.

MOM AND ME


HEALTHY COOKING

Psoriasis is a skin disease that causes deformed nails and horrible itchy plaques, primar-ily on the elbows, knees and scalp.

According to stud-ies reported -Diet may be important in the management of psoriasis. Re-searchers have recommended antioxi-dants, beta-carotene, folate, omega-3 fatty acids, and zinc as nutritional fac-tors that may play a role in the preven-tion and management of psoriasis. In addition, since copper metabolism may be influenced by zinc intake, it is impor-tant to also consume foods rich in cop-per. Fortunately, zinc food sources also provide copper. There is some evidence that a diet rich in fresh fruits and veg-etables and low in animal protein may be helpful. Bitter gourd, curd, boiled vegetables pumpkin these are good for this disease. Food allergies and intolerance are best treated by avoidance of the offending food for a prescribed period of time, followed by a “rotation” diet, in which problem foods are only eaten every three to four days, instead of daily.

BENEFICIAL FOODS :

Oily fish such as salmon, sar-dines all contain the omega-3 fatty acid known as eicosapentanoic acid (EPA). Studies have found that people with chronic psoriasis who consumed 150g of oily fish a day were able to reduce the use of steroidal creams without experiencing a decline in their condi-

tion. This effect seems to be due to the conver-sion of EPA in the body into anti-inflammatory substances including leucotrienes 3 and 5, which dampen down the factors that can trigger off this disease. Leading Food Sources of omega-3 fatty acids: Salmon, Trout, Tuna Carrots, apricots, man-goes, and green leafy vegetables are high in beta carotene, which the body converts into vitamin A, essential for healthy skin.

Flax seeds are a valuable source of omega-3 fatty acids and they may have a similar effect to oily fish. Sunflower and sesame seeds also sup-ply these fatty acids. A selection of seeds can be ground together, stored in an airtight container in the refrigerator, and sprinkled over breakfast cereals, yogurt, or other foods. Besides, the red, itchy patches of psoriasis often respond to the es-sential fatty acids in flaxseed oil, which have anti-inflammatory actions and overall skin-soothing properties.

Brazil nuts are a rich source of selenium, needed for the production of the enzyme glutathione peroxidase. This enzyme stops the formation of certain leucotrienes, which may worsen psoriasis. Breakfast cereals, breads, and yeast extracts that are fortified with folic acid may help to correct a deficiency of this vitamin, which has been ob-served in some people with psoriasis. As Sixteen percent of psoriatic have a positive antigliadin an-tibody test that shows that they may be sensitive to glutin in wheat, rye and barley, ask your doctor to draw blood for antigliadin and antiendomysial antibodies. If either is positive, you may benefit from avoiding all foods made from wheat, rye and barley. Broccoli, cabbage, Brussels sprouts, and other green leafy vegetables supply folate, the natural form of the vitamin folic acid. Shellfish and wholegrain foods are rich in zinc, which is lost through the skin. Zinc loss is thought to be high in those with psoriasis.

DIET FOR MANAGING PSORIASIS

Dr. Navneet Bidani

HOMEOPATH

Pune


y cluding leucotrienes 3 and 5, which

ger off this . Leading Food Sources of omega-3 fatty

acids: Salmon, Trout, Tuna Carrots, apricots, man-goes, and green leafy vegetables are high in beta

e, which the body converts into vitamin A,

fatty acids and they may have a similar effect to

ply these fatty acids. A selection of seeds can be ground together, stored in an airtight container

erator, and sprinkled over breakfast e red,

e es-ve anti-

erall skin-soothing

Brazil nuts are a rich source of selenium, needed

oxidase. This enzyme stops the formation of y worsen psoriasis.

acts that elp to correct

hich has been ob-ixteen

ve a positive antigliadin an-ey may be sensitive

lutin in wheat, rye and barley, ask your doctor aw blood for antigliadin and antiendomysial

antibodies. If either is positive, you may benefit

egetables supply folate, the natural

oss is

Dietary fibre- Since a low fiber diet and psoriasis have been associated with toxins in the gastrointestinal tract, a fiber-rich diet is recommended. Dietary fiber is essential in main-taining a healthy colon; fiber helps bind bowel toxins and eliminate them in the feces.. FOODS TO AVOID:

Red meats and dairy products should be eaten in moderation, since they contain aracha-donic acid, a natural inflammatory substance that is believed to make psoriasis psoriasis stores red and swollen. Avoid prepared meats, sausages, pre-spiced meats, most cold cuts, Spice cakes, pickles, pickled spices and peppers, nut-based pastries and chocolate-based products.

All animal fats, eggs, processed canned foods are not to be taken as they can irritate the intestinal tract and perpetuate psoriasis outbreaks.Alcohol may be trigger factor in psoriasis. In tests, alcohol consumption in people who developed psoriasis was twice that of control groups without the disease. All red and white wines, sparkling wines, champagnes, brandy, cognac, sherry, cinzano, vermouth, pork, samos, all egg and nut based liqueurs. Spices and condiments: Pepper, cloves, cumin, anise, cinnamon, paprika, mustard, pimen-to, nutmeg, commercial mayonnaise, ketchup, tabacco sauce, bouillon cubes and gravies, wine, vinegar, herb vinegar, candied orange, lemon peel, curry, commercial condiments, pastry aromas. Citrus Fruits: Fruit peels, orange marmalade, prepared juices, grapefruit, limes, lemon, lemonade, bitter lemons .

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Title (Mr/Mrs/Dr) First Name:.....................................................................................................................................Last name:..............................................................................................................................................................................Phone no:....................................... Mobile:........................................................................................................................Email:......................................................Fax:.........................................................................................................................Address:.........................................................................................................................................................................................................................................................................................................................................................................................City:................................................... Postal Code:...........................................State:..................................................Country:...................................................Date:.......................................... DD No /Chq No:..........................................

Tariff Plan Chosen………………………………………………………………Duration of the plan (in months)…………………………………………………Special offers and discounts are available for multiple advertisements, for more details contact [email protected] or call us on 9962007700.

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TERM NO.OF ISSUES PRICE (Rs)1 YEAR 12 1752 YEARS 24 3303 YEARS 36 490

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Cheque/DD should be drawn in favour of “Dr.B.Nishant”, cheque/DD should be payable at Chennai,India. First subscription delivery starts from the following month of subscriptions. The good Medicine magazine will be delivered by post or by courier. Delivery of the magazine will be after clearance of cheque. Kindly attach the cheque /DD with the filled in subscription form and send it to the following address:

The good MedicineNo 4 JT Durairaj nagar MMDA water tank roadAminjikaraiChennai 600 0299962007700.

Title (Mr/Mrs/Dr) First Name:.....................................................................................................................................Last name:..............................................................................................................................................................................Phone no:....................................... Mobile:.......................................................................................................................Email:......................................................Fax:...................................................Address:........................................................................................................................................................................................................................................................................................................................................................................................City:................................................... Postal Code:.........................................State:..................................................Country:.................................................Date:.......................................... DD No /Chq No:........................................

Term Chosen: 1 year 2years 3 years

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the good medicine july 2011

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