Conversation: The conversation between human and AI assistant.
[|Human|] my 6 & half yr old daughter is having psoriasis patches on knees,elbows,scalp,neck,etc...she is suffering since last 9-10 mnths..on & off it flairs up & then settles..we used salibet med..the 1st time we used it ..it worked wonders but now we see no improvement..rather the patches r spreading..pls advise...thank u
[|AI|]  Hello and welcome to Chat Doctor Psoriasis is a long term disease. It can be treated with topical steroids, but it can recur. Other treatment option is PVA therapy also known as photochemotherapy in which an ointment is applied to skin which make it sensitive to UV light. After that phototherapy is given by exposing affected part of skin with psoriasis. This treatment can be done at psoriasis/dermatologist clinic or at home with Phototherapy unit. I would advise starting this treatment after discussion with your dermatologist. This treatment along with topical steroids and vitamin D is of enormous benefits. For more resistant disease other options like immunosuppressive Chat Doctor. G methotrexate can be started by your dermatologistThank you for using Chat Doctor. Good luck!