Psoriasis Treatment

[snowball1982]

Dear Doctor,

i first had Psoriasis on my back. then it moves to my scalp, and now on my ear. I have tried lots of medicine such as Nizoral and Polytar Liquid but no effect at all. it makes me really uncomfortable. is it untreatable? could you give me some advices to reduce or stop the disease transmitting. Thanks you very much!

SB

[snowball1982]

Thanks Doctor for the response. Today, i visited dermatology doctor and was diagnosed to be Seborrheic Dermatitis. She gave me 3 kinds of medicine consisting of (1) Haicneal Shampoo encompassing Kentoconazole 15mg, Clobetasol Propionate 0,25mg and Excipients; (2) Dipolac containing Betamethasone Dipropionate 9,6mg, Gentamicin 15mg and Clotrimazole 150 mg; and (3) 10 capsules Laratadin Stada 10mg in 10 days.

She said this disease would never end and recurred many times. could you please confirm this is true? and the medicine above are good to my disease?

Thanks a lot!

SB

[Dr_Smita_S]

Hi

Thanks for writing in.

The exact cause of psoriasis is still unknown. A combination of factors, including genetic and environmental factors is involved. The immune system is thought to play a major role. T cells are a type of white blood cell that usually protects the body against infection. In psoriasis, the T cells wrongly attack body’s skin cells instead of bacteria and viruses. This altered immune response leads to swelling and rapid overproduction of skin cells.  This leads to swelling and fast turnover of skin cells.

Treatment should be under supervision of a specialist. It involves topical treatments, light therapy and oral medications. Topical psoriasis treatments include topical corticosteroids, vitamin D analogues, anthralin, topical retinoids and coal tar. Phototherapy involves sunlight or the use of artificial ultraviolet A (UVA) or ultraviolet B (UVB) light either alone or in combination with medications. Oral treatment like retinoids, Methotrexate and azathioprine are used in severe psoriasis which doesn’t respond to other therapies.

Hope it helps. Take care