Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor I have been sufferring from Psoriasis on my palm, fingers and feet from last 10 yrs. I have tried several medicines but nothing helps me other than Topisal 6%. I have recently had a flare up which is bad. My figers are all scaly and itchy. I have been applying topisal 3% but its not working. Could you pls suggest what can do to get relief from the scales and itch. Thanks
[|AI|]  Hello. Thanks for writing to us at Chat Doctor Psoriasis affecting palms and soles is debilitating, hindering routine activities; it is responsible for significant social stigma as well. The psoriasis patches on palms, soles are Chat Doctor. It is well tolerated and is given in weekly doses. Methotrexate can be combined with topical treatment to hasten the resolution. However, methotrexate requires monitoring for side effects by blood tests (hologram, Liver Function tests)I would suggest that you speak to your dermatologist for the needfulRegards