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VOLUME 1 • ISSUE 7

July 2011 Rs.10/-

THE GOOD MEDICINE

LE Y T NG S I E T EC LIF F E F A AR S? S I E S IC IA O R H O C S P R U O Y

PSORIASIS !! IS THERE A CURE?

HOW IS PREGNANCY RELATING TO PSORIASIS?

G N I G A MAN

OR F T E DI IS S I R PSO

M E D I C AT E D GHEE EFFECTIVE IN TREATMENT OF SKIN DISORDERS


THE GOOD MEDICINE

INSIDE

Vol: 1 Issue: 7

JULY 2011

EDITORIAL NOTE:

Health Scan .............................. 4

Editor & Publisher: Dr.B.Nishant

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

Manager Mrs.Harini Nishant

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

Advisory Board: Dr.LM.Joseph Dr.J.Joice Thilagam Dr.Allen Samuel Dr. Sherlin Sheeba Dr.Shahsi Mohan Sharma Dr.Thamizhvanan Dr.Shantha Kumar Dr.Gunasekaran Dr. Selvaraj

Salon............................................ 8 Dr.B.Nishant

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

Welcome to the July issue. Skin

the most vital organ in our body when being affected by a skin disease like psoriasis affects 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 find 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 Psoriasis and doctors from different fields of medicine have given their expert opinions and suggestions. Hope this magazine will give a new hope to the ones affected with this dreadful disease. We thank all the writers who have contributed for this issue and those who are interested in publishing their articles in the upcoming issues of this magazine kindly send their articles in word format with their photo and contact details to the following Email id: editor.tgm@gmail.com.

Printed at: Mass Typography 5A, Poes Road, Teynampet, Chennai-18 Published & owned by : Dr.B.Nishant No 4, JT Durairaj Nagar MMDA Water Tank Road Aminjikarai Chennai –29

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

Correspondence: 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 Chennai.

The Good Medicine No 4, JT Durairaj nagar, MMDA water tank road, Aminjikarai, Chennai-29 Mobile: 9962007700 Email id: editor.tgm@gmail.com THE GOOD MEDICINE /JULY 2011 / 1


HEALTH SCAN

PSORIASIS AND OBESITY CHILDREN

IN

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

ALCOHOL CAN DAMAGE SKIN CAUSING PSORIASIS The prevalence of psoriasis - a chronic,

inflammatory disease of the skin - is significantly higher among overweight and obese children. Psoriasis, often viewed merely as a burdensome 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 children, the researchers found that obese children were almost 40 percent more likely to have psoriasis than normal weight children. At even greater risk, extremely obese children 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, compared with children without psoriasis, teens with the skin condition had 4 to 16 percent higher cholesterol levels and liver enzymes,

Alcohol consumption is known to cause

multiple health problems which affect organs such as liver, heart, kidney, blood and bone marrow. It is also responsible for nutritional deficiencies and an overall decrease in immunity. Alcohol abuse has a deleterious effect on the skin and is responsible for causing various skin conditions like rosacea, porphyria cutanea tarda, post-adolesTHE GOOD MEDICINE /JULY 2011 / 2


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 inflammation 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 bacterial 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 hemorrhagic 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 dividing 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 fingers in the psoriasis associated with profuse drinkers similar to that seen in immunocompromised 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. THE GOOD MEDICINE /JULY 2011 / 3


INSIDE OUT S P E C I A L PSORIASIS !! IS THERE M E D I C AT E D A CURE? GHEE Psoriasis is one of the dreadEFFECTIVE IN ed dermatological ailments can be completely treatTREATMENT that ed with Homeopathic medicaOF SKIN tions. Psoriasis is a non- infectious inflammatory disease DISORDERS of the skin. The Major abnorA new research study in

the department of Rasa Shastra, Faculty of Ayurveda at Banaras Hindu University (BHU), has found anti-bacterial and anti-psoriatic properties in ‘Panchatikta Grhita’ (a specifically designed ayurvedic formulation of medicated ghee mixed with powdered drugs of five different ingredients).

mality of the skin condition is due to increased epidermal Dr.J.Joice Thilagam proliferation due to excessive Homeopathic Consultant division of the cells in the basal 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 affected.

The study has also validated the shelf life of specifically 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 various kinds of ‘Kushtha’ (18 types of skin disorders) as described in classical ayurvedic texts.

THE GOOD MEDICINE /JULY 2011 / 4


psoriasis !! is there a cure? 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 areas. Stress and anxiety plays a vital role in psoriatic exacerbation, for instance a parent who lost his son in an accident can go into depression, insomnia and psoriasis is not an exception 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 neuroectoderm. Skin as the fifth sense organ, is supplied by millions of nerve endings 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 endocrinal glands in the body. The immunological system mediated by T lymphocytes is also part of this intricate psycho-neuro-endocrino-immunlogical network. The stress response is affected by all these pathways. It is but natural that the skin, which is profusely supplied by millions of networks from the brain and autonomic nervous system and supplied by micro-blood vessels throughout the body, will be affected by the stress response in more than one way. How to Diagnose Psoriasis : Nevertheless, you must reach your doctor as soon as you notice the onset of

psoriasis symptoms. A careful medical history and a physical examination are required before conducting a psoriasis test. This helps to eliminate the possibility of a misdiagnosis. Psoriasis can manifest in a variety of forms. These include pustular, plaque, inverse, guttate, and erythrodermic forms. Although there is no special blood test to diagnose psoriasis, your dermatologist 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 biopsy confirms psoriasis symptoms. If the biopsy results show clubbed rete pegs, then a psoriasis diagnosis is confirmed. Additionally, upon removing skin plaques caused by psoriasis, pin point bleeding from the skin is observed. Serum Uric Acid may be elevated in chronic cases. HLA antigens are also present in early onset of psoriasis. In cases where sudden onset of psoriasis signs and symptoms occur, an individual may be screened for Human Immunodeficiency Virus (HIV). Since Psoriasis is stress linked it becomes more difficult to treat it completely but it’s not impossible. Homeopathy 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 outcomes for the future. Homeopaths believe that skin eruptions like psoriasis are an outward manifestation of internal suffering THE GOOD MEDICINE /JULY 2011 / 5


INSIDE OUT of the human being, so suppressing these eruptions with topical 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 steroidal 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 applications for the psoriatic patches rather it is advisable to use natural topical applications like coconut oil, ghee or petroleum jelly which will maintain moisture thereby preventing the scaling of the patches. Oral doses of homeopathic medications will help the patches disappear and helps in reversing the pathology. Psoriasis can be treated faster 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 prescribed.

lifestyle ARE LIFESTYLE CHOICES AFFECTING YOUR PSORIASIS? Dr.Santosh Shah Dermatologist Mumbai 1. Keep the body well hydrated with alkaline water. 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 THE GOOD MEDICINE /JULY 2011 / 6


lifestyle doing something else physically taxing. Those with psoriasis should consume 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 reducing the dry itchy patches of skin. Most importantly, water helps relieve stress during the day and relaxes the body for sleep. The hypothalamus 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, psychologically and emotionally stressful. How those around you relate to the effects of your psoriasis can lead to additional stress.

applied to the affected psoriasis areas as frequently as required to relieve 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 reaction in some users. Ideally, moisturizers should be applied three to four times a day. Apply in a gentle downward 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 unscented cleansing bar, for dry, sensitive skin. Bubble bath should never be used as it may cause dryness and irritation of the eczema and/or psoriasis.

3. Keep the skin well moisturized. Hydrate the skin with creams or lotions 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 5.

Reduce or eliminate coffee and THE GOOD MEDICINE /JULY 2011 / 7


LIFESTYLE file thickened toenails with an emery board after soaking. Reduce toenail pressure and friction – which can cause toenails to thicken -- by wearing well-fitted, roomy shoes. Consider using nail hardeners or artificial nails that can help to improve the appearance of intact nails. 10. Avoid temperature and humidity extremes. Don’t overdress or overheat. When humidity is low as during the winter in other h stimulants i l as well ll as reducing d i or heated homes, a humidifier may eliminating alcohol. Stimulants and al- be helpful. cohol are acidic and work against your 11. Avoid swimming in chloattempts to cure your psoriasis! rinated pools. Lake and ocean 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 enzymes, fabric softeners. Wash new clothing prior to wearing. 8. Antihistamines: can be taken after 7:00 PM to control itching, which tends swimming is fine. Apply moisturizers afterwards. to be worse at night. 9. Keep nails clean and short to prevent 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 injuring them; trauma can worsen nail psoriasis. Try soaking affected nails and follow up with moisturizer. Carefully

12. Injury to the skin can cause the formation of a psoriasis patch known as the Koebner Phenomenon, 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 THE GOOD MEDICINE /JULY 2011 / 8


SALON to develop after an injury. Types of injuries that can trigger a flare include: Abrasion - even mild abrasion, Increased 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 medications made from vitamin D are used to treat psoriasis, low levels of vitamin D do not trigger a flare-up. 14. Many medications can also affect psoriasis. The following drugs are known to either worsen psoriasis or induce a flare-up: o Chloroquine -used to treat or prevent malaria o ACE inhibitors -used to treat high blood pressure. Examples include monopril, captopril, and lisinopril. o Beta blockers - also used to treat high blood pressure. Examples include lopressor and atenolol. o Lithium -- a medication used to treat bipolar disorder o Corticosteroids, such as prednisone or solumedrol, can actually dramatically improve psoriasis. How-

ever, abruptly stopping the drug or rapidly tapering off of it can trigger 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 treatment involves eliminating or lifting the scales from the scalp before the treatment itself, so that the topical remedies 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 treatment.

THE GOOD MEDICINE /JULY2011 / 9


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 given. 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 emollient ointment, cream, or oil. 9. Scalp psoriasis treatment is more comfortable 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 psoriasis treatment, may possibly “sting” the scalp. 11. Psoriasis can be effectively controlled with UV light (i.e. the UVB “brush”), at the doctors office 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 regular shampoo, typically are of assistance to Scalp psoriasis treatment. Add 5-50 drops of essential Tea tree oil or essential Rosemary oil to any regular 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 patience and a “trial and error” method. 16. Consuming on a daily basis 1 Tbsp of Coconut oil may possibly be of assistance to the Scalp psoriasis treatment. 17. Introducing an Omega-3-6-9 supplement to your diet can sufficiently aid you with the Scalp psoriasis treatment. 18. Excimer 308 nm laser can be used effectively for the Scalp psoriasis 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

THE GOOD MEDICINE /JULY 2011 / 10


MOM AND ME HOW IS PREGNANCY RELATING TO PSORIASIS? Dr.Prema Suresh Gynaecologist and Obstetrician Coimbatore

There have been few studies attempting to

establish a link between hormonal fluctuations 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 attempted to establish links between hormonal fluctuations and psoriasis, we do not precisely know which hormonal mechanisms 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 psoriasis. These hormones exert a temporary immunosuppressive effect which has beneficial effects on the autoimmune processes occurring in psoriasis. Other scientists stress the beneficial role of cortisone. During pregnancy, the body secretes more cortisone, which has an antiinflammatory action on psoriatic lesions THE GOOD MEDICINE /JULY 2011 / 11


MOM AND ME (acting in the same way as a cortisone cream). What if I am pregnant? Psoriasis is not necessarily a barrier to pregnancy. Nor does it affect a woman’s ability to raise children. Many people who have psoriasis are afraid of passing it on to their children. 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 predisposition towards psoriasis. According to research, there is an 8% to 15% risk of transmitting it when one of the parents has psoriasis and a 50% to 60% risk when both partners are affected. Women with psoriasis often worry about becoming pregnant. They ask themselves if the baby will develop 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, especially 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 Th h dermad tologist will then be able to assess if their psoriasis treatment can be continued during pregnancy and prescribe a new medication if necessary. Women who suffer from psoriatic arthritis sometimes feel greater pain because of pregnancy-related weight gain. It is certain that multiple factors lead to psoriatic lesions improving in pregnant women. The improvement is probably primarily due to increased levels of cortisol as this hormone is secreted by both the adrenal glands of both the mother and the foetus. However, it is most certainly also due to other sub-

stances which have yet to be hi h h b identified. It is postulated that hormonal factors and/or a disturbance in vitamin D metabolism during pregnancy may cause flares of pustular psoriasis. In the first three months following childbirth, the majority of women with psoriasis experience renewed eruptions, including those who had noticed an improvement during pregnancy. Results vary from one study to another. Some studies note that nearly 88% of women report a relapse in the four months after they have given birth. The American study quoted

THE GOOD MEDICINE / JULY 2011 / 12


MOM AND ME 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 deformities 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.

THE GOOD MEDICINE /JULY 2011 / 13


HEALTHY COOKING DIET FOR MANAGING PSORIASIS Psoriasis is a skin disease that causes deformed nails and horrible itchy plaques, primarily on the elbows, knees and scalp. Dr. Navneet Bidani According to studHOMEOPATH ies reported -Diet Pune may be important in the management of psoriasis. Researchers have recommended antioxidants, beta-carotene, folate, omega-3 fatty acids, and zinc as nutritional factors that may play a role in the prevention and management of psoriasis. In addition, since copper metabolism may be influenced by zinc intake, it is important to also consume foods rich in copper. Fortunately, zinc food sources also provide copper. There is some evidence that a diet rich in fresh fruits and vegetables 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, sardines 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 conversion 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, mangoes, 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 supply 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 essential fatty acids in flaxseed oil, which have antiinflammatory 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 observed in some people with psoriasis. As Sixteen percent of psoriatic have a positive antigliadin antibody 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. THE GOOD MEDICINE /JULY 2011 / 14


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 maintaining 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 arachadonic 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, pimento, 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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THE GOOD MEDICINE JULY 2011