Conversation: The conversation between human and AI assistant.
[|Human|] hi sir,im suffering from psoriasis last 6 yrs i came to all hospitals nd ate all english medicines but no use in tht now im going to ayurvedic ter also no use in tht it will be paining more nd rashes are in the leg and arms wht i can do bcz of this i can t concentrate anything freely nd i can t do my job properly so plz give me ur suggestion soon doc
[|AI|]  Hello and welcome to Chat Doctor I can understand your concern and frustration and I will try to guide you to the best of my knowledge. Psoriasis is characterized by the presence of well-defined, thick scaly plaques mainly involving the scalp, and extensor surfaces like elbow, knee, lower back etc. The disease has a chronic course and the course is fluctuated by remissions and relapses, however there is no permanent cure for psoriasis. Specific topical treatment options for psoriasis plaques consists of ointments containing potent steroid with or without salicylic acid. These are available in ointment form for plaques involving the body and as lotions/gels/foam form for scalp psoriasis. Topical vitamin D analogues like calcitriol, calcipotriene etc. are also effective for localized plaque psoriasis. Besides specific remedies for psoriasis, moisturizers form an important part in the management of psoriasis because of the thick scaly nature of the plaques. Moisturisers enhance the penetration of topical active ingredients as well as prevents or delays side effects like skin atrophy etc. Unlike extensive psoriasis disease for which both oral and topical treatment is required, for limited disease topical treatment alone is effective. Phototherapy, particularly NB-UVB phototherapy is one of the several treatment options for psoriasis. It is effective and well tolerated by most. Moreover, NB-UVB Phototherapy is one of the safest options for treatment of psoriasis and can also be used even in pregnant females as well as child Chat Doctor. Other treatments for widespread disease includes Immunosuppressive like methotrexate, cyclosporin. Oral retinoids e.g. Accretion can also be used for widespread psoriasis either alone or together with phototherapy. Hope this helpsRegards