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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Permanent Remedy To Cure Psoriasis

hello doctor...i am gunjan 25 years old having psoriasis from last 18 to 19 years...its a plaque type of psoriasis in which the patches are scaly , silvery white , stiff , itchy and sometimes painful...they bleed on itching...present on scalp , arm , knee ,back and umblicus...i have undergone alopathic treatment 8 to 9 years ago in which doctor prescribed me daivonex cream , diprovate lotion ,pagmatar , cream , coal tar and many more..by following them symptoms subsided for short duration...they relapsed always .. so i swithed on to homeopathic treatment...i had homeopathic treatment for 4 years but did not get relief...now i am taking baba ramdev's ayurvedic treatment from last one and a half year...but hv a very little improvement...sir kindly tell me is there any permanent treatment of psoriasis with you???

Tue, 17 Feb 2015
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Dermatologist 's  Response
Hi,

As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease. And there is no perfect treatment in ayurvedic or homeopathy.You consult nearby dermatologist for firm diagnosis and perfect treatment.

I would like to suggest few things as follow....
- acitretin 25 mg daily
- methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly.
- Blood tests ..routine & LFT may be done at regular intervals
- Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities
- But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone.
- Soap bath should be avoided.
- All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care.

After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment.

Have patience...

Thanks.

Dr. Ilyas Patel MD
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Suggest Permanent Remedy To Cure Psoriasis

Hi, As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease. And there is no perfect treatment in ayurvedic or homeopathy.You consult nearby dermatologist for firm diagnosis and perfect treatment. I would like to suggest few things as follow.... - acitretin 25 mg daily - methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly. - Blood tests ..routine & LFT may be done at regular intervals - Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities - But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone. - Soap bath should be avoided. - All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care. After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment. Have patience... Thanks. Dr. Ilyas Patel MD