Brief Answer:
i suggest a possibility of psoriasis

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have also reviewed the images

This seems like psoriasis to me. Thick scaly plaques at extensor skin surfaces like elbows, knee, buttocks, back etc

I would like to gather more information from you in order to be able to guide you better

-Is scalp also involved?
-Are they itchy?
-How long do you have these skin lesions?
-Are any other family members affected?
-Have you tried any treatment so far?

Regards

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Brief Answer:
I suggest possibility of plaque psoriasis;visit a dermatologist for needful

Detailed Answer:
Hi.

The Image is very suggestive of Plaque Psoriasis. Psoriasis is a chronic skin condition.

The patches in psoriasis are red, scaly and distributed at various body sites, predominantly extensor/ trauma prone skin surfaces like elbows, knee, buttocks and scalp.
Scaling is characteristically silvery white.

The disease has a remitting and relapsing course i.e it may re-occur after a seemingly complete cure.

For limited involvement topical treatment alone is enough, however, for extensive skin involvement (> 20% of body surface area) both Oral/ systemic as well as Topical treatment is usually combined.

Topical treatment comprises potent topical steroids with or without salicylic acid; topical vitamin D analogues like calcipotriol/ calcipotriene with or without topical steroids.

Oral/ systemic treatment options include weekly Methotrexate, Cyclosporin. Phototherapy etc.

Methotrexate is very effective in treating psoriatic patches, specially if the patches are extensively involving the skin.

Certain lab tests e.g blood cell counts, liver function tests etc are required before the patient is started on methotrexate.
These tests should be repeated at intervals to detect any possible side effects.

A liver biopsy is recommended after reaching a total cummulative dose of 1.5 grams of methotrexate, to look for any early/developing fibrotic changes in Liver.

Methotrexate can also be either combined with other treatment modalities like Phototherapy, Acitretin Or it can be alternated with other Immunosuppressive like Cyclosporin.

I suggest you to visit a dermatologist in your region. Your dermatologist will assess the severity/ extent of skin involvement and advice accordingly.

Regards

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