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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do White, Circular, Dry, Scaly Patches On The Skin Indicate?

I have recently had white, circular, dry, scaly patches appear on my skin. They are on the back of my hand, the back of my thigh, and on my lower leg (one in each location). They do not itch, nor do they hurt. They are each about the size of a pea. What might they be?
Mon, 22 May 2017
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General & Family Physician 's  Response
Hello, my name is Dr.Dorina Gurabardhi. I understand your concern.
Your symptoms seems to be related to psoriasis.
Treatment for psoriasis include:
-Salicylic acid as ointment for topical treatment
-Steroid-based creams. The mainstay of psoriasis treatment, steroid creams decrease inflammation, relieve itching, and block the production of cells that are overproduced in psoriasis.
-Calcipotriene or calcitriol (Vectical) -containing topical ointment. Calcipotriene (Dovonex), which is r vitamin D, has proven to be effective for treating psoriasis, especially when combined with a corticosteroid cream.
Some advices that I can give to you are :
SUBSCRIBE


Skin Problems and Treatments Psoriasis
Understanding Psoriasis -- Treatment

What Are the Treatments for Psoriasis?

Despite the fact that psoriasis is incurable, it responds well to many topical and systemic treatments. Even people with severe psoriasis can get relief during flare-ups in about 85% to 90% of cases.

Topical Treatments for Psoriasis

Topical treatments are rubbed directly into the affected skin to bring local relief without the system-wide side effects of medicines taken by mouth. Topical treatments for psoriasis include:

related content
SLIDESHOW

Psoriasis Treatment

Start
Salicylic acid . Some doctors recommend salicylic acid ointment, which smoothes the skin by promoting the shedding of psoriatic scales. Using salicylic acid over large areas of skin, however, may cause the body to absorb too much of the medication, leading to side effects. Salicylic acid may also cause skin irritation and weaken hair shafts, which can cause breakage and temporary hair loss. The effectiveness of these preparations are modest at best.

Steroid-based creams. The mainstay of psoriasis treatment, steroid creams decrease inflammation, relieve itching, and block the production of cells that are overproduced in psoriasis. Stronger preparations, which are more effective than milder ones, can cause side effects that include burning, dryness, irritation, and thinning of the skin. Be especially careful to follow your doctor's instructions on their use.


Calcipotriene or calcitriol (Vectical) -containing topical ointment. Calcipotriene (Dovonex), which is r vitamin D, has proven to be effective for treating psoriasis, especially when combined with a topical corticosteroid cream. It's best to use only limited amounts to avoid side effects.

Coal-tar ointments and shampoos. These products can help slow the rapid growth of skin cells and alleviate symptoms, but some people are vulnerable to the side effects, especially folliculitis, a pimple-like rash affecting the hair follicles. These medicines should be used only under a doctor's supervision.

related content
SLIDESHOW

Home Remedies for Psoriasis

Start
Prescription retinoids. These topical preparations containing a synthetic form of vitamin A can help improve psoriasis. These preparations don't work as quickly as steroids. Topical retinoids can sometimes cause dryness and irritation of the skin.

Light Therapy for Psoriasis

Even regular doses of sunlight -- not enough to produce sunburn -- can help psoriasis lesions in many people. For persistent, difficult-to-treat cases of psoriasis, many doctors recommend light therapy. One of the most effective treatments is PUVA (the drug psoralen combined with ultraviolet A, or UVA, light). However, this form of therapy is used far less often today, because it has been shown to increase the risk of developing skin cancer -- even decades after stopping this therapy.


Some doctors may prescribe ultraviolet B light (UVB) treatment using a light box alone or with other therapies such as coal tar. A more targeted ultraviolet light treatment, called narrow-band UVB therapy, is less carcinogenic than PUVA and almost as effective.



Oral Drugs for Psoriasis

When other treatments fail, some doctors prescribe oral drugs to treat psoriasis. Some of these medications affect the immune system. One such medication, methotrexate (also used as a chemotherapy drug for cancer and for various forms of arthritis), can produce dramatic clearing of the psoriasis lesions. However, it can cause side effects, so the prescribing doctor should perform regular blood tests. Another medication of this type is cyclosporine.

related content
SLIDESHOW

Psoriasis Treatment

Start
Oral retinoids, compounds with vitamin-A-like properties, can be mildly helpful to people with severe psoriasis. Women of childbearing age need to use birth control with this medication and for three years afterwards, because it is associated with an increased risk for birth defects.

Newer treatments for people with severe psoriasis and psoriatic arthritis are now available. Several "biologic" drugs, which are made from human or animal proteins, focus on controlling the body's immune response. These drugs are quite effective but are extremely expensive and include adalimumab (Humira),
adalimumab-atto (Amjevita), a biosimilar to Humira, brodalumab (Siliq) etanercept (Enbrel), etanercept-szzs (Erelzi), ixekizumab (Taltz), secukinumab (Cosentyx), and ustekinumab (Stelara).




Natural Psoriasis Treatments

If medications fail to relieve the symptoms of psoriasis or cause unwanted side effects, people may try natural remedies, such as herbs and vitamins, for relief. Some people with psoriasis find natural sunlight and ocean water helpful. Some seaside resorts offer special programs for people with psoriasis.

If you are considering natural remedies for psoriasis, here's what you should know about some of the more commonly used remedies:
-Aloe vera as atopical cream
-Fish oil. Fish oil may be helpful for psoriasis when taken orally. Daily oral fish oil supplements containing 1.8 to 3.6 gr may bring some improvement.
-Dead Sea salts. Bath solutions, such as Dead Sea salts, oil, oilated oatmeal, or Epsom salts can help psoriasis by removing scales.
Hope my answer was helpful, if you have any other questions I'll be glad to help, thanks!
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What Do White, Circular, Dry, Scaly Patches On The Skin Indicate?

Hello, my name is Dr.Dorina Gurabardhi. I understand your concern. Your symptoms seems to be related to psoriasis. Treatment for psoriasis include: -Salicylic acid as ointment for topical treatment -Steroid-based creams. The mainstay of psoriasis treatment, steroid creams decrease inflammation, relieve itching, and block the production of cells that are overproduced in psoriasis. -Calcipotriene or calcitriol (Vectical) -containing topical ointment. Calcipotriene (Dovonex), which is r vitamin D, has proven to be effective for treating psoriasis, especially when combined with a corticosteroid cream. Some advices that I can give to you are : SUBSCRIBE Skin Problems and Treatments Psoriasis Understanding Psoriasis -- Treatment What Are the Treatments for Psoriasis? Despite the fact that psoriasis is incurable, it responds well to many topical and systemic treatments. Even people with severe psoriasis can get relief during flare-ups in about 85% to 90% of cases. Topical Treatments for Psoriasis Topical treatments are rubbed directly into the affected skin to bring local relief without the system-wide side effects of medicines taken by mouth. Topical treatments for psoriasis include: related content SLIDESHOW Psoriasis Treatment Start Salicylic acid . Some doctors recommend salicylic acid ointment, which smoothes the skin by promoting the shedding of psoriatic scales. Using salicylic acid over large areas of skin, however, may cause the body to absorb too much of the medication, leading to side effects. Salicylic acid may also cause skin irritation and weaken hair shafts, which can cause breakage and temporary hair loss. The effectiveness of these preparations are modest at best. Steroid-based creams. The mainstay of psoriasis treatment, steroid creams decrease inflammation, relieve itching, and block the production of cells that are overproduced in psoriasis. Stronger preparations, which are more effective than milder ones, can cause side effects that include burning, dryness, irritation, and thinning of the skin. Be especially careful to follow your doctor s instructions on their use. Calcipotriene or calcitriol (Vectical) -containing topical ointment. Calcipotriene (Dovonex), which is r vitamin D, has proven to be effective for treating psoriasis, especially when combined with a topical corticosteroid cream. It s best to use only limited amounts to avoid side effects. Coal-tar ointments and shampoos. These products can help slow the rapid growth of skin cells and alleviate symptoms, but some people are vulnerable to the side effects, especially folliculitis, a pimple-like rash affecting the hair follicles. These medicines should be used only under a doctor s supervision. related content SLIDESHOW Home Remedies for Psoriasis Start Prescription retinoids. These topical preparations containing a synthetic form of vitamin A can help improve psoriasis. These preparations don t work as quickly as steroids. Topical retinoids can sometimes cause dryness and irritation of the skin. Light Therapy for Psoriasis Even regular doses of sunlight -- not enough to produce sunburn -- can help psoriasis lesions in many people. For persistent, difficult-to-treat cases of psoriasis, many doctors recommend light therapy. One of the most effective treatments is PUVA (the drug psoralen combined with ultraviolet A, or UVA, light). However, this form of therapy is used far less often today, because it has been shown to increase the risk of developing skin cancer -- even decades after stopping this therapy. Some doctors may prescribe ultraviolet B light (UVB) treatment using a light box alone or with other therapies such as coal tar. A more targeted ultraviolet light treatment, called narrow-band UVB therapy, is less carcinogenic than PUVA and almost as effective. Oral Drugs for Psoriasis When other treatments fail, some doctors prescribe oral drugs to treat psoriasis. Some of these medications affect the immune system. One such medication, methotrexate (also used as a chemotherapy drug for cancer and for various forms of arthritis), can produce dramatic clearing of the psoriasis lesions. However, it can cause side effects, so the prescribing doctor should perform regular blood tests. Another medication of this type is cyclosporine. related content SLIDESHOW Psoriasis Treatment Start Oral retinoids, compounds with vitamin-A-like properties, can be mildly helpful to people with severe psoriasis. Women of childbearing age need to use birth control with this medication and for three years afterwards, because it is associated with an increased risk for birth defects. Newer treatments for people with severe psoriasis and psoriatic arthritis are now available. Several biologic drugs, which are made from human or animal proteins, focus on controlling the body s immune response. These drugs are quite effective but are extremely expensive and include adalimumab (Humira), adalimumab-atto (Amjevita), a biosimilar to Humira, brodalumab (Siliq) etanercept (Enbrel), etanercept-szzs (Erelzi), ixekizumab (Taltz), secukinumab (Cosentyx), and ustekinumab (Stelara). Natural Psoriasis Treatments If medications fail to relieve the symptoms of psoriasis or cause unwanted side effects, people may try natural remedies, such as herbs and vitamins, for relief. Some people with psoriasis find natural sunlight and ocean water helpful. Some seaside resorts offer special programs for people with psoriasis. If you are considering natural remedies for psoriasis, here s what you should know about some of the more commonly used remedies: -Aloe vera as atopical cream -Fish oil. Fish oil may be helpful for psoriasis when taken orally. Daily oral fish oil supplements containing 1.8 to 3.6 gr may bring some improvement. -Dead Sea salts. Bath solutions, such as Dead Sea salts, oil, oilated oatmeal, or Epsom salts can help psoriasis by removing scales. Hope my answer was helpful, if you have any other questions I ll be glad to help, thanks!