How is scalp psoriasis that has spread treated?

Question

Hi doctor,

I have been suffering from scalp psoriasis for the past four years. I have consulted many doctors but did not get good results. Initially, it appeared only on my scalp, but gradually it started spreading in the back, knee, etc., I have used many shampoos like Ketoconazole shampoo and some ointment on the spot of the lesion, but it still keeps spreading. Kindly suggest some medicines. Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I went through your query and understood your concern. Psoriasis is a chronic immune-mediated skin disease. It may have a remitting and relapsing course. The treatment depends on the extent of body surface area (BSA) involved. Several topical and oral remedies available for the treatment of psoriasis-like coal tar (a by-product of coke and coal production), steroids with or without Salicylic Acid ointment, Calcipotriol or Calcipotriene (synthetic vitamin D2 derivative) ointment, Methotrexate (immune system suppressant), Acitretin (oral retinoid), phototherapy, Cyclosporine (calcineurin inhibitor), etc. Kindly upload a few images of the affected area so that I can guide you better about the management of psoriasis. However, I first need to assess the extent. Also, let me know the details of the ointment you have tried. I hope this was helpful.