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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Best Treatment For Psoriasis

.hi sir i m Dr. phani physiotherapist .i have a query to ask you about my mother suffering from psoriasis since four years ,i have consulted many doctors about this, but there was no positive result,would u suggest a best doctor for us in hyderabad please
Fri, 16 Jan 2015
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Dermatologist 's  Response

Hi,

As you said your mother suffers from psoriasis...I would like to say few things about psoriasis... . Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of psoriasis.

You consult dermatologist for firm diagnosis and treatment.

I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly...for psoriasis.This may be taken for long time till good response. Blood tests may be done to monitor the treatment.

For itching, you may take antihistamnics like levocetirizin...

Avoid steroid ,as there may be severe flare up after stopping it.

She may apply mild steroid cream or calcipotriol oint on the lesions on the psoriatic lesions. She may apply moisturiser to improve the skin texture. She should avoid soap bath for few weeks..

And she should be free of stress and worries as that might worsen psoriasis. She might get good result.

You contact nearby general practitioner and ask him for experienced dermatologist in Hyderabad...ok

I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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Dermatologist Dr. Shahid Hassan's  Response
thanks for asking,
dr phani, first thin keep in mind that there is no cure for psoriasis, it has only control(just like diabetes mellitus). for treatment of psoriasis any qualified dermatologist is sufficient. my opinion is to consult dermatologist nearby your residence as follow up is must in psoriasis for dose titration.
for you query you can attend special clinic in osmania medical college.
regards
I find this answer helpful

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Suggest Best Treatment For Psoriasis

Hi, As you said your mother suffers from psoriasis...I would like to say few things about psoriasis... . Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly...for psoriasis.This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamnics like levocetirizin... Avoid steroid ,as there may be severe flare up after stopping it. She may apply mild steroid cream or calcipotriol oint on the lesions on the psoriatic lesions. She may apply moisturiser to improve the skin texture. She should avoid soap bath for few weeks.. And she should be free of stress and worries as that might worsen psoriasis. She might get good result. You contact nearby general practitioner and ask him for experienced dermatologist in Hyderabad...ok I hope you got my answer. Thanks. Dr. Ilyas Patel MD