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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Psoriasis And Psoriatic Arthritis

I am suffuering for Psoriasis for last 10 years effecting 35% of my body surface and suffuring for psoriasic arthritic for last 5 years affecting my Wrists, Fingers (deformed due to impacts of injuries), knees with continuous pain. Movement of my Wrists, Sholder joints and fingers are now restricted to 40 to 50% only. Kindly suggest the best was to get ride of these problems.
Mon, 13 Oct 2014
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Dermatologist 's  Response
Hi..

As you said you suffer from psoriasis from long time.I would like to say few things about psoriasis... . Psoriasis is a chronic relapsing and autoimmune disease. There may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Sometimes,joints may be involved as knees and hips. That is called psoritic arthropathy. Exact cause of disease is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of psoriasis.

You consult dermatologist for firm diagnosis and treatment.

I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly...for psoriasis.This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamnics like levocetirizin...Avoid steroid ,as there may be severe flare up after stopping it.

You may apply mild steroid cream or calcipotriol oint on the lesions on the psoriatic lesions. You may apply moisturiser to improve the skin texture. You should avoid soap bath for few weeks..And you should be free of stress and worries as that might worsen psoriasis. You might get good result.I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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Suggest Treatment For Psoriasis And Psoriatic Arthritis

Hi.. As you said you suffer from psoriasis from long time.I would like to say few things about psoriasis... . Psoriasis is a chronic relapsing and autoimmune disease. There may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Sometimes,joints may be involved as knees and hips. That is called psoritic arthropathy. Exact cause of disease is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly...for psoriasis.This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamnics like levocetirizin...Avoid steroid ,as there may be severe flare up after stopping it. You may apply mild steroid cream or calcipotriol oint on the lesions on the psoriatic lesions. You may apply moisturiser to improve the skin texture. You should avoid soap bath for few weeks..And you should be free of stress and worries as that might worsen psoriasis. You might get good result.I hope you got my answer. Thanks. Dr. Ilyas Patel MD