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question:hi,i am xxxx..age 26 years..i have been suffering from psoriasis for 5 yeas...today I noticed that it spraed in my back portion..doctor told me that it is treatable but not curable..it feared me a lot...if it spread all over my body...can you please suggest me if that is not curable..how can I get rid of this??my email address is YYYY@YYYY ...
answer:Hi,I can understand your concern for psoriasis which is spreading to entire body.Psoriasis is a long running disease and needs proper best treatment. It is due to fast renewal process of the skin.Methotrexate is the mainstay of the therapy but has its own blood and liver related side effects. Always take it under dermatological advise other wise can cause serious side effects.You should start it after dermatological supervision and complete blood counts and liver function tests.Topical steroids such as clobetasol can be used in combination with moisturizing cream.Take care.
question:a while ago my doctor said i had psorasis after looking at my skin because i repeatedly was getting sick and needing antibiotics because of the virus. shortly after i went to a dermatologist to talk about my skin and flakes in my eyebrows and hair. mentioned what my doctors said about psoraisis. she said no just dandruff. a little insight would be nice as to why now a year later my scalp is always itchy and completely covered in dandruff or flakes or whatever it is. im of black, i wash my hair every week. i grease it . i scratch the dandruff off. idk whats going on.
answer:Hi. Thanks for posting your concern at HCMSeborrhoeic dermatitis OR Dandruff can affect the scalp, face(eyebrows, eyelashes, sides of nose, chin), chest, back and area behind the ear etc.Clinically it presents as itchy, ill-defined erythematous lesions with adherent greasy and yellowish scaling which when scrapped or picked with nails oozes sticky liquid.Keeping the scalp clean with either daily OR alternate day shampooing and avoidance of greasy products on scalp helps in resolving the condition.I advice my patients of seborrhoeic dermatitis to use an anti-fungal shampoo twice OR thrice weekly(can also be used once OR even twice daily depending upon the requirement).If shampoo is not enough i ask my patient to use a topical steroid lotion twice daily for 2-4 weeks.Once the scaling and erythema subsides it is important to stop the steroid lotion but continue with an anti-fungal shampoo for maintaining the improvement.take careregards
question:HiI have a couple of spots of dry skin that are starting to concern me. The largest spot is about 2 inches in diameter on my left leg. It is over an old childhood scar from an injury that caused a dent or missing bone in my femur. I have a couple of other dry spots on the same leg and one on the other leg. The other spots are only about a 1/2 inch in diameter. There is also dry skin on my hip bone, right around my jeans' waistline. All of these spots are incredibly itchy and scaly, but do not have any puss visible. Itching inflames the skin. My back is also very dry and occasionally itches. A cream with cortizone calms the itching, but it concerns me that the skin hasn't healed in over a month. I'm not sure if the location of the main spot is of any importance. I have not seen a doctor for this. It seems different than eczema, but I am not sure. I have not started any new medications and not made any changes in my diet. I do not take any medication regularly. I have been told that I am anemic, but am not on any medical regime.
answer:Hello and welcome to HCM,I read your query and understood your concern about the itching spots. It is very difficult to make a diagnosis without a picture, but your description points towards psoriasis. Around the jeans waist line psoriasis like lesions are commonly seen due to phenomena called koebner's. Cortizone is a topical steroid commonly used to relieve symptoms of itching. I'd suggest you to continue it. Apply a lot of moisturizer over the skin when the skin is still damp after a wash/ bath.Consult a dermatologist as soon as possible to assess the severity of existing lesions and directing on the proper treatment modality.
question:HI , This is GANGA having psoriasis for almost 10 years ,, showe to multiple doctors in multiple cities and state , but no improvement , currently usin PROPYSALIC NF ointment but it has only to control scaly patches but not cures completely , i have to keep on applying on the area where ever red scaly patches comes... if i donot apply for 3 days same patches gets bigger and makes to get irritated . Need suggestion/consultation where any kind of treatment controls/deminishes the psoriasis Thanks GANGA
answer:Hi,You are having psoriasis vulgaris, which is a chronic and relapsing disease. It is an autoimmune dermatosis with genetic tendency.Exact cause is not known. There are so many factors which precipitate or exacerbate the disease. Stress,anxiety,dry weather,poor immunity,trauma, friction,drugs..etc may be responsible. Methotraxate is a drug of choice. 15 mg per week in three devided doses at 12 hours may be taken. Anxiolytic like fluoxetin 10 mg daily will relax you. Continue to apply the oint you are applying... If you have scalp lesions, do shampoo with tar containing shampoo. I hope you may get good result. Do not worry of relapses. Whenever you have relapse, start again. The time will come for complete relief...ok Good wishes..Dr. Ilyas Patel MD
question:Hi, I have a small red spot on my butt cheek, it has been there for a roughly 2 months and I thought it was a pimple and tried to pop it but it just bled and seemed to get more swollen. I then thought it was psoriasis so I started putting moisturizer on it, it has gotten smaller but is still red. I'm not sure what it is.
answer:Hi red spot on buttocks bleeding on popping and decreasing by appling moisteriser indicates it is psoriasis.apply dipsalic ointment along with moisteriser it subsides.we can use intralesional steriods for a dolitary lesion.take atarax 25 mg at night to relieve from itching.
question:If you think you have rheumatoid arthritis do you benefit greatly from going through the medical stuff or can I expect to progress the same as I would, not get worse faster from just living with the pain without taking medicine. See I have psoriasis and when it came upon me at about 26 and the steps I see by reading about the condition are very similar as to what I went through then. Now I just live with the condition with minimal medical attention. So I figure the methotrexate I went through back in 1996 would turn out the same - something I don't want to go through.
answer:hi yes methotrexate helps in both psoriasis and rheumatoid arthritis.it should be used in the dose of 7.5 mg in a week for 4-6 weeks to see visible response.it is used in psoriasis only if more than 25 percent of body is involved.folvate is to be used to decrease side effects of methtrexate