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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Psoriasis Vulgaris

I am 63 years old suffering with Psoriasis Vulgaris since 1993. Doctor treated me with oral methotrexate with good response. H/o deranged Liver enzymes in two occasions-2 years ago and last month( SGPT-74), than I stopped medicine.After 15 days SGPT tested found 45 and ULTRASOUND ARFI ADDITIONAL- LEVER, study shows Shear velocities from segment 5&8 of lever are Meian 1.5, Mean1.57. Impression by Doctor is deranged liver enzymes; ARFI Values are in fibrotic range. Can you tell should I take methotrexate again?
Thu, 22 Sep 2016
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Dermatologist 's  Response
Hi thanks for using HCM
Don't take methotrexate due to your abnormal readings of your Liver enzymes.
Better to go for topical applications.
morning SALICYLIC ACID 12% cream.
night times CALCIPROTRIOL cream.
personal hygiene.
Mental relaxation
will give good result.
Take one course of OMEGA III fatty acids capsules for 21 days.
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Suggest Treatment For Psoriasis Vulgaris

Hi thanks for using HCM Don t take methotrexate due to your abnormal readings of your Liver enzymes. Better to go for topical applications. morning SALICYLIC ACID 12% cream. night times CALCIPROTRIOL cream. personal hygiene. Mental relaxation will give good result. Take one course of OMEGA III fatty acids capsules for 21 days.