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Self care methods for pustular psoriasis in a child - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help you
User :   Good afternoon doctor , yesterday I have come on chat for some clarification on pustular psoriasis
Doctor :   yes
Doctor :   I could remember that
Doctor :   We tried to give you more information by sending you a mail but the mail bouced back
Doctor :   seems you put on wrong ID
User :   May I have some valued advice from you regarding what all precautions we have to take to protech my son as a pateient
User :   doctor my id is YYYY@YYYY
Doctor :   ok
User :   My I know your name doctor and what location are you at , I ahve to really thank you for teh positive advice you gave me yestderday
Doctor :   I am Dr xxxx
Doctor :   from Bangalore
User :   Many thanks doctor.
Doctor :   Let me give you
Doctor :   some self care methods for Psoriasis
Doctor :   Take daily baths.
Doctor :   Add bath oil, oiled oatmeal,
User :   but I doubt my son is having slight fever about 99 to 100 degree
Doctor :   Avoid hot water and harsh soaps, which can make the symptoms worse
Doctor :   fever for 100 is ok
Doctor :   after bathing, then immediately apply a heavy, ointment-based moisturizer while your skin is still moist.
User :   ok doctor.
Doctor :   During cold, dry weather, you may need to apply a moisturizer several times a day.
User :   I am applying him boiline
Doctor :   To help improve redness and scaling, apply an ointment-based moisturizer to your skin and wrap with plastic wrap overnight. In the morning, remove the covering and wash away the scales with a bath or a shower.
Doctor :   Boiline, is it given by the doctor?
User :   also now on alternate days he started with phototherapy
User :   yes doctor it is given by doctor only
Doctor :   yes phototherapy is given on alternate days
Doctor :   or twice a week sometimes
Doctor :   it depends on the doctors
Doctor :   expertise
User :   why doctor when i said about bioline
Doctor :   Infections, injuries to your skin, stress, smoking and intense sun exposure can all worsen psoriasis.
Doctor :   So keep away from them
Doctor :   I was just curious about the Bioline
Doctor :   there is no specific reason
Doctor :   Please cover the patches of your boy
Doctor :   to avoid social stigma
Doctor :   as he is very small
Doctor :   and educate him
Doctor :   not to bother much
User :   Noted doctor. To make more clear he had psoriasis in september . Then doctor gace cyclosporine. i was thinking its is strong medicine. now again he gave the same course. this has rally upset and the symptoms are coming rapidly going and again coming like that
Doctor :   YEs
Doctor :   THey keep going and coming
Doctor :   and the Cyclosporin and MTX are usually given depeding on the flares
User :   I have gone thr the web site of novartis and I find in teh case cyclospoirne is given teh chances of reappearing the problem is very high
Doctor :   Dont fall into the impressions abut the websites
Doctor :   Trust your doctor
User :   Doctor I am a lay man. do not know the ABCD of medicine . In fact I am a xxxx . I really depend on the expertise of you doctors
Doctor :   as
Doctor :   the psoriasis is a long term problems
Doctor :   the typical flares come up
Doctor :   now and then
Doctor :   that is why
Doctor :   you have to take care of the factors i mentioned above
Doctor :   Infections, injuries to your skin, stress, intense sun exposure can all worsen psoriasis.
User :   what I only doubt is my son is having simple regular psoriasis but this time the blisters look like pustular soriasis
Doctor :   see pustular variety is uncommon and
Doctor :   it is more rare in Children
Doctor :   So dont worry
User :   this can be due to the reaction of cyclosporine
Doctor :   if it is confiremd
Doctor :   by biopsy
User :   can it be doctor?
User :   yes doctor biopsy is done
Doctor :   Please fill this form I send, and say when done.
Doctor :   What is the result in the biospy
User :   the doctor said it is pustular psoriasis
Doctor :   ok
Doctor :   You have to be more careful now
Doctor :   but the treatment remains the same
User :   but did not give any medicne told to stop cyclosporine and start phototherapy
Doctor :   Ok
Doctor :   So how long is it started
Doctor :   phototherapy
Doctor :   You can expect a result in time frame of 3to 6 months
Doctor :   minimum
User :   this was on last tues day . so did on tuues daya nd today morning . phototherapy is 4 times to be done
Doctor :   till then dont try to stop
Doctor :   it
User :   how for is it a danger doctor
Doctor :   iT is not dangerous but the coping to the situation is more important
User :   do you suggest that I shoudl take all care so that no secondary infection comes
Doctor :   yes
Doctor :   exactly
Doctor :   cover the patches with clothes
Doctor :   so that the boy does nt hurt
Doctor :   with his peers
User :   he is other wise normal in health doctor did good check up
User :   whom do you suggest is teh best doctor for thsi in Bangalore doctor?
Doctor :   Where are yoiu in Bangalore
Doctor :   Where are you taking the treatment rt now?
User :   I am taking him in xxxx hospital Bangalore. I wish you will keep it confidential . I am showing my son with Dr XXXXXXXX xxxx
Doctor :   Yes
Doctor :   Where sis the phototherapy done
User :   In xxxx only
User :   what is your opinion on dr xxxx doctor. I shoudl not ask you this but still to be on a fafe
Doctor :   ok
Doctor :   Do you want us to recommend one
User :   safe side i meant
Doctor :   Please confirm the details
User :   yes doctor
Doctor :   YYYY@YYYY
Mobile : 0000
User :   I confirm the above id
Doctor :   One of our doctors will get back to you soon with all the relevant details.
Doctor :   Which area do you stay in
Doctor :   It seems that you have moved out of the chat window, Please get back if you need any medical advice
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