THE PSORIASIS AS A NEUROLOGIC
ILLNESS?
PHOTOGRAPHIC DOCUMENTATION OF THE FIRST CASE TREATED WITH MAINLY ANTISTRESS
DRUGS (a work in progress).
Summary.
It is presented
the photographic documentation of a case of psoriasis treated with mainly antistress drugs (Patient 0). It is suggested that
psoriasis is a neurological illness.
Key
words: psoriasis, neurology, illness,
stress, stress-cocchi, antistress,
drugs, results, photographic documentation
When
beginning of an attempt of pharmacological therapy of a case of psoriasis, so I
wrote (Cocchi, 2007):
“The
psoriasis is a great black hole of the dermatology. Many therapeutic
interventions mainly by using the topical via, but also the general one seem to
bring to some result. However, there is not any rationale about what obtained,
which is often a few.
I asked me
if in facts the psoriasis could be a neurologic
illness from stress with its appearance on the skin. It should not be the first
one, since the Herpes Zooster being considered an
infectious attack to the nerve with a skin evidence within the related dermatomerous. It seems that the stress has remarkable
importance on its onset.
Recently I
have had the chance of favourably treating a person with erythematous
and pruriginous pomfi,
having considered them as a stress phenomenon, and having improved his
individual resistance. For the theoretical base of this approach, see
<www.stress-cocchi.net/Speculation4.htm>
About it I
wrote a case history on this site
<www.stress-cocchi.net/stresspomfi.htm>.
I believe
that often we forget that the relationships between the skin and the nervous
system may be close, coming both from the external embryonal
layer (or the ectodermal one).
I began to
treat a person with psoriasis as recalcitrant to other therapies. I have the
initial documentation of the skin lesions. So, I hope to be able to write a
positive report in the next few months.”
The history
of the case zero.
A male
subject, 35 years old, with a college degree, single. He is working in a mechanical industry. His
delivery was prolonged and complicated, for feet presentation. In the first
year of life, he was told that he slept a few and he was pale. The psoriasis
had a diagnosis two years ago and till
now it has been unresponsive to all the undertaking therapies. At the first
consultation I found symptoms of stress and depression, this last, surely, in
part, secondary to the psychological and social difficulties the psoriasis is
driving to.
After three
weeks of drug therapy (Fig 1 and 1bis), this is the situation of his face as compared to before the therapy.
The difference between the two pictures doesn't need any comment.
Four weeks
later this is the situation of the area of
psoriasis in the right forearm.
Fig. two and
two bis): How
it may see, the area of psoriasis
reduced, lowered, and seems to have an appearance of granulation's tissue.
Fig three:
The right forearm after six weeks of
drug therapy. Fig. four: The same after
eight weeks of drug therapy: The eschars are
spontaneously falling.
Fig. 5-
Pictures
seven and eight: At 10 weeks from the beginning of the drug therapy. There is a
difference in the fall of the eschars, more slow in
the forearm of left.
Right leg: Fig
nine: At 10 days since the beginning of the therapy and (Fig 10), after 70 days
of drug therapy.
There is
nearly disappearance of the psoriasis spots.
Fig.
11-12-13: This is the situation of the forearms and of the legs about five
months from the beginning of the drug therapy, still being under way. There is
a condition of nearly cleaning of the bodily
segments’ photos.
Fig. 14-15:
The situation of the arms at eight months since the beginning of the therapy,
after a stressful period. You can see a relapse, even if the extension of the
psoriasis is well different from
what at the beginning, before the
introduction of the drugs. The therapy, though being under way, cannot have
successfully when the level of stress is higher than the acquired tolerance.
Fig. 16-17:
Now, the situation of the legs at eight months since the beginning of the
therapy, after a stressful period. You can see a relapse, even if the extension
of the psoriasis is well different from
what at the beginning, before the
introduction of the drugs. The therapy, though being under way, cannot have
successfully when the level of stress is higher than the acquired tolerance.
Discussion.
The figures
from one to 13 show the results of an antistress drug
therapy. The figures from 15 to 17 are the counter-check of the involvement of
the stress in the psoriasis. One case report alone,
although so documented, cannot be taken as being generally right, but this
approach needs to be followed, since the poor results of the traditional
dermatologic therapies.
Posted on internet on
18 March, 2008. Copyright by Renato Cocchi,
2008.
Dr. Renato Cocchi via Rabbeno
3,
42100 Reggio Emilia