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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Itching On The Body While Suffering From Psoriasis

my skin doctor gave tricort inj 40 mg one month back for itching which reappears at a different place than where it was earlier. since last three years i am having this skin problem than i consulted to other specilist but now i m facing with psoriasis and taking neotrexate medicine with halox lotion but still facing problem
Wed, 27 Aug 2014
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Dermatologist,  's  Response
Hi,

As you said..you have relapses of psoriasis.Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body and scaly lesions on the scalp. There may be dryness of skin,which might cause itching.Exact cause is not known. Genetic tendency,autoimmunitity,stress, dry wheather...etc may be responsible for precipitation and exacerbation of the disease. I do not advise steroid injection like tricort 40 which might cause relapses and exacerbation of psoriasis. Please avoid to take such injections.I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcipotriol oint on the lesions. If you have scalp psoriasis,tar shampoo may be done. You may apply moisturiser to improve the skin texture. Avoid soap bath for few weeks.Avoid stress and worries as that might worsen psoriasis. Have pateince for recovery. You take treatment under observation of dermatologist.I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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Suggest Treatment For Itching On The Body While Suffering From Psoriasis

Hi, As you said..you have relapses of psoriasis.Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body and scaly lesions on the scalp. There may be dryness of skin,which might cause itching.Exact cause is not known. Genetic tendency,autoimmunitity,stress, dry wheather...etc may be responsible for precipitation and exacerbation of the disease. I do not advise steroid injection like tricort 40 which might cause relapses and exacerbation of psoriasis. Please avoid to take such injections.I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcipotriol oint on the lesions. If you have scalp psoriasis,tar shampoo may be done. You may apply moisturiser to improve the skin texture. Avoid soap bath for few weeks.Avoid stress and worries as that might worsen psoriasis. Have pateince for recovery. You take treatment under observation of dermatologist.I hope you got my answer. Thanks. Dr. Ilyas Patel MD