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Help for mother's Palmo-plantaris Psoriasis


I just joined the forum hoping to get help from its members' experience, referral, advise for my mother's severe psoriasis that started less than a year ago and has now aggravated with deep bleeding cuts. An allopathic physician has started her on methotrexate that I am very apprehensive about, as it is a toxic systemmic drug that has lymphoma among other side-effects. She went off anti-hypertensive drugs when we came to know they were causing it but has now been put back on a different drug.

Please see description of her symptoms below. I would appreciate it very much if you could look at it and let me know if I havent answered something.
Thanks for your help.


1. What is the main reason you need treatment?
Psoriasis due to anti-hypertensive drugs.

2. Describe your complaints giving the following details:

Complaint 1 : Psoriasis precipitated by synergistic effects of two anti-hypertensive drugs (a beta-blocker and a calcium-antagonist).
A. Location (Part of body affected)
Heels, soles, toes, thighs, outer right knee, palms, right thumb, inner forearm; hypertrophic dry skin ; no itching or discharge yet.

B. Sensation (Type of Pain)
Severe pain in deep cuts and inflammatory oedema

C. Time (When does it happen, Variations during the day/night)
Worst in the morning: very painful to put feet down and walk for the first time.

D. What makes you feel better or worse.
When lying down, cannot lay her heels except on pillow; covering with a blanket also hurts. Hypertrophy has become like plaster and cuts have started to bleed.

E. Accompanying complaints.
Osteo-arthritis, urinary incontinence
Is being given a 10mg weekly dose of Methotrexate. Lymphoma has been reported in Rheumatoid-Arthritis (RA) patients given methotrexate, and she also has a family history of RA.

Complaint 2 : Blood Pressure
C. Time (When does it happen, Variations during the day/night)
Was administered beta-blocker (tenormin) and calcium-antagonist (norvasc) together for over two years without monitoring liver function, and so developed fatty liver, alopecia, and finally psoriasis. All these are documented side-effects of the drugs. Was off drugs and took herbal remedy for a stable Blood Pressure for three weeks before getting 140/90 again. Is now on a different drug: Lisinopril (zestril).

3. Past Illness history?
Migraines for most of her pre-menopausal years. Single episode of sciatica that was cured with homepathic medicine. Was given an Arsenic compound for an allergic sneezing in 1965, and it has not recurred.

4. Ailments in the family? (BP, Diabetes, TB, Cancer etc )
mother: breast cancer.
maternal grandfather: prostate cancer.
brother: blood pressure, gout, asthma, vitiligo
sister: severe rheumatoid arthritis, vitiligo
son: vitiligo

5. What medication are you taking currently (or taken in the past)?
Methotrexate (Trexall, Rheumatrex)
Topical ointment for keratoderma
Lisinopril (Zestril)
Paracetamol/Panadol very frequently for headaches, something that could be the cause of her urinary incontinence. I havent confirmed though.
Homeopathic medicines for urinary incontinence, migraine.

Previously on:
Atenolol thalidone (Tenormin) & amlodipine besylate (Norvasc)

6. What foods do you crave? List from the strongest craving to the weakest.

7. What foods do you have an aversion to?

8. What foods aggravate you? (including allergies)

9. Level of thirst? Normal water intake during a day?
6 glases of water + 3 cups of tea

10. Digestive functions (Appetite, bowel , acidity, bloating , gases etc.)

11. Energy level throughout the day? Rate it from 1-10 (10 being excellent).
Normal throughout the day. But must take an afternoon nap; very sleepy at bedtime and goes to sleep immediately.

12. Perspiration: How much do you perspire? Where? Smell/ stain of the sweat?
Profuse in summer

13. How is your sleep? What position do you prefer to sleep in? Is there any position you cannot sleep in? Do you walk/talk/grind your teeth when you are asleep?
Deep sleep; prefers to sleep on her left side; cant lie straight anymore because of the psoriatic heels. does not walk/talk/grind teeth when asleep.

14. Describe your dreams in detail? Do you had any recurring dreams or images/ pictures/ themes?
Does not remember them upon waking.

17. Which season do you like the most? Why? Do you need fan ? How much covering do you take? Woolen clothes? What temp of water do you prefer for taking bath?
Needs fan in summer. Likes to cover with blanket etc., even in mild weather. Not averse to woolen clothes.

18. Is there anything else in the environment you are sensitive to? ( car sickness etcÂ…)

19. What is the worst thing that has ever happened to you? Describe in detail.
Husband's heart-attack when first child was 5 mo. and she was expecting the second one.

20. What part of your life do you have the most difficulty coping with? Why is that?
Had to go on anti-hypertensive drugs after husband's death in 1997

21. What was your childhood like? Describe your parents and your relationship with them. Describe your relationship with your siblings and other extended family members. Did anything in your childhood have a profound effect on you? Describe your school and college life.
A difficult childhood: was sent to live away from parents; Father's death at age 13; family mistreated by extended family members. Very close to and supportive of her siblings.

23. What is your occupation? What differentiates you from the other people in your place of employment? What difficulties do you have at work?
Obstetrician. Regretted not doing a post-graduation due to mother's cancer illness. Difficulty coping with work-stress.

24. What is your self-confidence level ?
Normal to moderately low

25. What fears do you have? Do you have any phobias?

26. What parts of yourself or your life would you change if it were at all possible?

27. What do you do to relax?
Talk to people.

28. Describe all other aspects of your nature in detail.
Very sensitive to other people's misfortunes.
  zfrizvi on 2005-12-26
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