Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
129 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for psoriasis

Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8813 Questions

default
Posted on Sat, 12 Jul 2014 in Skin Hair and Nails
Question: I am having psoriasis kind of symptoms one or multiple patches on the scalp, fingers and elbow
doctor
Answered by Dr. Kakkar S. 50 minutes later
Brief Answer:
Psoriasis

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query.

I would request you kindly upload a few clear digital photographs of the patches, so that I may be able to guide you better.

Psoriasis is an inflammatory skin disease characterised by well defined erythematous scaly plaques with silvery white or candle wax type of scaling. Chronic plaque psoriasis is the most common type. It can affect sites like scalp, arms, and legs, (specifically elbows and knees), palms and soles etc

The disease has a chronic course and there are topical creams/ointments/gels/lotions/foams etc as well as oral and injectable medicines which can treat psoriasis but there is no permanent cure for psoriasis.

Topical treatment:

-Moisturizers specially those which contain hygroscopic (attract water from the atmosphere and lock it into the skin) and keratoloytic agents like Ammonium lactate(Amylac cream), Urea, Lactic acid etc are especially useful in dry scaly conditions like psoriasis.

-For the patches you could use a steroid+salicylic acid ointment on skin and lotion on scalp, twice daily (clobetasol+3% OR 6% salicylic acid ointment/lotion e.g propysalic NF Ointment and lotion) for a few weeks.

Other treatment modalities which can be used for localized plaque psoriasis are:
-Vit D analogues like calcipotriol, calcipotriene alone or in combination with steroid.

Oral treatment:

-Once weekly oral methotrexate is another option in case of plaque psoriasis but it should always be taken under the supervision of a dermatologist since it can rarely cause serious side effects like bone marrow suppression.

-Oral cyclosporine is given for extensive psoriasis involving more than 20% of the body surface area. It is rapidly effective but it requires monitoring of kidney functions and BP.

Other commonly used oral treatment modalities are:

-Oral Psoralens e.g 8-methoxypsoralen and UV A phototherapy (PUVA)
-Narrow-Band phototharapy(NB-UVB)
-Biologics response modifiers

Topical treatment is an essential part of therapy along with oral treatment.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,   ,  
Treatment/Therapy

Recent questions on  Calcipotriene

doctor1 MD

I am suffering from Dry and Flaky skin on face(forehead,chin and near ears) and sides of Scalp - Non- itchy. Chunks of dry skin (1-5mm)is flaking...

doctor1 MD

Hi, I am suffering from plaque psoriasis since many years What is best treatment or any best doctor is there by me XXXXXXX , CA Thanks

doctor1 MD

I m 91 years old and have lost my sense of taste. I take a lot of drugs; e.g., sinemet, metropol, midodrine, cerofolin, atorvastin, zinc,iron, et...

doctor1 MD

I use calcipotriene topical solution, 0.0005% for treatment of hair loss. my dermatologist believes I have the start of frontal fibrosing alopecia....

doctor1 MD

What kind of natural (allergy to prednisone and cortisone and steroids) medicine to help heal 6 years of scalp psoriasis of diagnosed inverse...

doctor1 MD

Hi, I am a forty year old woman and have developped psoriasis on my scalp last year and my hairdresser prescribed a shampoo and treatment which...

doctor1 MD

hi doc, i am suffering from scalp psoriasis for four years and due to that have severe hair fall . Also seasonally i get rashes on my back. i have...