Biologics. Methotrexate, Cyclosporine and biologics such as Enbrel, humira, stelara (ustekinumab) can be used to treat erythrodermic psoriaisis. The skn is red without the typical scales seen in plaque psoriasis. Methotrexate can be used initially and then depending on response transtioned to biologics. It is best to avoid systemic steroids because psoriasis will flare when they are stopped.
Psoriasis. This can be a life threatening condition. Speak with your dermatologist if you have not done so recently. Initial treatment usually includes medium-potency topical steroids and moisturizers combined with wet dressings, oatmeal baths and bed rest. Antibiotics may also be used. It is important to restore and maintain fluids in the body.
How effective is hydroxyurea compared to methotrexate to treat severe erythrodermic psoriasis if biologic treatment is not possible?
Not valuable. Hydroxyurea has little value for psoriasis. Methotrexate is the best option other than the biologics.
Psoriasis. You can use a very mild cortisone lotion if you have erythrodermic psoriasis. This is a severe problem. I hope you are under the care of a dermatologist.
Age 70, dm for 30 yrs and ckd. Proteinuria. Recently his erythrodermic psoriasis has covered 30% areas. Dr. Is confused. Subcu methotrexate?
Yes. Methotrexate is often a very effective treatment for psoriasis as are the biologic agents.