Psoriasis Capitis :- As evident with the name Head is the one of the commonest site of the disease, next to the elbows and knees. The whole scalp may be affected or there may be only one o two small points of eruption, when extensive , the disease travels on to the forehead, forming a kind of fringe along it at upper part. There is co - existent disease elsewhere. The hair on the scalp thins out frequently when psoriasis attacks it.
Psoriasis Faciei :- In this the patches are usually circular, less hyperaemic, less thick and less scaly in comparison to the psoriasis affecting the other parts of the body. These look much similar to tinea circinata, except that typical patches of the disease are seen in other parts of the body.
Psoriasis Palmaris and Plantaris :- These are important local and infinitely rare varieties . Of course , instances of so- called posriais palmaris and plantaris are common enough, but they are practically always syphilitic. Non- syphilitic psoriasis may occur, though rarely, in connection with general psoriasis. But when such a condition exists as the sole disease, it is syphilitic and nothing else, and the concomitance of sore throat, tongue and other evidences of constitutional at once make the diagnosis certain. The skin in the affected parts is generally thick, and dry, harsh, discolored, the scaliness is not very marked, but the superficial layers peel off from time to time. Presently the surface cracks and fissures, and healing is very tardy, occasionally the surface bleeds. The mascular movements of the hand may be painful.
Psoriasis Syphilides :- Psoriatic syphilides always indicate the presence of a grave variety of syphilis and that they occur most commonly in cachectic subjects. In some cases they may appear as late manifestations of the disease. Precipitating factors can be Old age ,Alcoholism, Acquired or Congenital Dryness of the skin and perhaps also Gout. At times it becomes very doubtful for experts even to distinguish the eruptions to be of psoriasis or a specific eruption. Usually when the psoriasis getting treated and responding favourably towards cure, the scales lessen and the reddened elevated surface beneath comes more prominently into view, but this diminishes gradually till the eruptions disappear, leaving absolutely clear surface with no trace of its former existence earlier. However in few cases it may leave some pigmentary stains , the result of the congestion. It is in the disappearance of patches of psoriasis that the centre rapidly clear and then ringed form or psoriasis circinata.
Psoriasis Unguinum :- It is mostly complication of the inveterate form of psoriasis., but it may exist alone. The nails usually many in number affected lose their polish, and soon become thick, opaque, irregular and brittle, later on they get fissured and discoloured because of dirt in lines, their matrix become scaly. Psoriasis also affects the scrotum and prepuce occasionally, the parts are swollen, red, hard, tender, scaly, fissured more or less, and give exit to a thin secretions, which adds to the scaliness, there are pain and pruritus, and the local mischief may be the sole, or part only, of general disease.
     In the treatment of Psoriasis patient the Diet should be generous one, and in it meat ought always to play an important role, Plenty of vegetables should be included in the daily menu and all animal food should be best avoided. Cod liver oil is generally needed. It has been observed that it is better to commence or start the homoeopathic treatment with Sulphur and then other indicated medicines should be given after the interval of 15 days.
CASE :- Miss S. S. of 32yrs age and sister of an Allopathic Doctor consulted me for Psoriasis of long standing. Psoriatic patches on the head, waist, thighs ,elbows, and hands, finger nails were thickened and the nailbed were tender. She had already undergone lot of Allopathic treatment was using Betnovate regularly with little benefit. A plump lady with fair complexion hailing from Jammu & Kashmir . Had suffered from Diphtheria in childhood, with regular history of Tonsilitis and hyperpyrexia. Craving for eggs. Menses normal. Sensitive ,very jovial but very possesive. She was being given Sulphur earlier by some doctor in Jammu. She was cured by Calc. Carb 10M and X-Ray 30. As seen in the photographs before and after treatment and follow up, medicine was given for quite some period of time. The other remedies used were Ars Sulf Rub, Kali Brom, Hydrocotyle and Psorinum at various situation which gave partial relief in between.