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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Psoriasis On Leg And Palm

I wanted to mention that I had a small spot of psoriasis on my right foot, on the top, near the start of the leg. I broke my ankle nearly 7 years ago and was casted. When the cast was removed only 2 weeks later, my psoriasis was completely gone and has never come back. I wish I could figure this out as I also have psoriasis in both palms, more so on the right hand. I've thought of having my right hand and wrist casted, without breaking a bone, to see if it would cure the psoriasis there too. I am hoping that you can see if this happened to anyone else, or if this could help others.
Fri, 27 Mar 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.

And please do not think of plastering the affected part, it is of no help. You had benefit in past by plastering..but there is no scientific reason.

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

Have patience...

Dr. Ilyas Patel MD
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Suggest Remedy For Psoriasis On Leg And Palm

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. And please do not think of plastering the affected part, it is of no help. You had benefit in past by plastering..but there is no scientific reason. After few months treatment..you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment. Have patience... Dr. Ilyas Patel MD