This book describes Psoriasis, Diagnosis and Treatment and Related Diseases
Last week I saw a new patient who was referred to me by another skin patient.
She had psoriasis for the past 3 years and had seen many doctors for her psoriasis without improvement.
She is slightly obese, 55 years of age and Malay.
She has psoriasis all over her body except for the face and hands.
The psoriatic rashes were covered up as she did want any one near to see her in that state.
Among the medicines that she was given were methotrexate tabs and prednislone tabs.
She was given some moisturizer to apply on her rashes.
She did not know what could have triggered her psoriasis.
There were no severe infections or injury before the onset of her psoriasis.
However she was particularly stressed about her husband's gambling and drinking problems.
There was no food or soap allergy.
The first thing that I advised was to rest and not be stressed about her husband because stress is one of the causes of psoriasis.
The second thing was to lose some weight because it has been shown that psoriasis is aggravated by obesity and over weight.
She has to control her diet to lose some weight.
The third thing was to expose her arms and the rest of the body to some sunlight at home since the face and uncovered areas of the body were not affected.
Probably her skin may benefit from some UV sunrays exposure.
The fourth thing was to give her steroid cream to apply on her skin thinly.
I also advised her to use coal tar soap for bathing or use an oatmeal bath which is good for removing the scales on the skin
Finally I gave her methotrexate injection in low dose.
Apparently the methotrexate tablets she was given did help to improve her skin but she had some nausea after taking after a few days so she stopped the oral tablets herself and changed to another doctor.
She was also given low dosage of dexamethasone and antihistamine and advised not to scratch her rashes. Scratching is one of the worst things to do in any rashes because it always aggravates the skin condition.
She was also told to drink lots of water which always help to flush out toxins from the body.
She was told to see me after 2 weeks

While there is still no recovery for psoriasis, new treatments now permit millions of people who live with this inflammatory skin disorder to sport short sleeves once again.
One expert even called it the most unbelievable time in the treatment of psoriasis.
Interleukin blockers
For the first time, the newest biologics can transform someone from having psoriasis to no psoriasis.
The skin is completely clear
Administered by shot or intravenous (IV) infusion, biologics are kept in reserve for people with moderate to severe psoriasis.
The newest group of biologics gets even more specific in their focus, making them that much more effective and safe.
The most interesting new treatments for psoriasis are Tremfya, Cosentyx, Siliq, and Taltz
They clear most patients who obtain them and have very few side effects
There are some new combinations of topical steroids and vitamin D that have interventions against the inflammation and scaling of psoriasis
Taclonex ointment is a once-daily medicine for psoriasis that is given for up to eight weeks to treat scalp and body plaque psoriasis
Weight loss
Psoriasis being more than skin deep has made weight loss a main part of treatment.
Weight loss works wonders
Phototherapy has been an important part in psoriasis treatment but today's treatments are more effective and safer.
Narrowband ultraviolet B (UVB)...