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In March, 1968, a discussion was held with the derma­ tologists in this hospital in an attempt to find more efficient physiotherapeutic treatments for common skin diseases. The patients most frequently inadequately treated and who reappear so constantly in clinics, were the psoriatics. It is estimated that between 0,2 per cent and 1 per cent of the population of all social groups in this country have psoriasis. These patients account for approximately 15 per cent of all patients seen at dermatology clinics. It was decided to modify Ingram and Goeckerman methods of treatment so as to be suitable in our warm climate for the treatment of psoriatics as outpatients. This was important as hospitalization in the treatment of a patient who is not acutely ill is costly to both the patient and the hospital and indeed, many man hours of work would be lost by hospitalizing psoriatic patients in the effort to heal this skin disease. It must be remembered that the aetiology of psoriasis remains unknown, though recent research indicates that it may be genetically determined. The disease is unpredictable and capricious in its course, but is usually chronic. The. prognosis too is said to be as unpredictable as 100 years ago. Thus, treatment evolved in Pretoria was especially adapted to cater for outpatients, but still allowing persons to cover their normal daily routine and work schedule. Treatment had to be suitable for generalized psoriasis patients and it had to be intensive and yet suitable to the local climate.

south african journal of physiotherapy

The treatment of psoriasis as evolved at The H. F. Verwoed Hospital, Pretoria; and a comparative study of the results of a clinical survey on psoriasis