What is the best approach to manage psoriasis?

Question

Hello doctor,

I am reaching out regarding my 28-year-old son, who has been dealing with psoriasis for nearly three years. Initially, he had a couple of red, dry patches on his scalp, but now it spread to his chest, lower back, and thighs. He has intense itching, pain after showering, and dandruff-like scaling. Recently, small red spots have also appeared, which he says started after strep throat a few months before this condition developed. He has been using over-the-counter shampoos with salicylic acid and tried a topical steroid (Clobetasol), but the relief is minimal. What is the best approach to manage his condition and improve his quality of life?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Usually, psoriasis treatments aim to stop skin cells from growing so quickly and to remove scales. Options include creams and ointments (topical therapy), light therapy (phototherapy), and oral or injected medications.

Which treatments you use depends on how severe the psoriasis is and how responsive it has been to previous treatment and self-care measures. You might need to try different drugs or a combination of treatments before you find an approach that works. Even with successful treatment, usually the disease returns. So it is better to visit a nearby healthcare provider and seek his advice after he studies your son’s condition, he will give an ideal combination of therapy suitable to your son's needs.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.