Background: Palmoplantar psoriasis is a therapeutically challenging condition that can significantly impact patient quality of life as it directly affects activities. However, despite this impact, few clinical studies address treatment. Herbs and their extracts have been used for treatment of skin disease for centuries. One of the most popular herbs in our society is black cumin or seed of blessing oil (Nigella Sativa); this plant had diverse clinically useful activity.
Patients and Methods: This study was conducted in the Department of Dermatology and Venereology in Baghdad Teaching Hospital, Iraq during the period between January and October 2003. In this singleblind randomly controlled therapeutic study, thirty patients were enrolled, their ages ranged from 22-65 years. There were 18` females and 12 males. The patients were divided into 2 groups; group A (20 patient) instructed to use nigella sativa 10% ointment twice daily for 3 months, while group B (10 patient) used a control ointment(Vaseline) . Statistical analyses were carried out by computer using ttest, and chi-square when needed.
Results: twenty-four patients completed the study. In group A (18 patients), we noted a significantly reduction of the thickness and fissuring of the skin of the affected part which was also become very soft after 3 months of therapy. The response of patients to treatment was good in 50%, moderate in 27.8% and mild response in 22.2%. The satisfaction of patients with treatment was full in 61.1%, partial in 27.8%, and no satisfaction in 11.1%. In group B (6 patients), the lesions showed no significant reduction after 3 months and the response of patients to treatment was good in 16.6%, moderate in 33.4%, and mild response in 50%. The satisfaction of patients with treatment in this group was full in 16.6%, partial in 50%, and no satisfaction in 33.4%. The difference in outcome after 12 weeks between the 2 study groups was statistically significant.
Conclusion: The ointment of the black cumin is considered as a very good remedy for the palmoplantar psoriasis. This remedy is considered to be very safe, cheap and easy to prepare with no serious side effects as compared to the previous ointments for this type of psoriasis.