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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Red Scaly Patch On The Bridge Of Nose With Psoriasis?

I have had psoriasis since I was about 12. I am now 58. Currently I have a severe outbreak, on face, arms and legs. On top of that, I now have a red, scaly patch on the bridge of my nose. It doesn't look like other psoriasis spots. I have also had a rash on my hand and arms this past week for a couple of days. What do you think? Which doctor should I see - dermatologist or internist?

Thank you. MOS
Mon, 11 Aug 2014
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Dermatologist,  's  Response
You said that you suffer from psoriasis for last 46 years. I hope you might be taking regular and proper treatment psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. It may be worsen by various factors like..stress,anxiety, heavy physical work,insomnia,dry wheather,soap,trauma, drugs..etc. Never take steroid as it might worsen psoriasis. 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. You cosult dermatologist and have regular follow up.Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcipotriol oint on the lesions. Avoid stress and worries as that might worsen psoriasis. I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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What Causes Red Scaly Patch On The Bridge Of Nose With Psoriasis?

You said that you suffer from psoriasis for last 46 years. I hope you might be taking regular and proper treatment psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. It may be worsen by various factors like..stress,anxiety, heavy physical work,insomnia,dry wheather,soap,trauma, drugs..etc. Never take steroid as it might worsen psoriasis. 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. You cosult dermatologist and have regular follow up.Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcipotriol oint on the lesions. Avoid stress and worries as that might worsen psoriasis. I hope you got my answer. Thanks. Dr. Ilyas Patel MD