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Doctor insights on: Moderate Psoriasis

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Doxycycline and Topical Clobetasol Propionate for guttate psoriasis flare-up, back and shoulders have stubborn & unresponsive "folliculitis" now?

Doxycycline and Topical Clobetasol Propionate for guttate psoriasis flare-up, back and shoulders have stubborn & unresponsive "folliculitis" now?

I'm sorry: but this is the type of specific problem about which helpful advice can only be given if a specialist in psoriasis has the opportunity to examine you and your skin and review comprehensively what treatment has been given and it's effectiveness. Only then can further suggestions for treatment be given. Please continue working with your Dermatologist or get a 2nd opinion. Good wishes:) ...Read more

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Dr. Thomas Namey
1,032 doctors shared insights

Psoriasis (Definition)

An autoimmune disease that causes itchy, thickened, skin lesions on the skin, nail changes, and occasionally joint arthritis. ...Read more


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Any good sunscreens recommended for people with moderate atopic dermititis?

Any good sunscreens  recommended for people with moderate atopic dermititis?

Yes: A good sunscreen is recommended for everyone regardless of the status of your skin. A good moisturizer is even more essential but do apply it immediately after bathing. ...Read more

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Is guttate psoriasis worse than regular psoriasis?

Is guttate psoriasis worse than regular psoriasis?

Guttate psoriasis: Guttate psoriasis is a sometimes fast spreading psoriasis which involves small lesions with a very fine scale. This can be associated with a strep throat which should be completed treatment to allow the treatment for psoriasis to work. ...Read more

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Can beetroot reduce methotrexate side effects in a psoriasis and psoriatic arthritis patient?

Can beetroot reduce methotrexate side effects in a psoriasis and psoriatic arthritis patient?

Not really!: Beet root is high in folic acid, but we routinely give Folic Acid to patients on methotrexate, usually 2mg/day. This would be overkill, and add unnecessary expense! ...Read more

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Treat psoriasis with cyclosporine?

Treat psoriasis with cyclosporine?

Last resort: Cyclosporine is an effective treatment for psoriasis - but it is usually used only when all else has failed, because it is toxic to the liver and kidneys, among other things, and weakens the immune system. It should never be taken without close monitoring by an expert in its use for that purpose (usually a dermatologist). ...Read more

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I'm diagnosed with severe ulcerative colitis and also severe psoriasis. Is there any connection?

I'm diagnosed with severe ulcerative colitis and also severe psoriasis. Is there any connection?

Yes!: People with uc have increased rates of psoriasis have much greater rates of uc and crohn's. Bywater, an english physician, recognized this in the 1960's. There is a strong immune link! ...Read more

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Prescribed plaquenil (hydroxychloroquine) for P.A.- mild psoriasis + other conditions+strong fam history, what are chances of severe psoriasis outbreak from drug? Thanks!

Prescribed plaquenil (hydroxychloroquine) for P.A.- mild psoriasis + other conditions+strong fam history, what are chances of severe psoriasis outbreak from drug? Thanks!

I am not sure what : P.A. is. I personally do not use plaquenil (hydroxychloroquine) for psoriasis as it has been link with causing flare or outbreak for psoriasis. I would recommend to choose other DMARDs or biological esp there are a lot of choices now. ...Read more

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Does mild-moderate crps fall under mononeuritis complex?

Does mild-moderate crps fall under mononeuritis complex?

No: Mononeuritis by definition is damage to 1 or more peripheral nerves, crps involves damage to the spinal cord. ...Read more

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What's more effective for pustular psoriasis, methotrexate or enbrel (etanercept)?

What's more effective for pustular psoriasis, methotrexate or enbrel (etanercept)?

Both: Both can be effective, personally i feel Enbrel (etanercept) is safer. There are other options. Talk it over with your dermatologist. ...Read more

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Non itchy skin color raised patch no scale over both elbows & knees, all of same duration treated with mild steroid no response. probable diagnosis?

Non itchy skin color raised patch no scale over both elbows & knees, all of same duration treated with mild steroid no response. probable diagnosis?

Difficult to know: A chronic rash is difficult to diagnose without more information about you and visualization of the rash. A Virtual consult may help. With the information given, granuloma annulare comes to mind. Usually there is a central depression within a ring sized flesh colored patch. If stretched, you will likely see smaller papules. They sometimes herald thyroid disease. Low potency steroids fail. ...Read more

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Do cures for psoriasis and seborheic dermatitis such as"temovate" cause cancer?

Do cures for psoriasis and seborheic dermatitis such as"temovate" cause cancer?

Not directly: As an anti-inflammatory drug some immunosuppression may occur and as such cuold contribute to cancer development in affected individuals who have other risks for cancer. ...Read more

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How to cure psoriasis?

Psoriasis: There is no cure for psoriasis only control. There are prescription topical steroids. There are intralesional steroid injections. The biologics like Humira, Enbrel, Remicade, (infliximab) and Otezla are very effective at treating psoriatic arthritis and also the skin lesions of psoriasis. Patients with psoriasis are also prone to cardiovascular disease but the biologics help reduce this. ...Read more

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Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Occam's Razor: Usually Systemic Sclerosis and/or limited Scleroderma is not characterized by arthritis like you describe. The typical biomarker the anti Scl-70 (anti-topoisermorase). Symptoms have to be put into context and better described than elbow and forearm pain. This one you should see a rheumatologist about. Dermatology would be useful as well. Best of luck! ...Read more

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Treatment for chronic pompholyx eczema on my hands. Photochemotherapy in 2008. Chronic symptoms occuring. Have tried diet changes naturak therapies.

Treatment for chronic pompholyx eczema on my hands. Photochemotherapy in 2008. Chronic symptoms occuring.  Have tried diet changes naturak therapies.

See a dermatologist: No "natural" remedies will help you. This is a meaningless term used to reel in the suckers. You probably need clobetasol cream. Don't smoke. Avoid more than 1 alcohol drink per day. ...Read more

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Is it safe to use vaseline on moderate plague psoriasis during pregnancy?

Is it safe to use vaseline on moderate plague psoriasis during pregnancy?

PSORIASIS: There's no problem using vaseline at all. Only for lubrication, no therapeutic effect. For psoriasis, it is better to use vitamin d ointment or a potent steroid cream. ...Read more

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How well does humira (adalimumab) actually work for psoriasis? And what does it mean to be moderate/severe?

How well does humira (adalimumab) actually work for psoriasis? And what does it mean to be moderate/severe?

Well enough: Humira (adalimumab) targets the tumor necrosis factor (tnf) which is involved in inflammation and immune response. However when there is too much, the target may get damaged. Psoriasis involving mainly the skin, phototherapy may be helpful. But for arthritis, Humira (adalimumab) (and other tnf inhibitors) is a good option. They all have similar side effects- the risk of severe infection. Good luck to you. ...Read more

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What is psoriasis?

Skin condition: Psoriasis is an inflammatory skin condition probably on an autoimmune basis. ...Read more

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How to cure psoriasis?

Psoriasis: There is no cure for psoriasis only control. There are prescription topical steroids. There are intralesional steroid injections. The biologics like Humira, Enbrel, Remicade, (infliximab) and Otezla are very effective at treating psoriatic arthritis and also the skin lesions of psoriasis. Patients with psoriasis are also prone to cardiovascular disease but the biologics help reduce this. ...Read more

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What causes psoriasis?

What causes psoriasis?

Inherited: Psoriasis is an inherited inflammatory condition that waxes and wanes. Treatment is generally directed towards control of symptomatic flares. Although no cure, there are many treatment options to help you stay reasonably clear. These include topical steroids, vitamin d derivatives, oral medications, phototherapy and biologics. Your doctor will recommend treatment based on the extent of disease. ...Read more

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How to cure psoriasis?

How to cure psoriasis?

Sorry but you don't: Sorry but we don't currently have a cure for psoriasis. We can offer various treatments to help you get the symptoms under control but that's not the same as curing you of this condition. Check out https://www.Psoriasis.Org/ and http://www.Mayoclinic.Com/health/psoriasis/ds00193 for more info on this condition. Then chat w/your dermatologist about what's right for you. ...Read more

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How to cure psoriasis?

No cure exists: And probably will not in our lifetimes. There are many ways to manage it with medications, including the new biotech stuff. ...Read more

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Is all psoriasis alike?

Is all psoriasis alike?

Psoriasis alike: Psoriasis can be mild or severe; it can affect only one part of the skin; it can affect the nails; it can aggect the genital; it can affect the mucous membranes. It can affect the scalp. It can itch; it can burn. It truly id a heartbreak. ...Read more

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Does psoriasis go away?

Does psoriasis go away?

YES, remission: Remission of psoriasis is possible but usually depends upon the severity : so the more severe cases may be less likely to resolve completely but may improve over time. It is best to see a dermatologist and follow their treatment plan. ...Read more

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Can psoriasis be spread?

Yes: It is not contagious but new spots can develop on presently normal skin. A number of factors can be triggers including stress, strep infection, or wheat allergy. More extensive cases can be treated with ultraviolet light, internal medications or biologics. ...Read more

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How common is psoriasis?

How common is psoriasis?

2 percent: About 2 per cent of the population have psoriasis, most have a mild case which can be treated with cream only. More extensive cases can be helped with laser, sunlsmp or internal drugs. ...Read more

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How is psoriasis treated?

Anti-inflammatories: Modulating anti-inflammatory medications such as corticosteroids and coal tar. Light therapy is also helpful for dermal symptoms. ...Read more

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Is psoriasis transferable?

No: Psoriasis is not contagious , and can't be transferred from one person to another. ...Read more

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How can you get psoriasis?

Inherited: Psoriasis is generally inherited, though there are also many sporatic cases. It is an immunological condition that causes skin to be thickened and inflamed. It is not curable. Treatment is generally to contain the disease. If localized, it is generally controlled by topical steroid and vitamin d derivative creams. ...Read more

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Do foods affect psoriasis?

PSORIASIS: No. Cause is unknown. Triggers are: truma, infection, certain drugs. ...Read more

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How did you get psoriasis?

Psoriasis: No one knows for sure. Most think it is an autoimmune disorder. It can be genetic and run In families as well. Treatment is fairly easy for the most part. ...Read more

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Is there cure of psoriasis?

No: While there are effective topical and systemic treatments for psoriasis, there is no permanent cure. Some patients seem to have spontaneous remission, which can last indefinitely. ...Read more

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