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Presentation Phyto
Presentation Phyto
Introduction
OF THE BODY, WITH MANY FUNCTIONS AND ROLES
THE SKIN CONSISTS OF THREE LAYERS: THE
EPIDERMIS, THE DERMIS, AND THE HYPODERMIS
THE SKIN IS AFFECTED BY VARIOUS DISEASES AND
CONDITIONS, WHICH CAN CAUSE SYMPTOMS SUCH
AS RASHES, ITCHING, INFLAMMATION, SCALING,
BLISTERS, OR CHANGES IN COLOR .
1- Epidermis
The epidermis is the outermost layer of the skin, which acts
as a protective barrier and gives the skin its color
The epidermis contains keratinocytes, which produce
keratin, a protein that makes the skin strong and waterproof
The epidermis also contains melanocytes, which produce
melanin, a pigment that determines the skin color and
protects against UV rays
The epidermis has five sublayers: the stratum corneum, the
stratum lucidum, the stratum granulosum, the stratum
spinosum, and the stratum germinativum
2- Dermis
Skin diseases, also known as dermatological disorders or dermatoses, refer to a wide range of conditions that affect the skin, including
its structure, function, and appearance. These diseases can affect people of all ages and can manifest in various forms, from mild and
temporary conditions to chronic and severe disorders.
There are numerous types of skin diseases, each with its own causes, symptoms, and treatments. Some common examples include:
Acne: A common skin condition characterized by the formation of pimples, blackheads, and whiteheads, usually occurring on the face,
chest, and back.
Eczema (Atopic Dermatitis): A chronic, inflammatory condition that causes dry, itchy, and irritated skin. It often appears in childhood
and may persist into adulthood.
Psoriasis: A chronic autoimmune disease that leads to the rapid buildup of skin cells, resulting in thick, red patches covered with
silvery scales. Psoriasis commonly affects the elbows, knees, scalp, and lower back.
Dermatitis: Refers to inflammation of the skin, which can be caused by various factors such as allergens, irritants, or genetic
predisposition. Common types include contact dermatitis (caused by contact with specific substances) and seborrheic dermatitis
(affecting areas rich in oil glands).
Rosacea: A chronic inflammatory condition that primarily affects the face, causing redness, visible blood vessels, swelling, and
sometimes acne-like bumps.
Vitiligo: A condition characterized by the loss of skin pigment, resulting in the development of white patches on various parts of the
body.
Fungal Infections: Various fungal organisms can cause skin infections, such as ringworm (tinea corporis), athlete's foot (tinea pedis),
and yeast infections (such as candidiasis).
Skin Cancer: The abnormal growth of skin cells, typically caused by excessive exposure to ultraviolet (UV) radiation from the sun or
tanning beds. The main types of skin cancer include basal cell carcinoma, squamous cell carcinoma, and melanoma.
The 10 most frequent
diagnoses were
dermatitis/eczema (31.5%)
viral infections (12.5%)
pigmentary disorders (7.4%)
melanocytic nevi (5.8%)
alopecia areata (5.8%)
acne (5.6%)
nail disorders (3.3%)
vascular malformations and hemangiomas (2.9%)
psoriasis (2.6%)
bacterial infections (2.6%).
Pathophysiology of Eczema (Atopic
Dermatitis):-
The pathophysiology of eczema, also known as atopic dermatitis, involves a complex interplay of genetic, immunological, and
environmental factors. Although the exact mechanisms are not fully understood, several key factors contribute to the development
and progression of the condition.
Genetic Factors: Eczema tends to run in families, suggesting a genetic component. Certain gene variations are associated with an
increased risk of developing atopic dermatitis. These genetic factors affect the skin's barrier function, making it more susceptible to
irritants and allergens.
Skin Barrier Dysfunction: The skin in individuals with eczema has a compromised barrier function. This means that the outermost
layer of the skin, known as the epidermis, does not effectively retain moisture and is more permeable to irritants and allergens. This
allows allergens, microbes, and other irritants to penetrate the skin, leading to inflammation and immune system activation.
Immune System Dysregulation: Eczema is characterized by an overactive immune response in the skin. There is an increased
production of certain immune cells, such as T cells and mast cells, as well as pro-inflammatory cytokines. These immune cells and
molecules contribute to inflammation, itching, and damage to the skin.
IgE-Mediated Hypersensitivity: Many individuals with eczema have elevated levels of immunoglobulin E (IgE), an antibody involved
in allergic reactions. When the skin comes into contact with specific allergens, such as dust mites, pollen, or certain foods, IgE
triggers an immune response, leading to inflammation and itching.
Environmental Triggers: Various environmental factors can worsen eczema symptoms or
trigger flare-ups. These include exposure to irritants like harsh soaps, detergents, fragrances,
and certain fabrics. Climate factors, such as dry or cold weather, can also exacerbate symptoms.
Skin Microbiome Imbalance: The skin is home to a diverse community of microorganisms,
including bacteria and fungi, known as the skin microbiome. In individuals with eczema, there
is an imbalance in the skin microbiome, with
decrease in beneficial bacteria and an increase in potentially harmful bacteria. This dysbiosis
contributes to skin inflammation and dysfunction.
Itch-Scratch Cycle: Intense itching is a hallmark symptom of eczema. Scratching the itchy skin
leads to further damage, disrupts the skin barrier, and triggers a release of more inflammatory
mediators, perpetuating the cycle of itch and inflammation
Symptoms OF ECZEMA:
Intense itching: Itching is often the most prominent symptom of eczema, and it
can be severe, leading to scratching and skin damage.
Dry, sensitive skin: Individuals with eczema often have dry skin that is prone to
irritation and may become easily inflamed.
Rash: Eczema is characterized by a red or brownish-gray rash, which may be
patchy or widespread. The rash can appear on any part of the body but commonly
affects the face, neck, elbows, knees, and wrists
Treatment of eczema:
here are various herbal remedies that have been used traditionally to help manage
the symptoms of eczema. It's important to note that while some people may find
these remedies helpful, scientific evidence for their effectiveness is limited, and
they may not work for everyone. It's always advisable to consult with a healthcare
professional before using herbal remedies, especially if you have any underlying
health conditions or are taking medication. Here are some herbal options that have
been mentioned anecdotally for eczema
EXAMPLE OF HERBALS USED FOR
TREATMENT:
Aloe Vera
Chamomile
Calendula
Witch Hazel
Coconut Oil
Licorice (Glycyrrhiza glabra)
Evening primrose oil (Oenothera biennis)
Oatmeal
Tea tree oil
St. John's wort (Hypericum perforatum)
Neem (Azadirachta indica)
Burdock root (Arctium lappa)
1-ALOE
A.barbadensis
Family: Xanthorrhoeaceae (Aloaceae)
Medicinal Parts: Gel extracted from the internal
tissues of the succulent leaf.
Main compounds
• Polysaccharides (e.g. acemannan
• Glycoproteins (lectins) such as aloctin A
and B
• Enzymes such as carboxypeptidases
• Anthraquinones (e.g. aloin and aloe
emodin)
A. vera may accelerate
wound healing and prevent
Indications/uses:
progressive dermal
ischaemia caused by burns, Aloe vera gel is applied externally to treat skin
frostbite by inhibition of irritation (such as from insect bites), burns, psoriasis,
thromboxane A2
wounds, radiation dermatitis and frost-bite.
Proper dose
Capsule—250 mg, 470 mg
Cream Gel—99% 72%
Soft gel—1000 mg
Example of drug from the Egyptian
market
Quick Norm cream
2-German Chamomile
Matricaria chamomilla
Approved by Commission E:
• Cough/bronchitis
• Fevers and colds
• Inflammation of the skin
• Inflammation of the mouth and pharynx
• Tendency to infection
• Wounds and burns
Main chemical compounds
Volatile oil {0.4-1.5%): chief components (-)-alpha-bisabolol
(levomenol), bisabolol oxide A, bisabolol oxide B, bisabololone oxide A,
chamazulene (blue in color, arising from the non-volatile
proazulene matricin after steam distillation)
Mucilages
Anti-inflammatory and anti-allergic
effects:
How Supplied
Capsule — 125 mg, 350 mg, 354 mg
Liquid
Oil — 100%
Preparation
An infusion for internal use is prepared by pouring boiling
water (150 ml) over 3 gm of chamomile, cover for 5 to 10
minutes.
(1 teaspoonful = 1 gm drug).
3-Calendula:
Mechanism of Action (M.O.A):
Calendula contains various active compounds, including flavonoids, saponins, and triterpenoids,
which are believed to contribute to its anti-inflammatory, antimicrobial, and wound-healing
properties.
It may help reduce inflammation, promote tissue repair, and provide soothing effects on the skin.
Interactions:
Calendula may interact with certain medications or herbs. It's important to consult with a
healthcare professional or pharmacist before using it, especially if you are taking other
medications or have underlying health conditions
Adverse Effects:Calendula is generally well-tolerated when used topically. However, some
individuals may experience allergic reactions or skin irritation. It's recommended to perform a
patch test on a small area of skin before applying it more extensively.
Dosage:Calendula is available in various forms, including creams, ointments, oils, and tinctures.
The dosage can vary depending on the specific product and the severity of the condition.
It's advisable to follow the instructions provided by the manufacturer or consult with a
healthcare professional for appropriate dosage guidance.
General Plant Information:
Calendula is a flowering plant native to Mediterranean regions and is cultivated in many parts of the world.
It has bright orange or yellow flowers and is often grown for ornamental purposes.
The petals of the flowers are typically used for medicinal preparations.
Contraindications:
Calendula is generally considered safe for topical use. However, individuals with known allergies to plants in
the Asteraceae/Compositae family should exercise caution, as they may also be sensitive to calendula.
Drug Interactions:
Calendula may interact with medications, particularly those that affect blood clotting or immune function.
It's important to inform your healthcare provider about any medications you are taking to avoid potential
interactions.
Preparation:
Contraindications:
6-Licorice (Glycyrrhiza glabra):
GENERAL PLANT INFORMATION:
BOTANICAL NAME: GLYCYRRHIZA GLABRA
COMMON NAMES: LICORICE, SWEET ROOT
FAMILY: FABACEAE (LEGUME FAMILY)
PLANT PARTS USED: ROOT AND RHIZOME
MEDICINAL USES AND MODE OF ACTION (M.O.A):
GLYCYRRHIZIN: LICORICE CONTAINS GLYCYRRHIZIN, A COMPOUND THAT GIVES IT ITS SWEET
TASTE. GLYCYRRHIZIN HAS ANTI-INFLAMMATORY PROPERTIES AND IS OFTEN USED FOR ITS
SOOTHING EFFECTS.
ANTIVIRAL PROPERTIES: LICORICE HAS BEEN STUDIED FOR ITS POTENTIAL ANTIVIRAL
ACTIVITY.
GASTROINTESTINAL BENEFITS: IT MAY HAVE BENEFITS FOR THE DIGESTIVE SYSTEM,
INCLUDING SOOTHING THE STOMACH LINING.
DOSAGE AND MODE OF ADMINISTRATION:
TEA: LICORICE ROOT CAN BE USED TO PREPARE TEA.
EXTRACTS: AVAILABLE IN VARIOUS FORMS, INCLUDING LIQUID EXTRACTS AND CAPSULES.
TOPICAL USE: LICORICE EXTRACT IS SOMETIMES INCLUDED IN TOPICAL PRODUCTS FOR SKIN-
RELATED ISSUES.
PREPARATION:
LICORICE TEA: STEEP LICORICE ROOT IN HOT WATER TO MAKE LICORICE TEA.
LIQUID EXTRACT: LICORICE ROOT EXTRACT CAN BE ADDED TO WATER OR OTHER BEVERAGES.
CAPSULES OR TABLETS: LICORICE SUPPLEMENTS ARE AVAILABLE IN CAPSULE OR TABLET FORM
Interactions:
Drug Interactions:
Licorice may interact with certain medications, including those for hypertension, potassium-depleting diuretics, and
corticosteroids. It can prolong the effects of corticosteroids by inhibiting their metabolism.
Adverse Effects:
Hypertension:
Long-term and high-dose use of licorice may lead to an increase in blood pressure due to the mineralocorticoid effects of
glycyrrhizin.
Potassium Imbalance:
Excessive licorice consumption can lead to potassium depletion.
Edema: Prolonged use may cause fluid retention and edema.
Contraindications:
Hypertension:
Individuals with hypertension should be cautious with licorice due to its potential to raise blood pressure.
Potassium Imbalance:
People with conditions that may affect potassium balance, such as kidney problems, should avoid excessive licorice
consumption.
Pregnancy: Pregnant women should avoid licorice as it may be associated with preterm labor.
7-Evening Primrose Oil (Oenothera
biennis):
General Plant Information:
Botanical Name: Oenothera biennis
Common Names: Evening primrose, sundrop
Family: Onagraceae (Evening primrose family)
Plant Parts Used: Seeds
Medicinal Uses and Mode of Action (M.O.A):
Gamma-Linolenic Acid (GLA): Evening primrose oil is a rich source of gamma-linolenic acid, an essential
fatty acid. GLA is a precursor to prostaglandins, which play a role in inflammation and various
physiological processes.
Anti-Inflammatory Properties: Evening primrose oil is often used for conditions associated with
inflammation, such as skin disorders and premenstrual syndrome (PMS).
Dosage and Mode of Administration:
Capsules or Softgels: Evening primrose oil is commonly available in capsule or softgel form.
Topical Application: Some formulations are designed for topical use, especially for skin conditions.
Interactions:
Blood-Thinning Medications: Evening primrose oil may increase the risk of bleeding when taken with
anticoagulant or antiplatelet medications.
Seizure Medications: There is a theoretical concern that evening primrose oil may lower the seizure threshold,
so caution is advised when using it with anticonvulsant medications.
Adverse Effects:
Digestive Upset:
Some individuals may experience mild gastrointestinal upset.
Allergic Reactions: Allergic reactions are possible, though rare.
Contraindications:
Seizure Disorders:
Individuals with a history of seizures should use evening primrose oil with caution.
Pregnancy:
Pregnant women are generally advised to avoid evening primrose oil, especially during the first trimester.
Preparation:
Contraindications
Specific probiotic microorganisms are shown to have a preventing role on AD and mediate
the symptoms of the disease. They appear to do so by influencing a number of biological
processes not only in AD but rather in a wide range of skin diseases (e.g., acne, psoriasis,
photo aging, wounds, etc.)