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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Psoriasis And Is There Any Permanent Cure?

hello.my daughter age 20 is suffering from psoriasis in very small patches in her elbows,finger knuckles, knee.she took ayurvedic medicine for 2 months.it started increasing.now a dermatologist has suggested Diprovate plus cream to apply twice a day.will there be a complete cure for this?dont know what could be the cause/can u please suggest?thanks.

Wed, 21 Jan 2015
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Psoriasis is an immune mediated disease and is characterized by the presence of well defined, thick scaly plaques mainly involving the scalp, and extensor surfaces like hands, feet, elbow, knee, lower back etc.

The disease has a chronic course and the course is fluctuated by remissions and relapses, however there is no permanent cure for psoriasis.

Specific topical treatment for psoriatic plaques consists of potent topical steroids either plain or in combination with salicylic acid. These are available in ointment form for plaques involving the body and as lotions/gels/foam form for scalp psoriasis. Diprovate plus prescribed by your dermatologist contains betamethasone propionate, which is a potent topical steroid.

Topical Vitamin D analogues like calcipotriol, calcipotriene etc are also effective for localized plaque psoriasis. They are steroid sparing agents and unlike potent topical steroids which can cause skin atrophy, these can be used over a long duration

Besides specific remedies for psoriasis, moisturizers form an important part in the management of psoriasis because of the thick scaly nature of the plaques. Moisturizers enhance the penetration of topical active ingredients as well as prevents or delays side effects like skin atrophy etc.

I would suggest that you continue with the prescribed medication and follow up with your doctor regularly, once every 2 weeks

Regards
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Dermatologist Dr. Shahid Hassan's  Response
hi, welcome to HCM,
the exact etiology of psoriasis is still unknown. it is a hyperproliferative disorder due to abnormality in the immune system. the T lymphocyte in psoriasis promote inflammation and dilatation of blood vessels. the skin cell pile up and skin becomes thick.
first keep in mind that there in only control of psoriasis.
Diprovate plus works good in psoriasis.
add emollient containing urea+ lactic acid 2-3 times daily.
take high protein diet.
if plaques are still increasing oral drug Methotrexate 15 mg weekly can be started with consultation of dermatologist.
hope this is helpful.
thanks
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What Causes Psoriasis And Is There Any Permanent Cure?

Hello and welcome to healthcaremagic Psoriasis is an immune mediated disease and is characterized by the presence of well defined, thick scaly plaques mainly involving the scalp, and extensor surfaces like hands, feet, elbow, knee, lower back etc. The disease has a chronic course and the course is fluctuated by remissions and relapses, however there is no permanent cure for psoriasis. Specific topical treatment for psoriatic plaques consists of potent topical steroids either plain or in combination with salicylic acid. These are available in ointment form for plaques involving the body and as lotions/gels/foam form for scalp psoriasis. Diprovate plus prescribed by your dermatologist contains betamethasone propionate, which is a potent topical steroid. Topical Vitamin D analogues like calcipotriol, calcipotriene etc are also effective for localized plaque psoriasis. They are steroid sparing agents and unlike potent topical steroids which can cause skin atrophy, these can be used over a long duration Besides specific remedies for psoriasis, moisturizers form an important part in the management of psoriasis because of the thick scaly nature of the plaques. Moisturizers enhance the penetration of topical active ingredients as well as prevents or delays side effects like skin atrophy etc. I would suggest that you continue with the prescribed medication and follow up with your doctor regularly, once every 2 weeks Regards