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CureFactor for Psoriasis

0

Psoriasis:
Psoriasis is common dermatology disease which is non-infectious skin disease having genetic and family predisposition.
Psoriasis chronic recurrent inflammatory non infectious disease of skin characterised by well circumscribed,dry erythematous macules with silvery scales on extensor surfaces(like elbow joint,knee joint..etc).

ETIOLOGY:

  • Exact cause is not known
  • Genetic predisposition is present
  • Psoriasis exacerbation in winter seasons and disappears in winter season.
  • Hormonal variation is seen like it appears at or on menopause and definite improvement or remission during pregnancy
  • Psoriasis is very common in non vegeterians.

Precipitaing Factors:

  • Mental stress and physical trauma
  • Fever and infection
  • Drugs

Clinical Features:

  • Psoriasis is very slow developing skin disease with very insidious onset,affecting scalp,extensor surfaces of arm,forearms,legs,trunks,joints,nails,palms and soles.
  • Key note symptom ofPsoriasis is itching is totally absent.

How to lesion looks:

  • Psoriasis starts as dry,well defined erythematous papules,symmetrical distribution with silvery scales formation over the affected arae.
  • Papules increase peripheral and coalesce.
  • Later it becomes thick plague due to accumulation of scales.

Simple tests to find out if the lesion is Psoriasis

  • Candle grease sign- when the psoriatic lesions is scratched candle grease like scale is produced even from non scaling lesions.
  • Auspitz sign-complete removal of scale produces pin point bleeding.
  • Koebner phenomenon-psoriatic lesions appear at the site of scratching or trauma.
  • Lesions heal with faint staining which disappears slowly.
  • Psoriasis affects nails causing thickening of nails.
  • Oil drop positive- brownish red areas of discolouration adjacent to nail plate.

Complications:

  • Psoriatic arthropathy
  • Exfoliatiuve dermatitis
  • Hypoproteinaemia course
  • Chronic course takes time to appear and is inconstant course.
  • Appearances and disappearance is very often seen.
  • The disease part me remain to that area only or it can disappear or localise to other parts.
  • Prognosis is variable.

General Management:

  • Educate the patient and giving reassurance about his disease.
  • Avoid exposure to cold as the lesions apper during winter.
  • Moderate and warm weather is beneficial.
  • Adequate exposure to sunlight-avoid undue stress
  • Maintain good hygiene
  • Hot bath in winter.

 

CureFactor for Herpes zoster

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Herpes zoster:
Herpes zoster is one of the rare dermatology disease which is viral infection of skin.
Herpes zoster is acute viral infection of skin which is characterised by eruption of grouped vesicular lesions along the course of one or more sensory nerves accompanied with sensory disturbances(keynote symptoms).

ETIOLOGY:
Causative organism-Varicella zoster virus(VZV).

Predisposing causes:

  • Physical injury
  • Ental trauma
  • Febrile illness
  • Debility
  • Any condition decreasing local skin resistance.
  • Incubation period of Herpes zoster is 7-21 days.

Clinical Features:

  • Herpes zoster is slow developing skin disease having an insidious onset,the area of affections are trunk(intercostal nerve),face(trigeminal distribution) and neck(cervical).

Symptoms:

  • Herpes zoster is very painfull skin condition,severe neuralgic(nerve) pain,local hyperaesthesia along with fever.

How the lesions look:

  • Herpes zoster develops within 3 days and starts with reddish plaques(superficial) with unilateral distribution along the distribution of the affected nerve root.
  • Vesicles start appearing(elevated skin lesion),increases in size becomes big.
  • Vesiclesd are filled with serous fluid.
  • In next few days the content becomes opaque,absorption of contents occurs,crusts are formed which are brown in colour.
  • The major difference between herpes simplex andHerpes zoster is that Herpes zoster leaves scar mark unlike herpes simplex which leaves no scar mark(Differentiating feature)
  • Regional lymph nodes are enlarged.

Complication:

  • Post herpetic neuralgia
  • Ramsay hunt syndrome(if geniculate ganglion is affected)
  • Corneal ulceration(if opthalmic division of trigeminal nerve is affecetd)
  • Meningo-encephalitis.

Course:

  • Attack lasts for 2-3 weeks
  • Uncomplicated cases have good prognosis.

General Management:

  • Keep affected part clean
  • Adequate physical and mental rest

 

CureFactor for Herpes simplex

0

Herpes simplex:
Herpes simplex is rare dermatology disease caused by viral organism(herpesviridae family) hence is a viral skin infection.
Herpes simplex is acute viral infection of skin characterised by itchy,vesicular eruptions on skin and mucous membrane.

ETIOLOGY:

  • Causative organism-Herpes simplex virus.
  • Herpes simplex is usually transmitted by close contact

Precipitating Factors:

  • Stress,physical or mental.
  • Injury
  • Debilitating individual.
  • Herpes simplex is very common in cold seasons.
  • CLINICAL FEATURES

Herpes simplex is a very slow growing skin infection having insidious onset,affecting especially lips,nose,mouth and genitalia.
Symptoms

  • Herpes simplex like most of the skin infections starts with itching followed by burning pain.

How the lesion looks:

  • Herpes simplex starts as red swollen,localised macule.
  • Then small tiny multiple,grouped vesicles form on macules.
  • Vesicle contains clear contents.
  • Vesicles rupture,crust form heals without leaving a scar.

Complication:

  • Secondary infection.

Course:

  • Herpes simplex usually has about 7-14 days of course
  • Prognosis being good
  • Recurrence is common.

General Management:

  • Maintain good hygiene.
  • Keep affected parts clean.
  • Adequate physical and mental rest.

 

CureFactor for Pediculosis

0

Pediculosis:
Pediculosis is common dermatology disease is categorised under parasitic skin infection and is very commonly seen in rural areas.
Pediculosis is contagious skin disease caused by parasitic louse and characterised by irritation,scratching and formation of nits. Common Pediculosis parasite species are Pediculosis capitis,Pediculosis corporis and Pediculosis pubis.

ETIOLOGY:

  • Caustaive organism-Pediculus humanus.

Pediculosis is transmitted by close contact with infected individuals and through combs,head dresses..etc.

  • Age

Pediculosis capitis is common in childrens,young adults.Pediculosis corporis-adults old subjects. and Pediculosis pubis-adults.

Predisposing causes

  • Poor hygiene
  • Over crowding
  • Neglected,debilitated subjects.

Clinical Features:

  • All species of Pediculosis capitis,Pediculosis corporis and Pediculosis pubis ahve a very insidious onset.
  • Different species of pediculosis has diffrent area of affection
  1. Pediculosis capitis affects head region(especially occipital region back of the head affects abdominal wall,buttocks,thighs)
  2. Pediculosis corporis affects abdominal wall,buttocks,thighs 3. Pediculosis pubis has its affection on pubic region.

Symptoms:

  • Local irritation
  • Itching leads scratching.
  • Patient scratches unconsciously,but with vigour.

How the lesions look:

  • All species of pediculosis have common lesion look like excoriation,scratch marks.
  • On examination of infected individual on ewould see living lice and nits firmly attached to hairs that cause severe amount of itching.
  • In neglected cases peculiar smelling from the affecetd area
  • Matting of hair with pus formation
  • Scalp covered with blood stained,dried pus.
  • Persistent secondary infection causes regional lymphadenitis.
  • Thickening,discolouration of skin.

Complications-pediculosis if left untreated my lead to complications like impetigo and eczema.
Course

  • Uncomplicated cases have good prognosis if some of the preventive aspects are followed well.

General Management

  • Hairs to be combed with fine combs daily,the infected individuals should have seperate comb and make sure that its kept away from others.
  • Hairs to be cut short.
  • Clothes,bed linens to be boiled,dried in sun.
  • Maintain personal hygiene.

 

CureFactor for Scabies

0

Scabies:
Scabies is common dermatology (skin)disease that we get see in India especially in childrens and is one of the parasitic infection.
Scabies is contagious skin disease caused by parasitic mite and is characterised by violent itching and formation of burrows of mite(key note).

ETIOLOGY

  • Causative organism- sarcoptes scabiei
  • Scabies is transmitted by close contact with infected individual and infected fomites.

Clinical Features:

  • Scabies is slow developing skin disease having an insidious onset.
  • The common site of scabies are fingers especially interdigital webs,palms,wrist,elbows,axillary folds,around the nipples,buttocks,thighs,genitalia,feet.

Symptoms:

  • History of exposure and multiple family case suffering from scabies.
  • Violent itching especially after 4-6 weeks of infection,compelling to scratch. Itching worse during night times due to which patient is not able to sleep.

How the lesions look:

  • The characteristic feature of scabies are the Burrows. Burrows are narrow,tortuous,greyish-black line that can be seen in the affected area.
  • Point at which the parasite enters appears as black dot.

Complications:

  • If scabies is left untreated even after the appearance of symptoms it may lead to compliactions like eczema,urticaria,impetigo,secondary lymphadenitis.

Course:

  • Uncompliacted cases have good prognosis.

General Management:

  • Regular daily bath.
  • Thorough drying of skin after bathing.
  • Change the clothes,bed linens daily and the infected individuals clothes and linen to be boiled in hot water,dried in sun.
  • Maintain personal hygiene.

 

CureFactor for Tinea Pedis and Tinea Manuum

0

Tinea Pedis and Tinea Manuum:
Tinea Pedis and Tinea Manuum are common dermatology (skin) disease and are categorised under fungal infection.
chronic fungal infection occurring  between toes(Tinea pedis) and fingers(Tinea manuum) and characterised by maceration,itching and burning.

ETIOLOGY

Causative Fungus:

  • Epidermophytonflocculosum
  • Tinea pedis and Tinea manuum is common in summers and rainy weathers.
  • Tinea pedis and Tinea manuum both spreads through bath tubs,swimming pools.

Predisposing Cause:

  • Heavy,closed,illfitted shoes worn for longer hours.
  • Working in water eg washerwomen.

Clinical Features:

  • In Tinea pedis and Tinea manuum the onset of disease is insidious,accompanied with itching,burning.

How the lesions look:

  • In Tinea pedis and Tinea manuum the lesions start as vesicular pustule,vesicles ruptures,dries,becomes scaly.
  • Tinea pedis and Tinea manuum spreads peripheral by formation of vesicles which later dries up forming scales.
  • Sometimes Tinea pedis and Tinea manuum resemble dry eczema.
  • In chronic cases,spread to palms,soles,nails called onychomycosis,apperas liike sodde,white membrane covering a red glazed,fissured skin(cracked skin).

Course:

  • Chronic Tinea pedis and Tinea manuum are difficult to cure and dont respond to treatment especially if their is nail involvement.
  • Prognosis good with effective treatment.

General Management:

  • Keep hands and feets dry especially in individuals involved with water work.
  • Avoid wearing tight fitting shoes.
  • Cotton is to be kept between the toes and fingers at night,start using cotton socks especially for individuals who wera shoes daily.
  • Socks to be dried regularly in sun.

 

CureFactor for Tinea unguium

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Tinea unguium(onychomycosis)
Tinea unguium is one of the common dermatology (skin) disease categorised under fungal infection. Tinea unguium is defined as fungal infection of nails resulting in deformed nails.

ETIOLOGY

  • Causative fungus is trichophyton.

Clinical Features:

  • Tinea unguium is slow developing skin disease onset being insidious accompanied with itching and irritation.

How the lesions look

  • Tinea unguium is usually asymmetrical lesion affecting the nails. Fungus enters the nail through free margins,nail bed is pushed up from nail bed due hyperkeratosis. Tinea unguium spreads towards root of nail. Nails become opaque ,brittle,deformed.

Course

  • Chronic course takes time to cure.
  • Cure is very slow and uncertain.

General Management:

  • CUREFACTOR: avoid cutting the edge nails to deeply,always keep your nails short as possible.
  • General hygiene and keeping the nails dry and clean.
  • Complete removal of nail in severely infected nail to avoid spread.

 

CureFactor for Tinea cruris

0

Tinea cruris:
Tinea cruris is one of the common dermatology (skin) disease,of fungal origin. Tinea cruris is fungal infection of genitocrural region.

ETIOLOGY

  • Causative fungus- Epidermophyton.
  • Tinae corporis is very common in hot humid weather.
  • Tinea corporis is spread through infected fomites (fomites are substances other than water and food contaminated with infectious discharge of patient and is able to capable of contaminating healthy individual like towels,pencils,spoon,cup…etc ) close contact.
  • Predisposing factors-very commonly seen in person who sweats in excessive.

Clinical Features:

  • Onset of Tinea corporis is insidious accompanied with intense itching.
  • How the lesion looks
  • Tin corporis starts as small circular scaly patch like most of fungal infections with patch rose pink to vivid red in colour.
  • Margins Tinea  corporis are well defined,inflamed.
  • In Tinae corporis usually spreads peripherally that is away from centre.
  • In Tinae corporis lesions run on one other looks like one big lesion.
  • The speciality and key note of Tinae corporis is there is clear in the centre of the lesion that means its not involved in centre more peripherally.

Course:

  • Prognosis favourable if predisposing cause are corrected.

General Features:

  • Tinae corporis is spread through fomites,infected persons clothing to be washed with hot water and dried in hot sun.
  • As a rule keep the affected part clean and dry.

 

 

CureFactor for Tinea corporis

0

Tinea corporis:
Tinea corporis is common dermatology (skin) disease, categorised under fungal infection and is superficial fungal infection. Tinea corporis is fungal infection of non hairy exposed areas.

ETIOLOGY

  • Causative fungus – Trichophyton
  • Tinea corporis is very common in hot humid weather.
  • Tinea corporis is spread through infected fomites (fomites are substances other than water and food contaminated with infectious discharge of patient and is able to capable of contaminating healthy individual like towels,pencils,spoon,cup,close contact etc.

Predisposing factors-very commonly seen in person who sweats in excessive.

Clinical Features:

  • Onset of Tinea corporis is insidious accompanied with intense itching.

How the lesion looks

  • Tinea corporis starts as small circular scaly patch like most of fungal infections with patch rose pink to vivid red in colour.
  • Margins Tinea corporis are well defined,inflamed.
  • In Tinea corporis usually spreads peripherally that is away from centre.
  • In Tinea corporis lesions run on one other looks like one big lesion.
  • The speciality and key note of Tinea corporis is there is clear in the centre of the lesion that means its not involved in centre more peripherally.

Course

  • Prognosis favourable if predisposing cause are corrected.

General Management:

  • Tinea corporis is spread through fomites,infected persons clothing to be washed with hot water and dried in hot sun.
  • As a rule keep the affected part clean and dry.

 

CureFactor for Tinea Barbae

0

Tinea Barbae:

Tinea barbae is one of the dermatology(skin) disease and is categorised under fungal skin infection. Fungal infection of beard area of face and neck.

Etiology:

  • The causative fungus is trichophyton endoectothrix.

Clinical Features:

  • Tinea barbae is usually of insidious onset

Symptom:

  • Tinea barbae is accompanied with itching,pain and discomfort in affected area(face).

How the lesions look

  • Tinae barbae starts as nodular swelling in beard region resemble very much like boils. Th ecentre of the lesion is filled with pus with loosen of hairs,hairs easily come out when pulled. Discharge of pus on pressure,pus dries up forms scab.

Course

  • Self limiting condition.
  • Healing slowly.
  • Suppuration kills the fungus and eventually cure is achieved.

General Management:

  • Remove loose hairs using a forceps.
  • Keep the affected area clean and dry.