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Dr. Andrew Rynne

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Please suggest what should be done in psoriasis conditions?

hi, my dad is 80 years old. he is suffering from psoriasis since 25 years. he is totally bed ridden because of hip bone surgery afterwards he couldn t walk. now his psoriasis is increased a lot. his skin is become totally dry and full of black patches on arms and legs. he is suffering a lot because of too much itching. please suggest what should be done. we have showed him to physician but till medicines are there he is little bit comfortable but as soon as medicines are discontinued he get stoo much itching all over the body. please suggest what should be done
Tue, 17 May 2011
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  User's Response
's  Response
hi,welcome to the health care maguic forum,itchingb of psoriasis can be decrease d by aplication of plain coconut oil but for complete cure of psoriasis you should start with homeo medicines ,they are more effective in controling the diseasis .
General & Family Physician Dr. Syed Anwar Nadeem's  Response
Hi Bhavnathakur

do this
300ml warm water+ one table spoon Pure glycerin and then sponge the body

God bless him
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Dermatologist Dr. Bharat Chawda's  Response
Hi! bhavna,
Welcome To HealthcareMagic forum,

Psoriasis is definitely a chronic and a frustrating disease .There are various treatments available ,but it is important to understand that we should try to suppress the lesions with these and then try to maintain it further. Over the years one might need something or the other to maintain it.Initially you might require aggressive therapy.
At this age we should try to relieve his major symptoms ,like itching ,redness etc.If we plan for mild medicines ,he can take it for long with no side effects esp anti histaminics and topical steroids to reduce his itching sensation.
Various options are as follows:
1) oral methotrexate ,cyclosporin ,acetretin etc.(just for information ,I may not prefer at his age)
2) topical steroids , tazarotene, vitamin D3 derivatives, tacrolimus,tar ,antralin etc.
3) phototherapy - PUVA ,NB-UVB(latest)
4) Biologics (injectable-latest).

The result of combination of all this is excellent.The most important thing at this age would be ample use of moisturizers and oral anti histaminics like cetrizine .
Apart from this one should understand that there are certain aggravating factors also which one remember. For example ,anti hypertensive medicines ,ibuprofen ,anti psychotic medicines can aggravate psoriasis.
Since I am not aware of what all treatmnmet you have taken and with what results ,i may not be able to guide you specifically.For details you can visit my website www.skinhairclinic.com.

I hope I've answered your query ,if you have any further questions you can write back to us.

regards,
Dr.chawda
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Dermatologist Dr. Bharat Chawda's  Response
Hi! bhavna,

If your dad is on anti-hypertensive medications then please check that it should not be a "beta blocker" .If it is so then replace it with some other anti hypertensive medicine. And there are few anti psychotic medicine which can aggravate psoriasis ,so check it out.
regards,
Dr.chawda
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