PSORIASIS
Essentials of Diagnosis
It is a familial, chronic, recurrent disease of unknown
origin.
•
Well circumscribed erythematous dry plaques of various
size covered with mica like silvery scales.
•
Removal of scales may expose a thin membrane giving
rise to pinpoint bleeding points.
•
Extensor aspect of extremities especially elbows,
knees, occiput are the commonly affected sites.
Treatment
o
Removal of precipitating cause if known.
o
Warm climate helps to check relapse.
o
Coal tar local application.
o
Vitamin B1, B6, B12 IM may be helpful.
o
PUVA therapy.
•
Steroid ointment under occulsive dressing is
helpful, i.e. Betnovate-N or Flucort-N.
o
Methotrexate orally in resistant cases.
•
Acute psoriasis: Cap Doxycycline 100 mg bd × 10
days. Tennovate or Excel cream twice a day for 14 days.
Chronic psoriasis:
•
Salicylic acid 3 parts. Benzoic acid 5 parts.
•
Imulsifying ointment to 100.
•
To be applied on lesions twice a day.
o
Whitfield’s ointment or Pragmatar cream at
night.
o
Diprovate or Cortilate cream or Elocon ointment
locally once a day for a month.
