HomeAnswersDermatologypsoriasisI have been suffering from psoriasis for the past five years and have red, dry, inflamed skin patches with silver-white scales. Please help.

Can psoriasis cause dryness, redness, and white scales on inflamed skin?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At December 6, 2023
Reviewed AtDecember 6, 2023

Patient's Query

Hello doctor,

I have been suffering from psoriasis for the past five years. The symptoms are dry, red, elevated, and inflamed skin with silver-white scales covering the red regions of the skin. Please help.

Thank you.

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

I have read the query, and I can understand your concern.

You have nummular dermatitis (discoid) or chronic plaque psoriasis. This condition develops due to unknown causes and is characterized by chronic recurrent discrete coin-shaped red patches covered in silvery scales over the limbs and trunk. Occasionally difficult to distinguish from dermatitis. I suggest the following measures:

  1. Avoid painkillers and hypertensive medications as they may aggravate psoriasis.

  2. Avoid massage, topical irritants, and ayurvedic or homeopathic medicine that could worsen the condition.

  3. Avoid excessive cleaning or degreasing of the skin, and use mild soaps or cleaning lotions.

I suggest the following treatment:

  1. Moisturizers - Emollients alleviate itching due to dry skin. Emollients are directly applied to the skin, such as Suncros Soft Lotion (Cyclopentasiloxane, Zinc Oxide, and Methicone).

  2. Topical steroids are combined with salicylic acids like HH Salic ointment (Mometasone and Salicylic acid) or Diprovate Es ointment (Betamethasone) twice daily if your body surface area involvement is less than 10%.

  3. If more than you may require oral therapy form of antimetabolite or nbUVB (narrowband ultraviolet B) phototherapy.

Please get a review with a picture for better evaluation and the best possible treatment of your concern. Consult a specialist doctor, talk to them, and then take the medication.

I hope this will help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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