in quite a few cases and therefore require long term medication.
As a first step, medicated ointments or creams like corticosteroids, cvutamin D analogues, anthralin, etc, called topical treatments, are applied to the skin.
If topical treatment fails to achieve the desired goal then the next step is to expose the skin to ultraviolet (UV-B) radiation or PUVA therapy (PSORALEN +UV-A). This is called phototherapy.
The third step involves the use of medications which are taken by pills or injection including methotrexate, cyclosporine and retinoids.. This approach is called systemic treatment.
Over time, psoriasis can become resistant to a specific therapy. Treatments may be periodically changed to prevent resistance developing.