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Suggest Treatment For Psoriasis

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Posted on Wed, 22 Jun 2016
Question: Hello Doctor,

My brother having skin problem (SWARISIS). could you please let me know, is there any permanent fix ?. some doctor told us for this problem there is no permanent fix, you need to take medicine whole life then this allergy will not come in your body.

could you please suggest your advice.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Psoriasis may return after cure; repeat treatment may be required

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatologist). I have gone through your query and i have noted your concern.
Psoriasis is an immune mediated disease. It is characterised by thick scaly plaques involving various body sites and sometimes joint pains and joint swelling. Psoriatic plaques may involve any body site but they characteristically involve the scalp, extensor aspect of extremities, lower back. Nail involvement in the form of pitting, subungual hyperkeratosis and deformity is also part of psoriasis.
Psoriasis may relapse/ return after seemingly complete cure. Factors like infection, drugs, pregnancy, winter season, alcohol and stress seem to exacerbate psoriasis. There is no need to take medicine regularly once all the patches of psoriasis have cleared i.e treatment can be completely stopped. However, since psoriasis may come back in future, retreatment may be required i.e psoriasis is treated only when psoriatic patches recur. Not otherwise.
Treatment of psoriasis includes topical steroids with salicylic acid ointment, topical vitamin D analogues like calcipotriol, coal tar with salicylic acid ointment and dithranol. Topical treatment alone suffices for limited disease.
For widespread disease oral methorexate, phototherapy, acitretin, cyclosporine, biologicals may also be combined with topical treatment.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (18 minutes later)
Thank you so much for your advice.

could you please tell me other than these costly medicine how to cure this problem
1.is there any food habit (eat or not to eat)
2.is there any ayurvedic medicine that have no side affect
doctor
Answered by Dr. Dr. Kakkar (19 hours later)
Brief Answer:
No dietary modifications needed. Continue on allopathy

Detailed Answer:
Hello.

I can see that you are on cyclosporin. It is a costly immunosuppressive medicine.
Methotrexate is another immunosuppressive which has a long history of use in psoriasis. It is quite inexpensive, safe and effective when used under supervision of a dermatologist.
There are no particular dietary habits that you need to follow. Intake of specific food items or avoidance is not implicated in psoriasis.
Ayurvedic medicines are not approved for treatment of psoriasis and there are no studies of their efficacy in treatment of psoriasis. Therefore i would suggest that you stick with allopathy.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Psoriasis

Brief Answer: Psoriasis may return after cure; repeat treatment may be required Detailed Answer: Hello. Thank you for writing to us I am dr.kakkar(dermatologist). I have gone through your query and i have noted your concern. Psoriasis is an immune mediated disease. It is characterised by thick scaly plaques involving various body sites and sometimes joint pains and joint swelling. Psoriatic plaques may involve any body site but they characteristically involve the scalp, extensor aspect of extremities, lower back. Nail involvement in the form of pitting, subungual hyperkeratosis and deformity is also part of psoriasis. Psoriasis may relapse/ return after seemingly complete cure. Factors like infection, drugs, pregnancy, winter season, alcohol and stress seem to exacerbate psoriasis. There is no need to take medicine regularly once all the patches of psoriasis have cleared i.e treatment can be completely stopped. However, since psoriasis may come back in future, retreatment may be required i.e psoriasis is treated only when psoriatic patches recur. Not otherwise. Treatment of psoriasis includes topical steroids with salicylic acid ointment, topical vitamin D analogues like calcipotriol, coal tar with salicylic acid ointment and dithranol. Topical treatment alone suffices for limited disease. For widespread disease oral methorexate, phototherapy, acitretin, cyclosporine, biologicals may also be combined with topical treatment. Regards