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Cure for spreading psoriasis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Psoriasis
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
Doctor :   Hi
User :   Yes doctor
User :   I have a skin problem
User :   R U There doctor?
Doctor :   Tell me..
User :   I have psoriasis
Doctor :   Yes, as I am chatting with some patients simultaneously. Please bear with us for a reply
User :   I'm sorry ...I'll wait
Doctor :   Tell me XXXX ..
Doctor :   Since wehn are you suffering from Psoriasis..
Doctor :   And what variety of psoriasis is that..
User :   Its been about 2 years
User :   It started of as dandruff
User :   It was uncontrollable
Doctor :   Ok..
User :   Then I had these scaly formations on my elbows
User :   Now I'm beginig to develop this at different parts of my body
Doctor :   Ok..
User :   What Should I be doing?
Doctor :   Is it still spreading or has it stopped..
User :   Ok...I have pits on my nails also...but only on my left hand fingers
User :   No It is spreading
Doctor :   Ok..
Doctor :   You have a psoriasis that has involved th scalp and the nails too..
User :   yes
Doctor :   pathophysiology of psoriasis consists of an abnormal immune response. T cells in the dermis and epidermis are overactivated, which triggers the release of proinflammatory cytokines and hyperproliferation of keratinocytes. This, in turn, manifests as the skin lesions that are the hallmark of psoriasis.
User :   ok
User :   what Should be done?
Doctor :   Are you under any treatment for it now..
User :   Yes Homeopathy
Doctor :   Are you having an improvement..
Doctor :   Hand and foot psoriasis is often refractory to treatment, and the lack of effective therapeutic options make it all the more cumbersome to treatment..
User :   Actually 2 years back during my first responded well to actually dissapeared in 1 month. Then I stopped medication after about 3 months..then It has come back after a gap of another 6 months...but this time it is more severe and spreading to other parts
Doctor :   Yes this is the nature of Psoriasis that it will jeep on reverting back since there are no very certain fixed treatment you can only contain whe n there are fresh eruptions..
User :   What should I do now?
Doctor :   at the time of fresh eruptions you need to take aggressive treatment..
User :   like...
Doctor :   Efalizumab is a recombinant, humanized anti-CD11a monoclonal IgG1 antibody that has been approved
Doctor :   LASER therapy for Psoriasis are also available but it needs to be seen if it can be tried on you..
User :   I would prefer a medication
Doctor :   the disease may also be improved by low-calorie diets.
User :   What should be the medication?
Doctor :   A vegetarian diet may be beneficial because it is associated with a reduced AA intake.
Doctor :   Please fill this form I send, While I type the necessary information, and do inform me when done.
User :   where is the form?
Doctor :   The feed back form would have been on your screen it might have popped up..
User :   can you send it again?
User :   done
Doctor :   The prescription medicines are given after the cause is exactly made out. Since we haven't physically examined you, it is inappropriate and unethical to prescribe you medicine which is scheduled. Hence see the doctor for the medicine that you require
Doctor :   Various variety of Psoriasis have different treatment modalities..
Doctor :   Hence it will be advisable to have an examination before treatment..
User :   ok
Doctor :   UVB light (phototherapy) is gaining popularity..
Doctor :   Is there any thing else that I could help you with?
User :   Where in bangalore do You suggest I meet a doctor?
Doctor :   St john's Hospital ha a very good center for treatment of Psoriisis
Doctor :   And at the affordable rates to.
Doctor :   Please consult Dr. XXXXXXXX the Prof and HoD of dermatology there..
User :   How long do you think that the body takes to respond to medication
Doctor :   that varies form person to person and your response to treatment..
User :   but generally what is the time frame
Doctor :   6-8 months to start with..
Doctor :   are you there?
User :   yes..
User :   I thought you were continuing with something you were saying
Doctor :   Generally it will be in the range of 6-8 months that chnges should be seen
User :   ok doctor
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service

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