The incidence of psoriasis, which is approximately 2 percent of the world population, is between 1 and 3 percent in our society. The most distinctive feature of the disease, which has different types, is the lesions on the skin. It is possible to control the disease with long-term and careful treatment.

In the RTM system, the aim is not to directly suppress the psoriasis lesions and to relieve the symptoms. It is to reveal the causes of psoriasis specific to the individual and to treat the source part of the disease by detecting it. In the treatment, it is aimed to correct the infrastructure that causes psoriasis and to ensure the normal functioning of the system.

Let’s glance shortly at Psoriasis

What is Psoriasis?

Psora, medically known as Psoriasis, is a skin disorder that causes skin cells to multiply much faster than normal, resulting in bumpy red patches covered with white scales on the skin. Usually seen on the scalp, elbows, knees, and back, scaly patches can grow on any skin area. Psoriasis does not pass from person to person, it is not contagious. It usually occurs in early adulthood.

In most cases, only parts of the skin are affected, while in more severe cases, the disease can cover a large part of the body. Red spots, which can heal over time, can reappear at any time in a person’s life.

What are the Causes of Psoriasis?

Psoriasis is a chronic disease of unknown origin. As it is known, psoriasis is not contagious because it is not caused by any virus or bacteria. Genetic predisposition has an effect on the emergence of the disease. Even if the same disease is not seen in the parent, the probability of getting the disease increases if it is present in the previous generation. On the other hand, it has been observed that psychological conditions such as excessive stress, sadness and depression trigger the emergence of the disease. Weakening of the immune system, using of tobacco and excessive alcohol, being overweight are also among the factors that trigger the disease. In addition, psoriasis may occur as a side effect of iodide, beta-blocker, antimalarial and high blood pressure medications.

What are the Symptoms of Psoriasis?

There are different types of psoriasis, and the symptoms vary according to the type. The most common type of psoriasis is plaque psoriasis, and the most typical symptom is plaques covered with silvery scales as red patches.

These plaques can sometimes crack and bleed, causing itching and pain. In severe cases, they can enlarge and cover large areas of skin and coalesce. Disorders such as pitting and discoloration may occur in the fingernails and toenails. There may also be splitting or separation of the nails from the nail bed. Scaling or crusting may also occur on the scalp.

Pustular psoriasis, which is usually seen in adults, has small pustules filled with white or yellow fluid, bubbles, scaly and reddened appearance on the palms and soles.

In Erythrodermic psoriasis, which can cause severe diseases and serious problems, the skin has a burning redness and the scales can be shed in layers. Triggers of erythrodermic psoriasis can be infection, severe sunburn, and the use of certain medications.

In addition to the psoriasis, some people may also have psoriasis rheumatism called Psoriatic Arthritis. This causes pain and swelling in the joints.

Diagnosis of psoriasis can be easily made with a physical examination, especially during the active period. During the examination, the whole body is checked, primarily the scalp, ear, elbow, knee, nail and belly button. A biopsy sample of skin can be examined in the laboratory, if necessary, to check for skin infection. Apart from these, there is no other test to be applied specifically to psoriasis.

A group of rare skin problems that develop differently but can be confused with psoriasis due to its similarity is called Parapsoriasis in the medical language. Diagnosis and treatment of Parapsoriasis is of great importance, as it can lead to serious problems that can lead to cancer formation. A biopsy may be required to differentiate it from psoriasis.

What is the process of psoriasis?

In Psoriasis, which is experienced with periods of exacerbation and recovery throughout life, the duration of these periods differs from person to person. Even in the same patient, the symptoms and course of the disease can vary over time. Periods of well-being can last for months or even years.

What are the Types of Psoriasis?

Plaque Type Psoriasis (Psoriasis Vulgaris)

Plaque-type psoriasis, which is the most common type of psoriasis, mostly involves the scalp, elbow, knee and hip regions. It appears as round or oval raised and reddened plaques covered with silvery scaling. In a subtype of this type, cracks, redness and dryness occur on the palms and soles of the feet.

Guttate Psoriasis

It often occurs after throat infections and is most common in children and adolescents. It presents with red and dandruff rashes smaller than an inch.

Erythrodermic Psoriasis

Erythrodermic Psoriasis is a severe form of psoriasis and hospitalization is recommended. In these cases, 80 percent or more of the body is dandruff, red and takes on an appearance.

Pustular Psoriasis

Pimples with pus, which are common all over the body, occur in the form of bubbles. There is also a local form that can only affect the palms of the hands and soles of the feet.

Psoriasis of the Joints

This type of psoriasis, which mostly affects the finger joints of the hands and feet, can only be seen in the joints, but can also occur in addition to the involvement of the skin. It is more common especially in cases with nail involvement. With early diagnosis and treatment, permanent damage to the joints can be prevented. For this reason, the changes in the nails of psoriasis patients should be followed carefully.

Nail Changes in Psoriasis

In psoriasis, various symptoms such as small pits on the nail surface, thickening, separation of the nail from the bed, yellow stain under the nail can be seen. Sometimes, the natural structure of the nail can be completely destroyed. Although nail involvement is mostly seen together with skin lesions, it can sometimes occur alone and should be followed carefully as it may be a precursor of joint involvement.

How is Psoriasis Diagnosed?

Generally, the appearance of skin lesions is sufficient for the diagnosis of psoriasis. Having a family history of psoriasis supports the diagnosis. In doubtful cases, a skin biopsy may be requested. Sometimes, conditions such as obesity, high blood pressure and hyperlipidemia may accompany the picture.

Approach to Psoriasis in the Rtm System

Our body is in a constant balance against internal and external factors. With this balance, life continues by developing. The RTM System includes its own diagnostic and treatment protocols. Diseases in the RTM System; It is seen as a new balance or new adjustment points created in the body in order to continue life against internal and external negative conditions.

There is a source pattern called the Triad of Disease that causes new settings to come into play in the body. This triple structure in which there is contamination in the body, system disorders and code change in DNA (Epigenetics) functions as follows in Psoriasis;

Contamination in the Body: As a result of the toxins we are exposed to from the environment or the increase in metabolic activities at the cellular level, there is an increase in toxic load in the body. The removal of these toxic loads from the body is accomplished by the Detox Organs (Liver, Kidney, Lung and Skin). The skin is one of the detox organs involved in the removal of toxins.

Deterioration in Systems: Deteriorations in other detox systems (liver, lung, kidney) also cause an increase in the detox load on the skin. . Our body is in a state of constant renewal and change. It contributes to detox processes with body regeneration periods. So regeneration means detox. The renewal periods of the skin are also 28-day periods. While the skin is renewed every 28 days, it works in coordination with the detox organs of kidney, liver and lung and throws out what it needs to be thrown out. The skin also uses additional performance to fulfill this task. At first she responds with a simple rash. For this, the speed of regeneration is increased. It is withdrawn from 28 days to 23 days. This is a reflex response. However, if toxicities and loads continue, the skin makes this job a permanent task and new settings are revealed on the skin. Then the skin gives the same response even in the slightest reaction. The result is constantly active and reddened skin. Sometimes, the toxic load may not be resolved with simple rashes. That’s when large wounds come into play and the skin begins to regenerate faster to remove more toxins. In this case, since skin regeneration is rapid, it cannot complete itself and the appearance of the skin changes.

As a result of the contamination of the body and the deterioration of the detox systems, the body will reconstruct the detox processes of the skin. This change will be at the level of information change in the body and eventually a code change (Epigenetic Change) will occur in the DNA. As a result of this change in the information form, the regeneration rate of the skin will increase and it will become shorter. The rapidly regenerating skin will begin to shed. This situation will appear as Psoriasis in the clinic.

Psoriasis Treatment in RTM System

The aim of the RTM System is not a suppressive treatment by directly targeting the lesion on the skin. It is aimed to eliminate the Disease Triad, which is the source of the psoriasis mentioned above. In the RTM System, this is called the Treatment Triad.

Treatment Triad includes processes aimed at initiating the detox process to return to the normal state of balance in the body, eliminating the imbalance in the failing systems and reversing the epigenetic changes in DNA. This process is planned completely individually.

The main part of the treatment triad is RTM Phytotherapy. The phytotherapy protocol is determined by evaluating the patient’s detailed anamnesis, laboratory and imaging findings, and measurements specific to RTM clinics. With the RTM Phytotherapy protocol, it is aimed to treat the disease triad, which forms the source part, by withdrawing. While it is aimed to normalize the epigenetic changes in DNA, which determines the new tuning constants, by informing the body with the seed parts of the plants, the treatment triad is planned by using the leafy parts of the plants in order to adapt the body to the normalization process of this information, to provide detox activities in the body, and to regulate the systems. When the disease triad is withdrawn, it is aimed that the body will automatically return to the norm form.

In order to both support the body and accelerate the treatment process, in addition to RTM phytotherapeutics, nearly 25 traditional medicine methods such as Ozone, Hijama, Acupuncture, Magnetic field therapy are planned according to the needs of the patient.

Frequently Asked Questions

What are the points that psoriasis patients should pay attention to?

Psoriasis patients should stay away from alcohol and cigarettes and pay attention to their weight.

Blood values such as blood pressure, cholesterol, lipid, sugar should be followed regularly and heart health controls should not be interrupted.

Since some drugs can trigger the disease, no medication should be used without the supervision of a doctor.

Since influenza infection is among the factors that trigger psoriasis, it is recommended for psoriasis patients to have a flu vaccine.

It is important to do sports, eat healthy and maintain ideal body weight.

When they feel pain in the joints, they should consult a doctor.

They should develop methods of coping with stress.

Is psoriasis cotagious?

Psoriasis is a chronic and recurrent skin disease that is never cotagious.

Who gets psoriasis more?

 It is a disease that is more common in people with a genetic predisposition. It is also known that the use of certain drugs and emotional fluctuations have an effect on the emergence of the disease or the increase of symptoms.

How does psoriasis affect patients’ lives?

As the symptoms of psoriasis, which is a chronic and recurrent disease, cause visible skin lesions and wounds, it can negatively affect people’s social and work lives, emotional and sexual lives. Psoriasis patients can be in an introverted and depressive mood, especially during attacks. Since it is a chronic disease, it requires a long and challenging treatment process, and it is important that the relatives of the patient cooperate in this process. Stress and sadness are important triggers of the disease, and for this reason, it is beneficial to support the patient psychologically as well as physical therapy.

Is psoriasis a painful disease?

Under normal conditions, rashes on the skin do not cause pain. However, in Erythrodermic psoriasis, the whole body is affected and the constant shedding of dandruff is a painful condition and causes protein loss.

Pustular psoriasis form of psoriasis can also create a very severe picture. The purulent sores, which are a symptom of this type, can cover the whole body and can cause pain.

Does psoriasis have a relationship with internal organs?

Essentially, psoriasis is a chronic skin disease that is not related to the internal organs. Although the disease does not have a side originating from the internal organs, it has a tendency to be seen together with some diseases. Obesity, diabetes, heart disease, high blood pressure, cholesterol and lipid elevations are more common in psoriasis patients compared to people without psoriasis. Therefore, it is important to examine psoriasis patients in terms of such disorders.

Is there a place for biological agent treatment in psoriasis?

In cases that do not respond to the desired treatment or in more severe cases, biologic agent treatments can be used. Today, it has been stated that thanks to new treatment agents, a high success rate can be achieved even in very severe conditions. Biological agent treatments are associated with the immune system.

Where in the body does psoriasis occur?

Symptoms of psoriasis can appear anywhere on the body. However, it can be seen mostly on knees, elbows, scalp, as well as hands, feet, nails and joints.

Is Psoriasis Hereditary, Is It Transmited to Children?

An average of 35% of psoriasis patients have a family history. The disease may occur more frequently in people with a genetic predisposition, triggered by other factors.

What are the Triggering Factors of Psoriasis?

  • Physical traumas: Irritation factors such as scratching the skin, applying abrasive and drying substances, and scrubbing can trigger the disease.
  • Stress and sadness: It is effective in the emergence of psoriasis and in increasing the severity of the symptoms.
  • Infections: Especially upper respiratory tract infections can have a triggering effect on the disease.
  • Excessive alcohol and cigarette consumption: It facilitates the emergence of the disease and increases its severity.
  • Medications: Some medications are known to trigger Psoriasis symptoms.

What Should Be Considered During Pregnancy and Breastfeeding Periods in Psoriasis?

Although the course of the disease varies from person to person during pregnancy, a tendency to improve has been observed in most cases due to hormonal and immunological changes in the body caused by pregnancy. However, when the pregnancy ends, symptoms of the disease may flare up. A doctor should be consulted about which drugs can be used during pregnancy and breastfeeding.

Are there any other diseases associated with psoriasis?

It has been stated that the incidence of psoriasis, which is a disease that mainly affects the skin and joints, is much higher than the general rate, together with obesity, diabetes, hypertension, high cholesterol, and cardiovascular diseases. Especially in severe cases, there is a risk of developing metabolic syndrome, which is an important problem in our age. In addition, it is of great importance to support the mental problems that the patients may experience, since they affect the quality of life negatively.

Is there a relationship between the season and the severity of psoriasis?

Weather conditions that will dry the skin may not be good for the disease. Benefiting from plenty of sunlight in spring and summer has a positive effect on Psoriasis lesions. However, since sunburn will cause serious harm, a doctor should be consulted about how long and at what times to sunbathe.

Does stress increase psoriasis?

It is known that emotional fluctuations such as sadness and stress are effective in the emergence of psoriasis and in the exacerbation of symptoms.

What happens if psoriasis is not treated?

In cases that are not treated and neglected for a long time, the severity of the disease gradually increases, and pictures that may be effective in joints, veins and other organs may occur outside the skin.

Does psoriasis spread?

Although psoriasis is not contagious, it may tend to spread in the patient’s own body depending on the type.

Does psoriasis kill?

There are many types of the disease and two of them are Erythrodermic and Pustular psoriasis, which can be severe. These two types of psoriasis can be life-threatening if not treated timely and correctly. On the other hand, with appropriate treatment, symptoms can be controlled and long-term well-being can be achieved.

Does psoriasis cause cancer?

Psoriasis does not increase the risk of skin cancer. However, since erroneous treatment methods and some drugs used uncontrollably may pave the way for cancer risk, the treatment must be carried out by a specialist physician.

Which vitamin deficiency is caused by psoriasis?

It has been stated that vitamin D deficiency is among the triggers of the disease. Vitamin D, Calcium and Vitamin A can be used in the treatment of psoriasis.

What should psoriasis patients avoid?

Psoriasis patients should stay away from alcohol and cigarettes, avoid or manage stress, eat healthy, avoid fatigue and sleep regularly, exercise regularly, and avoid uncontrolled and extra medication use.

What is Guttate Psoriasis?

Guttate psoriasis, also known as Guttate Psoriasis, is usually seen in children and adolescents. It is characterized by a dandruff and red rash less than an inch in the skin, which often begins after a throat infection.

What is psoriasis rheumatism? What are the symptoms?

Psoriasis rheumatism (Psoriatic arthritis) is a chronic and inflammatory type of rheumatism that is usually seen in patients with psoriasis and can affect joint areas such as hands, feet, elbows, knees, and shoulders.

Approximately 70% of psoriasis rheumatism cases have skin lesions first. In 15%, rheumatism and skin symptoms were experienced at the same time, and in 15%, rheumatism and then skin lesions appeared.

What is the difference between eczema and psoriasis?

In eczema, the skin appears dry and red, sometimes with cracking or watering. However, psoriasis crusting is more and the skin thickens. Silvery-white and thick scales are also symptoms specific to psoriasis.

Which foods are good for psoriasis?

A healthy and balanced diet and weight control are of great importance in psoriasis. A diet that is mostly fruit and vegetable, contains plenty of fish and a limited amount of lean meat, and is away from ready-made foods containing additives should be preferred.

Does psoriasis cause hair loss?

Psoriasis does not cause baldness, but if the symptoms in the hairy area are severe, it can increase shedding.

Can a psoriasis patient get pregnant?

Psoriasis is not an obstacle to getting pregnant. However, since the treatment to be applied during pregnancy and breastfeeding should be changed appropriately, it is important to consult a doctor before pregnancy if possible, or when pregnancy is evident.

Is psoriasis transmitted sexually?

Psoriasis is not a type of disease that can be transmitted, including sexually.

Is psoriasis psychological?

Psychological factors such as emotional turmoil, stress, depression are effective in the formation and exacerbation of psoriasis.