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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for psoriasis

Hey I am diagnosed with Psoriasis. My doctor didn't give me much information about this. My symptoms include joint pains, itching, dandruff, and difficult to walk. I'm taking some medications, but I still have the same symptoms. Please give me some treatments advices and also more information about Psoriasis. What type of shampoo I can use? Is it good to use detol soap? I hope you can help me. Thanks
Mon, 25 Aug 2014
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Dermatologist 's  Response
Hi,

I think you have relapses of psoriasis.Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body,scaly lesions on the scalp and joint pain due to psoritic arthritis. Exact cause is not known. Genetic tendency,autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of the disease.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. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcipotriol oint on the lesions. For scalp psoriasis,tar shampoo may be done. You may apply moisturiser to improve the skin texture. Avoid soap bath for few weeks.Avoid stress and worries as that might worsen psoriasis. I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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