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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Recurring Psoriasis In Diabetic Patients

My sister is having psoriasis problems since 18 years and having diabetes too she was visiting p k banerjee since 18 years it was curing nicely and almost gone bt now again it started coming out due to may be diabetes so please advise me what to do sir.
Wed, 25 Oct 2017
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Dermatologist 's  Response
Hi,

Psoriasis vulgaris is an autoimmune skin disease. Diabetes has no bad effect on psoriatic lesions. But, diabetes should be controlled with perfect medicines to avoid systemic and skin complications.

Kindly consult the dermatologist have proper drugs to control the psoriasis.

I would give...

- tab. Methotrexate 15 mg per week in devided doses 5 mg 12 hourly in two days

- cap acitretin 25 mg/d ...may be reduced to 10mg/d after control

- apply salicylic acid with steroid oint like clop- S oint twice day

- avoid soap bath,keep the skin moist with moisturiser

- avoid stress,tension and worries

Treatment should be continued even after clinical cure to prevent the relapse.

I hope this would help your sister.


Thanks.

Dr.Ilyas Patel MD
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Dermatologist Dr. Ilyas Patel's  Response
Hi,

Psoriasis is a relapsing chronic autoimmune skin disease. Exact cause is not known. Stress,dry weather,trauma,drugs like chloroquine...etc might precipitate the disease.

There is no effect of diabetes on psoriasis.

I would suggest.....

- methotrexate 5 mg tablet three per week at 12 hour intervals
- acitretin 25 mg cap daily
- apply steroid with salicylic acid oint on the lesions
- if scalp is involved, shampoo containing tar may be done
- blood tests routine and liver function tests may be done at regular intervals
- avoid anxiety and tension

After long term treatment,your sister may be improved. Treatment should be continued even after control.

I hope this would help.

Thanks.

Dr.Ilyas Patel MD
I find this answer helpful

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Suggest Remedy For Recurring Psoriasis In Diabetic Patients

Hi, Psoriasis vulgaris is an autoimmune skin disease. Diabetes has no bad effect on psoriatic lesions. But, diabetes should be controlled with perfect medicines to avoid systemic and skin complications. Kindly consult the dermatologist have proper drugs to control the psoriasis. I would give... - tab. Methotrexate 15 mg per week in devided doses 5 mg 12 hourly in two days - cap acitretin 25 mg/d ...may be reduced to 10mg/d after control - apply salicylic acid with steroid oint like clop- S oint twice day - avoid soap bath,keep the skin moist with moisturiser - avoid stress,tension and worries Treatment should be continued even after clinical cure to prevent the relapse. I hope this would help your sister. Thanks. Dr.Ilyas Patel MD