EDITED BY: DR GYÖNGYIKE BELEZNAY DR ZOLTAN NAGY

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1 EDITED BY: DR GYÖNGYIKE BELEZNAY DR ZOLTAN NAGY HIDING IS NOT THE SOLUTION THE CRY OF THE SOUL Psoriasis is endemic in Hungary. According to certain studies, psoriasis is an autoimmune disease, while some say that it is of psychosomatic nature. Practically, it is all the same for those suffering from it.

2 The cry of the soul 2 PSORIASIS A chronic skin disease, called psoriasis, is said to be medically incurable and makes your life physically, but also aesthetically and psychologically more difficult, as the symptoms may spread from time to time anywhere on the body. People often look suspiciously at those suffering from psoriasis, though it is not contagious, however, it is not very well known. It is hard to bear glances staring at the thick apposition or scaling on highly visible body parts. Those whose symptoms are on less visible body parts are luckier, but summer months are more difficult even for them: they may either expose those parts they wish to be covered, or they have to wear long garments in the hottest days to avoid glances. Not to mention that in close intimate situations you cannot really hide patches and sometimes this illness may separate people. Physical separation turns to emotional distancing, infecting family relationships and relationships with close friends. Patients invest a lot of energy in hiding their body, but only a few of them are willing to devote this energy to the regular care of their body and soul in order to maintain the quality of their relationships and not to have anything to hide. Please accept me... You must learn to live with this disease, you should not feel ashamed of your appearance.

3 Psychosomatic experts say that, once the psychological cause behind an illness is found, you may be freed of physical symptoms. Most of the time skin problems mask problematic human relationships...

4 Please accept I am 34 and I ve been having psoriasis since I was 18. I d like to find a partner very much, somebody I should not feel ashamed of my illness before. Unfortunately all of my starting relationships turn out to be a failure one by one. I run scared away at the beginning, because I am afraid of what if he realises... I think I am not the only one and it is hard for others to start a relationship, too. I ve been having psoriasis for forty years and I ve never believed that there is a woman who would accept me. But nowadays nice female friends call me a moron saying I should leave it to women. It doesn t matter to me any more but you are still young: leave it to your partner how she would respond... What makes women more afraid of psoriasis? Emotional distancing, alienation... Psoriasis is a highly visible disease that affects about 2 percent of the population, and cannot pick between men and women. Struggling with lesions on the skin, people face difficulty, when other look at them due to the visible lesions. I PREFER STEROID-FREE PRODUCTS, SO I RECOMMEND THOSE MADE OF NATURAL AGENTS FOR WASH AND ALSO FOR REGULAR SKIN CARE FOR PATIENTS SUFFERING FROM PSORIASIS. THAT S WHY I AM GLAD THAT PSORIODERM LABORATORIES HAS A NEW, NATURAL DEVELOPMENT AND OFFERS SOLUTIONS BOTH FOR WASH AND SKIN CARE. I HAVE PRACTICAL EXPERIENCE WITH THESE PRODUCTS, SO I HOPE I CAN HELP MY PATIENTS EVEN BETTER WITH THESE. - DR PÉTER SZÉKELY GYNAECOLOGIST. 4? PSORIASIS ON HIDDEN BODY PARTS ARE OFTEN FOUND BY OTHER MEDICAL PROFESSIONALS, FOR EXAMPLE, GYNAECOLOGISTS. THIS SKIN DISEASE IS NOT A RARE ISSUE IN THE PRAXIS OF DR. PÉTER SZÉKELY.. I FIND MANY GENITAL PSORIASIS DURING MY WORK AND MY PATIENTS FEEL EXTREMELY ASHAMED OF IT AND OFTEN COMPLAIN THAT IT COMPLETELY RUINS THEIR PRIVATE LIFE. I KNOW THAT MOST OF THEM WOULD NOT GO TO A DERMATOLOGIST, SO I MYSELF ALSO TRY TO FIND THE SOLUTION AND PAY ATTENTION TO NEW PRODUCTS. After the research from America, the detection of the disease causes more serious spiritual crisis at the women, then the men. Due to the spectacular symptoms of the disease can be a block among the effected women and her loved ones. The physical separation is considered, an emotional separation by time it destroys the relationships with family and close friends. According to the study the not coverable spots cause the biggest emotional hurt at the women, those spots are not viewable can lead to psychological injury later. The psoriasis on the head and around the hair disturb women mostly, because it may create the appearance of undemanding. The surveyed doctors say about the research, that these feelings appear at men as well as women, but women are more likely to cry and freak-out even in the office, during their visits at the dermatologist. It was interesting what the surveyed doctors noticed, that not the seriousness of the disease overturning emotional intensity, but the visibility of the disease. In addition, psoriasis patients partners often accept the disease, the intimate together will not disappear because of the healthy half, but because of the patients who rejects these occasions, they can not accept themselves.

5 me... I ve been ill for quite a long time (35 years) ago to get used to it. At the beginning, when I had more sores and I was younger, it really embarrassed me. Well, nowadays, if somebody stares at it, I look back firmly and they stop staring at me. Once I even lashed out at a man gazing at me that it s not contagious. I don t stare at anybody at the beach who has an illness. We also have the right to live. My partner accepts me the way I am. He saw it at the beginning, I did not trick him. We are equally valuable human beings as anybody else who is healthy, in spite of the fact that our skin is not nice. (Quotes from the dating site of Hungarian Psoriasis Foundation) KATALIN designer It is rather uncomfortable, because when the disease is acute, it is itchy and looks badly. Unfortunately, psoriasis is often awful for the soul, as most people do not have a clue why they have red patches on their elbow or forehead. I had a few awkward experiences until I realised that I would not have a chance for being healthy unless I change my life. JULIA hair dresser In the summer of 1995 I noticed a single small change on the back of my hand. In fact I did not attach any significance to it. But later the patches spread over and over again, and then it turned out to be psoriasis. I am saying nothing new that this disease is of psychosomatic origin. I am not a physician, but I am sure that this illness is a cry of the soul. You must really know yourself to find out the real cause of the symptoms, what traumas, emotional shocks had affected you ERIKA director I ve been ill for quite a long time (35 years) ago to get used to it. At the beginning, when I had more sores and I was younger, it really embarrassed me. Well, nowadays, if somebody stares at it, I look back firmly and they stop staring at me. Once I even lashed out at a man gazing at me that it s not contagious. I don t stare at anybody at the beach who has an illness. We also have the right to live. 5

6 In psoriasis you grow armour as a way of self-defence... 6 In psoriasis you grow armour as a way of self-defence, withdraw and psychologically become almost inaccessible. At the same time, physical symptoms make physical contact impossible, and often even your environment is distanced from you. As our skin is the surface where we get in touch with our environment physically, it is easy to understand that damaged skin is also a physical sign of constant psychological friction, while psoriasis is the physical demonstration of a kind of unconscious defence against conflicts and disappointment. It is true that quitting this physically and psychologically vicious circle requires strength and stamina but it is possible by finding the appropriate treatment both physically and psychologically that creates the possibility of an asymptomatic, quality life for those suffering from psoriasis. Causes of progression: disposition, external and internal factors Psoriasis, this extremely spectacular illness affects 2 4% of the population, men and women alike. Generally the first symptoms appear between the age of 15 and 35 but sometimes they may appear in childhood or even in babyhood. It is very important to know that not the disease itself, but only the disposition is heritable but it is not the sole cause of the development of the disease. External provoking factors are also necessary. These may be literally external factors to which the organism reacts with symptoms, such as mechanical effects, especially injuries (burns, insect bites, tattoo, and surgery), various fungal and bacterial skin infections or other factors (e.g. allergic eczema, viral infections) that causes skin inflammation. External factors like certain medications (especially the so-called beta-blockers often used to reduce blood pressure and lithium, which is used in psychiatry), alcohol consumption and smoking also contribute to the progression. Skin lesion may be triggered by internal organ diseases diabetes, liver diseases, internal organ tumours, chronic inflammatory nodules (tonsillitis, oophoritis, prostatitis, abscesses and inflammations in the gum, sinusitis).

7 PSORIASIS Recognition of symptoms is of crucial importance! Skin diseases causing spectacular symptoms are difficult to distinguish for the patient and for any other non-professional people, because sometimes the diseases produce similar changes. Either of them may make your life hard. Seborrhoea, skin inflammation with scale, is a common skin disease with symptoms appearing most frequently on the scalp in the form of scaly lesions with itchy, burning sensation. Eczema is an allergic skin symptom which may appear anywhere on the body, causing significantly itchy, scaling changes on the skin. Symptoms denoting allergic disposition often appear in babyhood in the form of dry, itchy, reddish patches in the curves this is atopic. Maybe the most serious and most frequent skin disease is psoriasis which may appear on any part of the body. Normally, epithelial cells are formed in the lowest layer of the multilayer epithelium, later move towards the surface of the skin while horny protein accumulates in them and finally they peeled off by unnoticed exfoliation. In psoriasis, as epithelial cells move forward much quicker, cornification develops on the affected area with white, waxy scale formation, and inflammation under the cornified part appears as reddish patches. Symptoms may appear anywhere but there are preferred sites. Limbs, especially extensor parts, elbow and the outer parts of the arms and frontal parts of the knee are affected. It may affect joints, causing painful swelling. Often it develops on the scalp, at first it is similar to dandruff; other forms may be recognised by nail symptoms similar to fungal infections. Our skin is a single unit and if signs of psoriasis appeared once, symptoms may reappear any time even on multiple sites and may spread on the whole skin surface. The disease gets serious when dissemination develops on the body and lesions appear in larger patches that meet on the edges and forms enormous plaques. In special cases not scaling is the most characteristic feature of the disease but heavy inflammation affecting the whole surface of the body this is the most serious form of psoriasis. 7

8 WHAT DOES THE DERMATOLOGIST SUGGEST? Psoriatic, seborrheic and eczematous skin needs the following on the body: - Natural nutrients DAILY - Removal of unnecessary skin layers DAILY - Soothing of the skin DAILY SKIN CARE AND NATURAL TREATMENT The lack of holistic approach is a frequent problem in the treatment of psoriasis. On the one hand this means that besides physical symptoms it is necessary to care for the psyche, because the changes in symptoms are interrelated with some psychological factors in almost every patient. On the other hand it also means that treatment and care should be targeted to the whole body and not only to the affected skin surfaces, as skin is a single unit, feeds and breathes as one organ, so treating only in patches is not sufficient. It is very important to use natural products containing nourishing agents during wash, hair wash and skin care. Certain chemicals have spectacular results in relatively short time, but discontinuation causes relapse, and in many cases the patient s condition becomes worse than it had been before the treatment. Synthetic materials constantly weaken the immune system, and an ever weakening immune system produces harsher and harsher symptoms. It is satisfaction that Hungarian innovated products are available and they successfully take up the fight against the plaque psoriasis. The Psorioderm Product Line contains only natural products, and in 2012 and 2013, a professional jury honoured them for Hungarian Quality Product Award! For plaques peeling, the Psorioderm products contain salicylic acid that is why it is not recommended for use under the age of 3. For babies and adults with sensitive skin, we suggest the salicylic acid-free Psorioderm Sensitive product line that with added jojoba and honey extracts make your skin soften! The Sensitive Psorioderm product line in 2013 won the Hungarian Quality Product Award! At the Derma-Art Dermatology Clinic, we recommend the Psorioderm Sensitive product line for sensitive skin, and for under three years of age. For children over three years old, and adults can already use the Psorioderm product line! In summary, we can say that although psoriasis cannot be cured, but with suitable individualized treatment, the skin disease can be maintained well that needs dermatologist care and the patient - physician good co-operation. By the power of nature Psorioderm family: nourishes and hydrates irritated, cracked skin, promotes exfoliation of dead skin, alleviates itch, does not contain steroids, contains nearly twenty types of herbal extracts and essential fatty acids, contains Dead Sea Salt, minerals and vitamins Dr. Gyöngyike Beleznay. Dermatologist. Member of American Academy Of Dermatology 8

9 PSORIODERM PRODUCT LINE The members of the product line are good for care about the psoriasis, eczema, skin showing signs of seborrhoea; and for the highly dandruff, psoriasis, seborrhoea, itchy, sensitive scalp daily care. You can use several times the Psorioderm products during the daily skin care. The products are composed of attentively selected natural ingredients and help to make your skin healthier. This uniquely developed product line is made of the finest materials: they are rich in nourishing ingredients, like plant extracts and oils, Dead Sea salt, vitamins, minerals. The products soothe the irritated skin, soothe itching and reduce skin peeling. Due to its high moisture content regenerate dry chappy skin. They has positive effect on the general condition of the inflamed skin. The special and active ingredients prevent the exfoliation process and eliminate irritation, itching. The essence of ancient cures, or naturally skincare. The Hungarian Quality Product Award honoured Psorioderm line s effect is proven by clinical trials! The members of the product line are good for care about the psoriasis, eczema, skin showing signs of seborrhoea; and for the highly dandruff, psoriasis, seborrhoea, itchy, sensitive scalp daily care. Medical Opinion on Psorioderm Clinical Study Overall, daily used Psorioderm cream can alleviate the psoriatic symptoms. Consequently, Psorioderm cream may reduce the requirements (application frequency) therefore the side effects of topical steroids, which are the most commonly used topical agents in psoriasis. Thus, Psorioderm cream can be used to ease psoriatic symptoms and also can improve the patients quality of life. Based on the results of Period II (open label study), psoriatic patients conditions improved by treatment with routine application of Psorioderm (with active ingredient) on the whole surface of the skin. All observed parameter showed significant improvement. According to the principal investigator Psorioderm cream has therapeutic effect. Principal investigator: Prof. Eva Remenyik, M.D., D.Sci., Head of the Department of Dermatology, University of Debrecen Medical and Health Science Centre 9

10 PEZOMED LTD. TEL: +36 (1) / FAX: +36 (1) TEL: +36 (42) / FAX: +36 (42) WEB: OFFICE@PEZOMED.COM 1138 BUDAPEST, TURÓC UTCA 1. E. ÉP. 8/ NYÍREGYHÁZA, DÓZSA GYÖRGY UTCA 60. COPYRIGHT ALL RIGHTS RESERVED BY PEZOMED LTD HUNGARY 10

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