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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Plaque Psoriasis

My boyfriend has chronic plaque psoriasis. Scalp, elbows, knees and around mid section of torso. I have also noticed that the skin around is genetials gets flaky and irittated.Occasionally after being intimate with him I will get an infection. The symptoms seem bacterial (thick, white, unpleasant smelling discharge). I have had candida once when I was a teenager - it is not itchy, etc.Reading online info (I know, not advised, better to see a Dr) I have found that men with psoriasis can often have problems similar to his. Additionally, their partners having problems with Balanitis.I realise an appointment with a GP is necessary but can you please provide some information so I can try to manage our expectations and not another disheartening consultation for him.
posted on Wed, 27 Aug 2014
Twitter Tue, 17 Jan 2017 Answered on
Twitter Wed, 18 Jan 2017 Last reviewed on
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Dermatologist,  's  Response
Hi,

I have reviewed your question. Psoriasis often involves the genital area. The breakdown of the skin can also lead to infections with bacteria or fungi (like candida). I recommend that you follow through with your own suggestion to see your GP (both of you should have a sexually transmitted disease ruled out).

If there is an infection, it might have to be treated with antibiotics. The treatment for plaque-type psoriasis consists in regular moisturizing, with an ointment. 5% salicylic acid ointment works well. Depending on the amount of plaques, a topical corticosteroid ointment might work or one of the newer biologicals. For the scalp a combination of tar shampoo (For example, Neutrogena) and corticosteroid tincture works well.

I hope this answers your questions. Let me know if I can assist you further.

Regards,
Dr. Christine Sauer
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Suggest Treatment For Chronic Plaque Psoriasis

Hi, I have reviewed your question. Psoriasis often involves the genital area. The breakdown of the skin can also lead to infections with bacteria or fungi (like candida). I recommend that you follow through with your own suggestion to see your GP (both of you should have a sexually transmitted disease ruled out). If there is an infection, it might have to be treated with antibiotics. The treatment for plaque-type psoriasis consists in regular moisturizing, with an ointment. 5% salicylic acid ointment works well. Depending on the amount of plaques, a topical corticosteroid ointment might work or one of the newer biologicals. For the scalp a combination of tar shampoo (For example, Neutrogena) and corticosteroid tincture works well. I hope this answers your questions. Let me know if I can assist you further. Regards, Dr. Christine Sauer