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Abstract

Psoriasis is a chronic, genetically influenced, remitting and relapsing scaly and inflammatory skin disorder that affects 1 to 3 percent of the world's population. The diagnosis is made on clinical grounds, although histologic examination of a skin-biopsy specimen may be helpful. Psoriasis is a disabling, though rarely life-threatening, disease with a social and economic impact that is underestimated by physicians and other health care providers. Recently, progress has been made in understanding the pathogenesis of psoriasis, and therapeutic advances are improving the care of even severely affected patients. There are several types of psoriasis, including pustular, guttate, and arthritic variants.

Keywords

Azadirachta Indica; Psoriasis; LC-MS; Phytochemicals; Antioxidant Activity

Introduction

Psoriasis is a lifelong immune-mediated inflammatory skin disease, associated with morbidities such as psoriatic arthropathy, psychological, cardiovascular and hepatic diseases. In 2014, the World Health Organization recognised psoriasis as a serious non-communicable disease and highlighted the distress related to misdiagnosis, inadequate treatment and stigmatisation of this disease.1 The Global Burden of Disease Study estimated that psoriasis accounted for 5.6 million all-age disability-adjusted life-years (DALYs) in 2016; at least three-fold that of inflammatory bowel disease.

Psoriasis:

Psoriasis is a chronic skin condition where skin cells grow and shed too quickly, leading to thick, red, scaly patches, often on the elbows, knees, scalp, and lower back. It's an immune system issue where the body mistakenly attacks healthy skin cells. While there's no cure, various treatments can help manage symptoms and improve quality of life.

Chemical Constituents.

Neem contains a variety of chemical constituents, including limonoids like azadirachtin, as well as alkaloids, flavonoids, and terpenoids. These compounds contribute to neem's diverse medicinal properties, such as its anti-inflammatory, antibacterial, and antifungal activities. 

Chemical constituents present in different parts of Neem:

Plant parts

Phytocontituents

Bark

Alkaloids, flavonoids, tannins,terpenoids, and steroids.

Flowers

Flavonoids like kaempferol and melicitrin, and nimbosterol

Fruits

Nimbin, nimbidin, azadirachtin, limonoids, tannins and phenolic compounds

Leaves

Alkaloids,steroids, tannins, flavonoids

 

Stem

Alkaloids, flavonoids, tannins, saponins

Seeds

Azadirachtin, nimbin, and various limonoids

Causes:

  1. Infections
  2. Skin Injuries 
  3. Stress 
  4. Medications 
  5. Weather 
  6. Lifestyle Factors 

Symptoms:

  1. Plaques 
  2. Itchiness
  3. Dryness and Cracking 
  4. Nail Abnormalities 
  5. Joint Pain and Stiffness 
  6. Scalp Involvement 
  7. Other Symptoms 

Procedure:

Step 1: Neem extract  

The powder plant neem material was extraction by soaking it in 95% ethanol at room temperature for 72 hrs.

Step 2: Oil phase

  • Cocoa butter was taken and weigh 6gm
  • Stearic acid was taken and weigh 6gm
  • Cetyl alcohol was taken and weigh 5gm
  • Vit E oil was taken 4ml
  • Tea tree oil was taken 3ml
  • Stearic acid, cocoa butter, coconut oil, cetyl alcohol, olive oil, vit E oil  are mixed together and oil phase is prepared.

Step 3: Aqueous phase

Neem extract, Methyl paraben are mixed together and heated on 750C.

Figure 3: Aqueous Phase

Step 4: After heating, the aqueous phase (Part B) and heated to 750C.  After heating, the aqueous phase was added in portions to the oil phase with continuous stirring and perfume was added.

Formulation Table:

Ingredients

F1

F2

F3

Neem

6ml

7ml

8ml

Cocoa butter

4gm

5gm

6gm

Stearic acid

4gm

5gm

6gm

Cetyl alcohol

3gm

4gm

5gm

Coconut oil

3ml

4ml

5ml

Vit E oil

2ml

3ml

4ml

Tea tree oil

1ml

1gm

1gm

Turmeric

1gm

3ml

3ml

Methyl paraben

1gm

2gm

2gm

Evaluation Test for Cream

  1. Stability
  2. pH of the cream
  3. Viscosity
  4. Spreadability

PH of the cream: the ph meter was calibrated using standard buffer solution. About 1 g of the cream was weighted and dissolved in 50ml of distilled water. The ph of the suspension was determined at 270c.

Fig: 4 (PH Test)

Stability: the prepared formulation in the final container was kept in the room temperature at 260+2 and refrigerator at 40C+2  for 2 month at the end of studies samples were analysed for the physical properties and viscosity.

Viscosity: viscosity of the formulation was determined by Brookfield viscometer at 100rpm, using spindle no 7.

Fig: 5 (Brook Field Viscometer)

Spreadability:

Formula:

Spreadability = M×L/T

M = weight tide to the upper side

L = length of glass slide

T = time taken in seconds.

RESULT AND DISCUSSION

Sr.no

Result

F1

F2

F3

1

Colour

Cream yellow

Cream yellow

Cream yellow

2

Odour

Pleasant

Pleasant

Pleasant

3

State

Semi- solid

Semi- solid

Semi- solid

4

Type of emulsion

w/o Emulsion

w/o Emulsion

w/o Emulsion

5

PH

6.3

6.2

6.4

6

Washability

Easily washable

Easily washable

Easily washable

7

Irritancy

Nill

Nill

Nill

8

Phase separation

No

No

No

9

Spreadability

13gm/sec

13gm/sec

15gm/sec

10

Stability

stable

stable

stable

CONCLUSION:

Psoriasis is a chronic, immune-mediated skin disorder characterized by hyperproliferation of keratinocytes and systemic inflammation. It presents with well-defined, scaly, erythematous plaques and can significantly affect a patient's quality of life. Although its exact cause remains multifactorial—combining genetic, immunological, and environmental factors—advances in understanding its pathophysiology have led to more targeted and effective treatments. While there is currently no cure, various therapies, including topical agents, phototherapy, systemic medications, and biologics, can help manage symptoms and reduce flare-ups. Early diagnosis, patient education, and a comprehensive, individualized treatment approach are essential for optimal disease control and improved patient outcomes.

REFERENCES

  1. Aditya AK, Nicol K (2004) The use of sulfur in dermatology. J Drugs Dermatol 4:427–31
  2. Al Shobaili HA, Shahzad M, Al-Marshood A, Khalil AS, Settin A, Barrimah I (2010) Genetic Bckground of Psoriasis. Int J Health Sci 4:23–29
  3. Armstrong AW, Read C (2020) Pathophysiology, Clinical and presentation, treatment of psoriasis: a review. JAMA 323:19–26
  4. Armstrong AW, Schupp C, Wu J, Bebo B (2012) Impaired quality of life and work productivity among patients with psoriasis: fndings from the 2003–2011 National Psoriasis Foundation survey data. PLoS ONE 7(12):5293
  5. Cuellar L, Sehtman A, Donatti L (2008) Acido Salicílico. Act Terap Dermatol 31:108
  6. Feingold KR (2009) The outer frontier: the importance of lipid metabolism in the skin. J Lipid Res 50(Suppl):S417-422
  7. Gibbs S (1996) Enfermedades de la piel y condiciones socioeconómicas en el África rural: Tanzania. En T J Dermatol 35:633–639
  8. Gupta AK, Nicol K (2004) The use of sulfur in dermatology review. J Dermatol Drugs 3(4):427–31
  9. Hyung-Sik Seo J (2012) An experimental study of the anti-oxidant and the anti-infammatory efects of alum and burnt alum. J Pharmacopunct 2:11–14
  10. Jacobi A, Mayer A, Augustin M (2015) Keratolytics and emollients and their role in psoriasis therapy: a systematic review. Dermatol Ther (Heidelb) 5(1):1–18
  11. Parisi, R., Iskandar, I. Y. K., et al. (2020). Global epidemiology of psoriasis: a systematic review of incidence and prevalence. Journal of Investigative Dermatology, 140(4), 678–685. https://doi.org/10.1016/j.jid.2019.10.008
  12. Nestle, F. O., Kaplan, D. H., & Barker, J. (2009). Psoriasis. New England Journal of Medicine, 361(5), 496–509. https://doi.org/10.1056/NEJMra0804595
  13. Griffiths, C. E. M., & Barker, J. N. W. N. (2007). Pathogenesis and clinical features of psoriasis. The Lancet, 370(9583), 263–271. https://doi.org/10.1016/S0140-6736(07)61128-3
  14. National Psoriasis Foundation. (2024). Understanding Psoriasis. https://www.psoriasis.org/about-psoriasis/.

Reference

  1. Aditya AK, Nicol K (2004) The use of sulfur in dermatology. J Drugs Dermatol 4:427–31
  2. Al Shobaili HA, Shahzad M, Al-Marshood A, Khalil AS, Settin A, Barrimah I (2010) Genetic Bckground of Psoriasis. Int J Health Sci 4:23–29
  3. Armstrong AW, Read C (2020) Pathophysiology, Clinical and presentation, treatment of psoriasis: a review. JAMA 323:19–26
  4. Armstrong AW, Schupp C, Wu J, Bebo B (2012) Impaired quality of life and work productivity among patients with psoriasis: fndings from the 2003–2011 National Psoriasis Foundation survey data. PLoS ONE 7(12):5293
  5. Cuellar L, Sehtman A, Donatti L (2008) Acido Salicílico. Act Terap Dermatol 31:108
  6. Feingold KR (2009) The outer frontier: the importance of lipid metabolism in the skin. J Lipid Res 50(Suppl):S417-422
  7. Gibbs S (1996) Enfermedades de la piel y condiciones socioeconómicas en el África rural: Tanzania. En T J Dermatol 35:633–639
  8. Gupta AK, Nicol K (2004) The use of sulfur in dermatology review. J Dermatol Drugs 3(4):427–31
  9. Hyung-Sik Seo J (2012) An experimental study of the anti-oxidant and the anti-infammatory efects of alum and burnt alum. J Pharmacopunct 2:11–14
  10. Jacobi A, Mayer A, Augustin M (2015) Keratolytics and emollients and their role in psoriasis therapy: a systematic review. Dermatol Ther (Heidelb) 5(1):1–18
  11. Parisi, R., Iskandar, I. Y. K., et al. (2020). Global epidemiology of psoriasis: a systematic review of incidence and prevalence. Journal of Investigative Dermatology, 140(4), 678–685. https://doi.org/10.1016/j.jid.2019.10.008
  12. Nestle, F. O., Kaplan, D. H., & Barker, J. (2009). Psoriasis. New England Journal of Medicine, 361(5), 496–509. https://doi.org/10.1056/NEJMra0804595
  13. Griffiths, C. E. M., & Barker, J. N. W. N. (2007). Pathogenesis and clinical features of psoriasis. The Lancet, 370(9583), 263–271. https://doi.org/10.1016/S0140-6736(07)61128-3
  14. National Psoriasis Foundation. (2024). Understanding Psoriasis. https://www.psoriasis.org/about-psoriasis/.

Photo
Komal Chavan
Corresponding author

Gajanan Maharaj College of Pharmacy, Chh, Sambhajinagar.

Photo
Rupali Vijay Kachakure
Co-author

Gajanan Maharaj College of Pharmacy, Chh, Sambhajinagar.

Photo
Madhavi Ashok Kakphale
Co-author

Gajanan Maharaj College of Pharmacy, Chh, Sambhajinagar.

Photo
Shalini Kisan Kawade
Co-author

Gajanan Maharaj College of Pharmacy, Chh, Sambhajinagar.

Photo
Maya Sahebrao Jadhav
Co-author

Gajanan Maharaj College of Pharmacy, Chh, Sambhajinagar.

Photo
Akanksha Bhaskar Mahajan
Co-author

Gajanan Maharaj College of Pharmacy, Chh, Sambhajinagar.

Komal Chavan*, Rupali Vijay Kachkure, Madhavi Ashok Kakphale, Shalini Kisan Kawade, Maya Sahebrao Jadhav, Akanksha Bhaskar Mahajan, Formulation and Evaluation of An Herbal Cream of Psoriasis, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 6, 2419-2423. https://doi.org/10.5281/zenodo.15648411

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