Psoriasis and PsA are conditions that not always occur together, but only in about 30-37% patients. In many patients psoriasis is diagnosed first, then they after some time hey develop psoriatic arthritis; However, PsA can be diagnosed before psoriasis. The joint condition can even occur in people who don’t have an active psoriasis.

Both psoriasis and psoriatic arthritis are inflammatory diseases. An atypical immune response causes the signs and symptoms of both conditions. A standard immune system is designed to protect the body from harmful invaders. In psoriasis and PsA, patient’s immune system activity increases and attacks healthy parts of own body instead. In psoriasis, this overactive immune response mainly affects the skin the scalp and nails.

In PsA, it mainly targets the joints, though it can also affect the eyes and/or nails. Over time, unmanaged inflammation in the joints can lead to permanent damage. Some psoriasis treatments that help lower inflammation can also be used to treat PsA. Early detection and treatment are key to managing symptoms and preserving joint function.

Patients with psoriatic arthritis can also develop inflammation of the tendons (tendinitis), tendon insertion points on bone (enthesitis, inflammation of the entheses), and around cartilage. Inflammation of the tendon behind the heel causes Achilles tendinitis, leading to pain with walking and climbing stairs. Inflammation of the chest wall and of the cartilage that links the ribs to the breastbone (sternum) can cause chest pain, as seen in costochondritis.

The type of psoriatic arthritis depends on the distribution of the joints affected. Accordingly, there are five types of psoriatic arthritis: symmetrical polyarthritis (both sides of the body), asymmetric oligoarticular, spondylitis, distal interphalangeal joints, and arthritis mutilans.

People with symmetrical polyarthritis have more than four inflamed joints, usually the same joints on both sides of the body. For example, someone may have inflammation in both wrists or in the knuckles of both hands. This pattern of arthritis can be very similar to the pattern of arthritis seen in rheumatoid arthritis.

1. Asymmetric oligoarthritis means that four joints or fewer are involved. This pattern of arthritis usually affects large joints, especially in the lower extremities. For example, a person with asymmetric oligoarthritis may have swelling of the right knee and the left ankle.
2. Spondylitis refers to inflammatory arthritis in the spine. Spondylitis can affect the neck, upper and mid back, low back, and/or the sacroiliac joints of the pelvis. It is important for the health care provider to differentiate between spondylitis, which is inflammatory arthritis in the spine, and age-related degenerative arthritis in the spine, as they are treated very differently.
3. A common pattern of psoriatic arthritis is when the arthritis is limited to the distal interphalangeal joints, which are the joints in the fingers that are located closest to the fingernails. Osteoarthritis (degenerative arthritis) can also affect these joints.
4. Arthritis mutilans is a very severe, deforming type of psoriatic arthritis. It affects many joints at the same time and causes severe inflammation and destruction of joints.

Aggressive treatment is recommended to control this type of arthritis as soon as possible, as it is very disabling and painful. Fortunately, arthritis mutilans is less common than in the past, probably because of the effective medications now available for treatment of psoriatic arthritis.

Psoriatic arthritis is a diagnosis made mainly on clinical grounds, based on the finding of psoriasis and the typical inflammatory arthritis of the spine and/or other joints. There is no laboratory test to diagnose psoriatic arthritis. Blood tests such as C-reactive protein and sedimentation rate may show an abnormal elevated result and merely reflect presence of inflammation in the joints and other organs of the body. Other blood tests, such as rheumatoid factor, are obtained to exclude rheumatoid arthritis. When one or two large joints (such a knees) are inflamed, arthrocentesis can be performed. Arthrocentesis is an office procedure whereby a sterile needle is used to withdraw (aspirate) fluid from the inflamed joints. The fluid is then analyzed for inflammation, infection, gout crystals, and other inflammatory conditions. X-rays may show changes of cartilage or bone injury indicative of arthritis of the spine, sacroiliac joints, and/or joints of the hands. Typical X-ray findings include bony erosions resulting from arthritis, but these may not be present in early disease. MRI scanning is sometimes used to identify early erosion of joints. The blood test for the genetic marker HLA-B27, mentioned above, is often performed. This marker can be found in over 50% of patients with psoriatic arthritis who have spine inflammation.

I (Dr Qaisar Ahmed) observed that there is a strange and strong link between nail changes and the development of PsA. Nail involvement is one of the early signs of PsA, One or more nails can be affected (fingernails or toenails).

Nail psoriasis is thought to be a more aggressive condition, and patients with psoriasis who experience nail changes (like pitting, deep groves, thickening, pulling away from bed/nail bed) are more likely to develop PsA than those who don’t.

Allopathic treatment for Psoriatic Arthritis

The medical treatment of the arthritis aspects of psoriatic arthritis is described below. The treatment of psoriasis and the other involved organs is beyond the scope of this article.

Generally, the treatment of arthritis in psoriatic arthritis involves a combination of anti-inflammatory medications (NSAIDs) and exercise. If progressive inflammation and joint destruction occur despite NSAIDs treatment, more potent medications such as methotrexate, corticosteroids, and antimalarial medications (such as hydroxychloroquine) are used.

Non-steroidal anti-inflammatory drugs (NSAIDs) are a group of over-the-counter medications that are helpful in reducing joint inflammation, pain, and stiffness. Examples of NSAIDs COX-2 inhibitors, aspirin, ibuprofen, naproxen sodium, indomethacin, tolmetin sodium, sulindac, and diclofenac

Their most frequent side effects of allopathic drugs are signs and symptoms like stomach upset and ulceration, Kidney failure, Hepatic failure and diseases, gastrointestinal bleeding etc.

Homeopathic Treatment for Psoriatic Arthritis

RHUS TOX

Rhus tox is usually adapted or well suited to a person of rheumatic diathesis and in psoriatic arthritis. The effects on the skin, rheumatic pains, mucus membrane affections, effected fibrous tissue of the joints, ligaments causing rheumatic symptoms; burning eczematous eruptions with tendency to scale formation, red swollen skin with intense itching. Hot painful swelling of joints. Rheumatic pains spread over a large surface area at nape of neck, loins, and extremities which is relieved by motion, cold fresh air aggravates the symptoms.

URTICA URENS and Psoriatic Arthritis

Urtica urens is a best choice of remedy for psoriatic arthritis. Rheumatism is usually associated with skin complaints, stinging and burning pain, Skin complaints alternate with rheumatism, with severe joints pain, itching and swelling all over body resembling hives. Heat in skin of face arms shoulders and chest with formication numbness and itching. Psoriatic eruptions with scales, skin looks wrinkled, intense burning of skin, worse from exposure to cold moist air.

Itching swellings all over fingers and hands, resembling “bold hives”; lumps and red spots on hands and fever blisters on lips, lids itching, with formication, numbness and itching, lips, nose, and ears swollen, lids so oedematous that they could scarcely be opened, after awhile upper part of body as far as navel oedematous and pale, transparent blisters filled with serum and looking like sudamina, becoming confluent and making the skin look wrinkled, lids closed, forming transparent, here and there bluish shining swellings as large as hen’s eggs; disappeared on sixth day with desquamation (Intense burning in skin after sleep).

Erythema. Vesicular erysipelas. Burns and scalds.

RHUS VENETA

A fine white rash keeps under the skin. Ulcers, cuts, and other lesions surrounded by a miliary whitish rash. Nightly itching, and an eruption very like erythema nodosum.

Within twenty-four hours itching with swelling, which gradually extends over body assuming erysipelatous appearance. Red indurated elevations, especially on face, neck, and chest.

Redness, swelling, and vesicular rash on skin of eyes, nose, cheeks, lips, ears, behind ear and front of neck.

Boils on forehead, neck, and arms. At night much itching of face and sexual organs. Rash-like-pimples appear under skin just before menses, especially on head, face, back, and hands; burning, but not quite like burning in breast. Rash appears also after cold (cold’s side effect).

Fine vesicular eruption on forearm, wrist, back of hands, between and on fingers; vesicles are situated on an inflamed erysipelatous base, and accompanied with most intolerable itching, especially in evening in a warm room and in bed; after scratching and rubbing (which cannot be resisted) the itching is intolerable; large quantities of serum run from each vesicle after scratching.

Clusters of vesicles. Boils on right thigh. Desquamation. Itching and complete desquamation of skin of hands. Deep, corroding phagedenic ulcers with cadaverous-swelling and pus. Itching and, creeping sensation by warmth.

LEDUM PAL

Ledum pal usually affects the fibrous tissue of joints. Hence it can be called as a rheumatic remedy where rheumatism begins in the feet and travels upwards.

Ledum pal is very valuable remedy in psoriatic arthritis. There is weakness and numbness of affected parts, trembling of extremities. Painful cold edematous joints, red – sensitive to touch. Presents with eruptions only on the covered parts of the body.

Gouty pains shoot all through the foot and limbs. Cracking in joints worse/aggravates from warmth, tearing and shooting pulsating and paralytic pains.  Anxiety, timidity, tendency to anger and rage.

BELLADONNA and Psoriatic Arthritis a Camouflage Disease

Skin swelling, with heat and scarlet redness (whole body) or of several parts, mainly the face, the neck, the chest, the abdomen, and the hands. Cutting of the skin as though “sliced” with a sharp knife. Erysipelatous inflammations, with phlegmon, which sometimes turn to gangrene.

Gangrene and sphacelus of several parts. Red places, inflamed and scarlet spots on several parts of the body, sometimes with small, quick pulse, difficulty of respiration, violent cough, delirium, liveliness of memory, inclination to rub the nose, and dilated pupils.

Red spots, the color of blood, over the whole body, principally on the face, neck, and chest. Eruption resembling morbilli.-Eruption of petechiae, with itching and redness of the whole body.

Miliary eruptions. Vesicles which discharge a great deal of serum, and are so painful as to extort cries and groans. Bleeding soreness of the bends of the joints. Eruption of pustules with whitish edges, with black slough, and oedematous swelling of the diseased part.

Boils (returning every spring). Red scaly eruption on the lower part of the body, scrofulous tumors and nodes, which are painful. Pain, as of excoriation, burning and pulling in ulcers, principally on being touched, during motion, and in the night.

Dry, burning hot skin, particularly when the hand continues to burn after touching the skin, as though a hot stove had been touched, very characteristic.

Red, hot, and shining swelling of the diseased parts. Smooth, even shining (not circumscribed) redness of the skin, with bloatedness, dryness, heat, burning itching and swelling (especially face, neck, chest, abdomen and hands).

The ulcers secrete a purulent and sanguineous matter. Chilblains. Painful swelling of the glands (inflamed, stinging).

SILICEA

Felons, abscesses, boils, old fistulous ulcers. Delicate, pale, waxy. Cracks at end of fingers. Painless swelling of glands. Rose-colored blotches. Scars suddenly become painful. Pus offensive.

Promotes expulsion of foreign bodies from tissues. Every little injury suppurates. Long lasting suppuration and fistulous tracts. Dry fingertips. Eruptions itch only in daytime and evening. Crippled nails. Indurated tumors. Abscesses of joints. After impure vaccination. Bursa. Leprae (Leprosy, also known as Hansen’s disease (HD), is a long-term infection by the bacteria Mycobacterium leprae or Mycobacterium lepromatosis. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes.), nodes, and coppery spots. Keloid growths.

Medorrhinum

Skin – Yellowness of skin, intense and incessant itching, fugitive better towards night, sometimes confined to one side. Itching and prickling all over (back, vagina, labia etc). Fiery red band passing down neck, back, and perineum, and involving genitals and pubes. Fiery red rash about anus in babies, the water scalds it terribly.

Scald head. Tinea capitis, eyelids involved. Copper colored spots (syphilitic) remaining after eruptions, thin yellow-brown and detach in scales, leaving skin clear and free. Small pedunculated warts, with pin-heads, like small button mushrooms, on various parts of body and thigh. Favus. Fetid odor of body.

Actaea Spicata

Actaea spicata is a rheumatic remedy especially affecting the smaller joints, tearing tingling pain. Presents with wrist rheumatism. Though wrist is affected prominently other joints are too equally affected. Slight fatigue causes swelling of joints. Psoriatic eruptions on skin which are dry scaly and with intense itching.

Syphilynum

Skin – Pustular eruption on different parts of body; in patches on certain places, particularly on wrists and shins, where bones are nearest cuticle, and isolated other large pustules on other parts, these break, discharging an ichorous fluid for one or two days, then heal, leaving characteristic pockmark cicatrices; patches take longer to heal, discharging same fluid till healing process commences. After healing of

chancre a fresh pustular eruption appears on different parts of body, which, when pustules have discharged an ichorous liquid and healed up, leaves fresh coppery pockmarks *Medorrhinum also removed it permanently, causing it to turn yellow-brown, dry at edges and scale off, leaving skin permanently clear and free).

Biting sensation in different parts of body, as if bitten by bugs, at night only. Syphilitic rash, very prominent on forehead, chin, arms and front of thorax, an abundance of fine scales peeling off; large prominent spot on center of forehead, filled with fluid, as also are some smaller patches.

Syphilitic bullae discharging freely on cheeks, under chin, on back of shoulders, on scalp and other parts of body (infantile syphilis). Maculae; copper-colored. Pemphigus, looking like a pock, often confluent and persistently reappears. Skin bluish..

Thuja Occidentalis

Polyps, tubercles, warts epithelioma, naïve, carbuncles; ulcers, especially in anogenital region. Freckles and blotches. Perspiration sweetish, and strong. Dry skin, with brown spots. Zona; herpetic eruptions. Tearing pains in glands. Glandular enlargement. Nails crippled; brittle and soft. Eruptions only on covered parts; worse after scratching. Very sensitive to touch. Coldness of one side. Sarcoma; polyps. Brown spots on hands and arms.

Arsenicum album and Psoriatic Arthritis a Camouflage Disease

Desquamation of the skin, Skin dry as parchment, cold and bluish or pale/yellowish color. Shootings, hot itching, and violent burning in the skin. Reddish or bluish spots on the skin. Petechiae, Inflamed spots, chiefly in the head, face, and neck. Miliary eruptions, red and white. Conical pimples, whitish or reddish, with burning itching. Nettle-rash.

Eruption of painful black pustules. Eruption of itchy pimples, small and tickling. Eruption of small red pimples, which increase and change into gnawing ulcers, covered with a scurf. Vesicular eruptions. Herpes, with vesicles, and violently burning, especially at night, or with coverings, like fish-scales.

Skin pale/jaundiced; general anasarca; black blisters. Pustules filled with blood and pus. Titter spots, covered with phlyctenules and furfur, with burning nocturnal pains.

Ulcers with raised and hard edges, surrounded by a red and shining crown; with the bottoms like lard, or of a blackish-blue color, with burning pains or shooting, principally when the parts affected become cold. Ulcers, hard on the edges, stinging, burning spongy; with proud flesh; turning black; flat; pus thin, ichorous (cancers).

Fetid smell, ichorous suppuration, ready bleeding, putridity, and bluish or greenish color of the ulcers. Thin crusts or proud flesh on the ulcers. Sphacelus. Want of secretion in the ulcers. Carbuncles (burning). Inflammatory tumors with burning pains. Warts. Ulcers inform of a wart. Chilblains. Varices. Discolored nails.

Arsenic Iodatum

Arsenic Iodatum will be advised when there is shedding of large scales from the skin eruptions. Skin is covered with inflamed patches with scales on them. There is persistent itching in the patches and the shedding of the scales leaves raw skin behind. Lump in mamma, sensitive to touch and painful; nipple retracted.

Graphites

People needing this remedy often have a long-term history of skin disease. The skin looks tough or leathery skin with cracks and soreness. Itching is often worse from getting warm, and the person may scratch the irritated places till they bleed. Trouble concentrating, especially in the morning.

Obstinate dryness of the skin, absence of perspiration. Red spots on the skin, like flea-bites. Erysipelatous inflammations, vesicular erysipelas, like zona, on the abdomen and on the back. Itching of the varices on the lower limbs. Itching-stinging on the surface of a mole.

Eruptions oozing out a thick honey-like fluid. Titters are humid, scabby eruptions, sometimes with secretion of corrosive serum, or with itching in the evening, and at night.

Eruption of pimples and nodules (principally under hair and on covered parts) which itch very much.-Swelling and induration of the glands.

Encysted tumors, Corrosive nodules. Excoriation of the skin (in the bends of the limbs, groins, neck, behind the ears), especially in children, Proud flesh, and fetid pus, in ulcers, with tearing pains, burning, and shooting.

Scrofulous and syphilitic ulcers. Burning pain in an old cicatrix. Deformity and thickness of the nails.

Petroleum

This remedy is often indicated for patients whose physical problems are aggravated by stressful emotional experiences. It is especially suited to individuals with extremely dry skin, and problems that involve the palms and fingertips. Patient may feel a cold sensation after scratching, and the skin is easily infected and may look tough and leathery. Itching will be worse at night, and from getting warm in bed.

Petroleum acts on sweat and oil glands; symptoms worse during the winter season. Burning pain, itching, redness, excoriation, and oozing, or itching pimples and tatters, on scrotum and between scrotum and thigh. Diminished sexual desire, frequent nocturnal discharges. Discharge of prostatic fluid (Prostatitis), weakness and nervous irritability after coition. Reddish eruption on glans, with itching.

In females patients, Catamenia too early, with a menstrual flux which excites itching. Leucorrhoea like egg white, Leucorrhoea with lascivious dreams.

During pregnancy diarrheas and vomiting. Itching and furfur on the mammie; the nipples itch, and have a mealy coating.

Sepia and Psoriatic Arthritis a Camouflage Disease

This remedy may be helpful to a person who feels dragged out and irritable, often with little enthusiasm for work or family life. The person’s skin may be look dry and stiff. Psoriasis may appear in many places on the body, including the nails and genitals. Signs of hormonal imbalance are often seen (in either sex), and problems with circulation are common. Exercise often helps this person’s energy and mood,  burning itching, humid or scurfy; choppy herpes like, with a circular desquamation of skin.

Eruptions on glans and labia; indolent Cancers; itching and dry eruptions on genitals, condyloma; chancres on glans and prepuce.

Hard nodosities on breast. Atrophy of breasts, chapping of the skin, or cracks may extend deeply into the tissues, brown spacelabs, titters, ulcers suppurating, with copious pus.

Dry and itching eruptions, like scabies, brown, or vinous, or else reddish, and herpetic spots on skin.

Sulphur

Dry, scaly, unhealthy; every little injury suppurates. Freckles. Itching, burning; worse scratching and washing. Pimply eruption, pustules, rhagades, hangnails. Excoriation, especially in folds. Feeling of a band around bones. Skin affections after local medication. Pruritus, especially from warmth, is evening, often recurs in spring-time, in damp weather.

Patients with dirty complexion.

Calcarea carbonica and Psoriatic Arthritis a Camouflage Disease

Flaccidity of the skin. Visible quivering of the skin from head to foot, followed by giddiness. Burning, smarting, itching.

Syphilis. Nettle rash, mostly disappearing in the fresh air. Eruption of lenticular red and raised spots, with great heat, much thirst, and want of appetite.

Skin hot and dry during motion. Skin rough, dry, and as if covered with a kind of miliary eruption.-Furfuraceous coating of the skin; burning; chapped.-Humid, scabby eruptions and titters, or in form of clusters, with burning pains.-Itching pemphigus over the whole body.

Skin excoriated in several places, unhealthy; every injury tends to ulceration; even small wounds suppurate and do not heal. Ulcers deep; fistulous; carious. Ulcers with too little pus. Erysipelatous inflammations. Furunculi. Warts. Corns, with pain as of excoriation, and burning.

Polypus (nose, ear, uterus). Encysted tumors, which are renewed and suppurate every month. Bloatedness. Swelling and induration of the glands, with or without pain. Varices.

Arthritic nodosities. Swelling; softening; curvature of; stinging in; caries and distortion of the bones. Ulceration of the bones. Panaris. Flaws in the fingers. Anxiety, claustrophobia, and fear of heights are common. Cravings for sweets and eggs.

Mercurius solubilis and Psoriatic Arthritis a Camouflage Disease

Almost constantly moist. Persistent dryness of the skin contra indicates Mercurius. Excessive odorous viscid perspiration; worse, night. General tendency to free perspiration, but patient is not relieved thereby. Vesicular and pustular eruptions. Ulcers, irregular in shape, edges undefined.

Pimples around the main eruption. Itching, worse from warmth of bed. Crusta lactea; yellowish-brown crusts, considerable suppuration. Glands swell every time patient takes cold. Buboes. Orchitis (Clemat, Hamam, Puls)

Mezereum and Psoriatic Arthritis a Camouflage Disease

Skin sensitivity to touch, General desquamation of skin of body; usual liver spots on chest and arms become dark and desquamate. Red rash, itching violently better in bed, from touch; burning and change of place after scratching.

Cutaneous ulcers form over bony protuberances. Ulcers with thick, whitish, yellow scabs, under which thick, yellow pus collects. Skin covered with elevated white scabs; Itching especially at night/in bed, more violent and painful (and changed to burning) after scratching the parts, and sometimes with swelling of the part that has been scratched.

Gnawing itching as from vermin. Miliary eruptions, sometimes chronic. Furunculi. Inflamed ulcers, with burning and shooting, or with gnawing pain of excoriation. Inflammation and swelling of the bones, rachitic, caries.

Ulcers: with an areola, sensitive and easily bleeding when removing the linen, which sticks, painful at night, the pus tends to form an adherent scab, under which a quantity of pus collects, burning and stinging with inflammation. Vesicles around the ulcers, itching violently and burning like fire. Suppuration after inflammation.

Rhus toxicodendron and Psoriatic Arthritis a Camouflage Disease

Skin vesicular erysipelas where the vesicles are large. Exanthemas on face in general on chin, face, cheeks, mouth, nose, forehead, causing much burning itching. Pustules chilblains. Exanthema in general; burning; burning itching; pustules; with swelling; blotches; like milk crust; moist; like nettle-rash; blue with erysipelas; scurfy; tensive or tight feeling in; pock-shaped; black; purulent; zona or shingles; petechiae; prickling; tickling; blisters which will sometimes spread up the limb, and are sometimes circular in form, spreading with a red edge in the advance, which gradually turns to a blister, the red border still keeping in advance (if the edges be black, Arsen.); itching feels better after scratching.

Titters in general. Ulcers burning; with corroding pus; with ichorous pus. Rash itches a great deal, in scarlet fever, smallpox, with the peculiar restlessness. Phlegmonous erysipelas, especially where the erysipelas begins in the ankle, and moves gradually up the leg, running up in the deeper tissues, no fever.-Itching over whole body, chiefly in hairy parts.

Stinging and tingling on skin, burning after scratching. Humidity of skin. Hardness of skin with thickening. Swelling (hard) of affected parts. Erysipelatous inflammations. Nettle-rash.-Eruptions, generally vesicular, scabby, with burning itching, appearing especially in spring and autumn.

Eruption of small pustules on a red bottom, like zona. Gangrenous ulcers resulting from small vesicles, with violent fever. Petechiae, with great weakness, amounting to entire prostration. Black pustules. Herpes, sometimes alternately with asthmatic sufferings and dysenteric looseness.

Warts, especially on hands and fingers; large jagged, often pedunculated, exuding moisture and bleeding readily. Rhagades on hands. Pancratium. Tingling or shooting or else burning smarting in ulcers, especially at night. Chilblains. Corns on feet, with burning sensation, and pain as of excoriation.

Staphysagria

Skin tingling, as from insects, over whole body especially in morning. Chronic miliary eruptions, sometimes with convulsive jerks at night. Eruption of itching, oozing nodosities, with burning pain.

Scald-head with yellow scab, smells badly, itches very much, & c. Exanthema on cheeks, face, or particularly if it is yellow; with a creeping itching. Incised wounds, with great pain. Herpetic eruptions, with itching in evening; and burning sensation after scratching them.

Arthritic nodosities on the joints. Dry, crusty titters on the joints. Painful engorgement and induration of the glands. Unhealthy skin, easily suppurating. Frequent furunculi. Ulcers, with tearing shootings (gnawing pains), or itching smarting. Jerking and tearing round ulcers, especially in morning and evening. Wens and encysted tumors burst after Staph.

Psorinum and Psoriatic Arthritis a Camouflage Disease

Skin rash above left brow and on left cheek; red, on external throat, beginning with sticking. Nodules on face, neck, and legs. Pimples on forehead; on neck and mammie; with black points in center, painful when scratched; on external throat. Burning like heat-rash below eyes; causing itching, smarting pain, burning after scratching, and feeling sore (in a herpetic patient); and ulcers, from which watery fluid oozes for hours after being opened (hands, wrists, and palms).

Herpes like – and it causes smarting and itching. A scab on nose which commonly fell off when coughing is now adherent and hard. Pustules on nape, with sticking.

Boils on chest and loins; on buttocks, with burning itching, soon disappearing, leaving crusts. Itch-like eruption on face, hand, back, and leg, and agglutination of eyes. Vesicles on face; quickly filling with yellow lymph, sore to touch on forehead, face, and behind right ear; filled with lymph, painful to touch on various parts, some forming itching papules. An old rhagade near right styloid process suppurated, itched, and was surrounded by blisters filled with clear water, these soon changed to pustules, which healed under a crust.

Itching on forehead; tip of nose; left arm; biceps of left arm; right elbow, soles with tickling and heat. Itching of face, neck, and hands on touch; over whole body after rubbing papules and vesicles; between fingers, and vesicles filled with lymph; on right carpus, with red spots; voluptuous, where a flea had bitten, with white, hard blisters on a red base of the itching pustules, which he had had for years on knees.

Kali Arsen and Psoriatic Arthritis a Camouflage Disease

Skin dry, wilted; emaciated to a skeleton. On three different occasions, swelling of face and eyelids, then erysipelas invading whole face ending in desquamation in a week. Acne, appearance like that in early stage of variola. Miliary eruption. Herpes zoster behind right ear, right side of neck, right shoulder, right upper arm, right side of chest, a few isolated vesicles left side of neck.

Severe attack of shingles right side of chest. Eruption covering entire body except scalp, comes out in red papillae, varying in diameter from size of pin’s head to three centimeter. vesicles form on summit, suppurate, crusts form and fall off, leaving a sore which heals; the places occupied by these sores are marked by a dark-colored cicatrix, and the skin generally has a dusky look; intolerable itching, stinging, and burning, especially on undressing at night; (on trunk, leg and forearms); mind much depressed.

Lichen confluence over whole body except face, palms, and soles, and part of chest; the rest studded with papule, particularly distinct about outer sides of thighs, arms, and back; they are covered with very minute, flimsy, whitish scabs, causing a powdery appearance of skin; head very scurfy; hair crisp and dry; often irritation in skin, which becomes reddened and cracked, particularly about bend of arms and knees.

One of the earlier signs is a minute popular rash, which by and by assumes the form of delicate, brownish scales giving the skin an unwashed appearance; especially observed on parts protected from light by clothing.

After taking it for three weeks, suddenly, after feeling ill for a few hours, a copious rash made its appearance on face, hands, and chest, like measles; accompanied by catarrhal symptoms swelling of face, lips, eyelids, yellow-furred tongue, gastrointestinal irritation, intense lameness of feet, standing giving great pain; complete aphonia followed in a few days, desquamation commenced in tenth day; redness lasted some weeks.

Dry chronic eczema; skin of arms thicker and rougher than natural, covered with flimsy exfoliations of epidermis; very irritable, itching and tingling when she gets warm; intensely fissured about bends of elbows and wrists; occasional exacerbation, with eruption of distinct vesicles; languor and lassitude; pale, sallow complexion; catamenia irregular.

Patches of psoriasis on back, arms, and spreading from elbows, and anteriorly on legs, size of a crown piece, and indolent. Psoriasis scaly itching, causing patient to scratch till an ichorous fluid discharges, forming a hard cake.

Discoloration of skin after psoriasis and lepro. Psoriasis in numerous patches, with great itching; the patches becoming more active, scale off, and are replaced by smaller they leave behind them a red skin. Jaundice.

Antimonium Crudum and Psoriatic Arthritis a Camouflage Disease

Skin itching, especially in the neck, chest, back and limbs. Eruptions which appear chiefly in the evening, or which itch in the heat of the bed, and prevent sleep. Miliary eruptions and nettle-rash. Tumors and blisters, as if from the stings of insects. Measles-like eruption.

Eruptions, similar to chicken-pox, with shooting pain on pressure. Thick, hard scabs, often honey-yellow, here and there a crack oozing a green sinuous fluid, burning as if immersed in hot embers.

Urticaria white, with red areolae, which itch fearfully. Pustules with yellowish or brown scurf. Freckles. Hepatic spots. Deep spongy ulcers with gastric ulcers. Fistulous ulcers.

Horn-like excrescences and disposition to abnormal organizations of the skin. Corns and callous excrescences on the feet. Nails discolored and deformed. Red and hot swellings. Degeneration of the skin. Fungus of the joints.

Phosphorus

Phosphorus works wonders in cases of Psoriasis that affects knees and elbows. The skin of elbows and knees is covered with dry, scaly eruptions. Itching appears in the eruptions. In the majority of cases, the itching is worse in heat. Other accompanying features are a burning and stinging sensation in the eruptions. In a few cases a formication on the area affected is present.

Lycopodium Clavatum and Psoriatic Arthritis a Camouflage Disease

Ulcerates. Abscesses beneath skin; worse warm applications. Hives; worse, warmth. Violent itching; fissured eruptions. Acne. Chronic eczema associated with urinary, gastric and hepatic disorders; bleeds easily. Skin becomes thick and indurated.

Varicose veins, naïve, erectile tumors. Brown spots, freckles worse on left side of face and nose. Dry, shrunken, especially palms; hair becomes prematurely gray.

Dropsies. Offensive secretions; viscid and offensive perspiration, especially of feet and axilla. Psoriasis.

For consultation about Cerebral Anemia or Ischemia,  flue, Respiratory tract Infection or Allergies etc; Feel free to whatsapp us or visit our clinic.

P. S : This article is only for doctors having good knowledge about Homeopathy and allopathy,  for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

Location, address and contact numbers are given below.

NoN of above mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.

To order medicine by courier, please send your details at WhatsApp– +923119884588

Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

Find more about Dr Sayed Qaisar Ahmed at :

https://www.youtube.com/Dr Qaisar Ahmed

https://www.facebook.com/dr.qaisar.dixecosmetics

https://www.dixecosmetics.com