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Chronic skin problems, varied diagnosis of psoriasis, seborrheic dermatitis, worsens in hot weather. Suggestive treatment?

sir i am uttam kumar das,age 26, sir i am suffering from last 10 years in skin problem,when i was 18 that time i was consulting a skin specialist that he was identfying its psoriasis , last year i was consulting at appolo doctor their he said me it is sebhoreic dermatitis ,its very wrose in my whole body,when climate is 25degree my skin is very wrose and dry and irritate, and white sclap comeout form my skin please sir help me
Asked On : Fri, 7 Sep 2012
Answers:  1 Views:  63
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Dermatologist 's  Response
Jul 2012
Hi there Uttam. If it has been a decade that you have been suffering from Psoriasis/Seborrheic dermatitis, you need to be 're-evaluated' . Firstly, i recommend a 'skin-biopsy' from a recent lesion to 'establish' the diagnosis if this has not been done hitherto. There is a condition we allude to as sebo-psoriasis which is an overlap of the two conditions. While i am not saying you have this, worth remembering. Also as regards the treatment, one has to first assess the psoriasis or seborrheic dermatitis area-severity score known by different names & scoring indices..most common being what we call the PASI score (psoriasis-area-severity-index). Then the Managment begins & there are various options from PUVA therapy to UVB311 phototherapies to systemic retinoids to Methotrexate usage to the more recent Biologicals toghether with or without topical creams but will depend on the treating dermatologist, equipment at his/her disposal & the cost factor in addition to your individual patient characteristics. A good emollient is paramount in your case. Do make it a point to fix an appointment with your dermatologist & will be happy to point you to one if you tell me where you hail from or look up the HCM directory. Cheers & Good Luck!

Dr Praveen Rodrigues MD

Dermatologist, Cosmetologist, Venereologist

Vikram Hospital, Bangalore, India
Answered: Sat, 8 Sep 2012
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