Psoriasis Treatment in Bangalore

The treatment for psoriasis we provide is unique to you, just like your skin. Boost both the health and radiance of your skin.

What is Psoriasis?

Psoriasis is a disease where skin cells run amok. Normally the skin renews itself in about 24 days which is the time taken by skin cells to work their way from the inner most layer to the surface of the skin. However in cases of Psoriasis the cells reach the surface in just 3-4 days. This causes a huge cluster of thick skin flakes to accumulate on the surface of the skin giving rise to typical appearance in psoriatic lesions.

Psoriasis affects the extensor surfaces of the body, such as the knees, elbows, and ankles. Additionally susceptible are the scalp, hands, feet, and nails. It typically appears as scaly, red to dark patches of skin on the affected area. Even though it is a common ailment, the affected person may experience significant social discomfort.

Although most cases of psoriasis flare-up in winters, summer flare-ups are not uncommon. Summer flare ups are commonly found in people who are allergic to the sun and UV radiation.

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Symptoms of Psoriasis

The psoriasis symptoms differ from person to person and depend on the type of psoriasis. The most common symptoms are:

  • Red, raised and inflamed lesions
  • Silvery white scales
  • Dry skin that easily cracks and bleeds
  • Small reddish pink spots
  • Burning and Soreness of skin
  • Pitting & discoloration of nails
  • Painful swollen joints

Itching  –  Psoriasis Itch is the principal and the most bothersome complaint amongst psoriasis patients. This was confirmed by a survey conducted by the National Psoriasis Foundation. Most patients who participated in the survey were of the opinion that if the itch were to be removed they would be at much ease with the disease. The itching is severe enough to cause sleep disturbances, inability to concentrate and mental depression. In addition, the trauma caused due to itching leads to new lesions. Psoriasis patients often have difficulty finding a suitable remedy for their itch. And often the kind of medicines that are required to curb the itching causes drowsiness.

Not every person will experience all of the above symptoms. Some people may have fewer symptoms depending on the type & severity of their psoriasis.

What are The various types of Psoriasis?

There are many different types of Psoriasis. Finding out which type is an important step towards treating it effectively. The type of psoriasis depends on the location, severity and appearance of the symptoms. Often people may have more than one type of psoriasis at a time.

This is the second most common type of psoriasis after plaque psoriasis. It appears as small pink spots on the skin. Guttate psoriasis often starts in childhood or in young adults. It can be triggered by a streptococcal throat infection. It is usually found on below areas
Trunk

Arms

Thighs

Legs
This type is seen as bright red, smooth & shiny patches with no scales. Inverse psoriasis is often seen in association with another type of psoriasis elsewhere on the body at the same time. It occurs on skin folds and worsens with sweating or friction caused by tight clothing. It is commonly seen on below areas
Behind ears

Armpits

Under breasts

Groin & Skin folds
Pustular psoriasis is characterized by pus filled lesions surrounded by red skin. The lesions are neither infectious nor contagious. They can be found on one or two localized areas or in a generalized form all over the body. The generalized form can be serious; the patient may suffer from fever and chills and may need immediate medical attention. It is seen on below areas
Hands

Feet

Extensive body areas

Erythrodermic psoriasis is a particularly severe form of psoriasis that leads to widespread, fiery redness over larger areas of the body. It can cause severe itching, pain and make the skin come off in sheets rather than small scales. Apart from the skin, the Erythrodermic psoriasis can disrupt the whole body chemistry. It can cause the skin to lose its ability to control body temperature leading to wild temperature fluctuations. This may cause fluid retention which causes swelling especially in the ankles. In severe cases people may require hospitalization.
Nail psoriasis can change the way your finger and toe nails look. The nails may become thick and change color or shape. They may turn yellow or brown. Ridges, grooves or pitting may be seen on the nail surface. They can also become tender and hurt. Chalky white material can gather under the nail causing it to separate from the nail bed.
This is a condition where you have both psoriasis and arthritis. About 15-25% patients suffering from psoriasis are likely to suffer from arthritis. The most common symptoms are painful swollen and stiff joints that are worse in the mornings, sausage like swelling of toes and fingers.

What causes Psoriasis?

The exact cause is not known but research suggests that it is caused by a problem with the immune system

Auto-immune disorder

Psoriasis is caused by a malfunctioning immune system. The malfunction has to do with white blood cells called T cells. Normally the T cells circulate throughout the body to detect and kill foreign bodies such as viruses or bacteria. However in Psoriasis, the T cells mistakenly attack healthy skin cells and trigger an overactive immune response. This leads to increased production of skin cells which build up in thick scaly patches on the skin surface. Just what causes the T cells to malfunction in people with psoriasis is not clear. Researchers have found that genetic tendency and environmental factors play a role.

Genetics

Psoriasis is genetically inherited. Having one parent with psoriasis increases the risk of getting the disease, and having two parents with psoriasis doubles the risk. However even with a family history it is not absolutely necessary that one will get Psoriasis. Thus it is often found that people with a positive family history of Psoriasis do not suffer from it whereas people with no trace of psoriasis in the family for 2-3 generations actually suffer from it.

Viral or Bacterial Infections

Recurring throat infections such as streptococcal throat infections. The link between Psoriasis and the “long lived” streptococci bacteria has opened up wider options in treating Psoriasis. A study revealed that the remnants of streptococci bacteria which were left in the body following throat infection had the potential of causing psoriasis after a gap ranging from few months to several years. This was confirmed when the doctors found that when killed streptococcal material was injected in the skin of normal persons, psoriasis developed at the site of injection. Further confirmation of this happened when psoriatic patients started responding more favorably to an anti-streptococcal line of psoriasis treatment.

Koebnerisation

Also known as isomorphic response, refers to the development of new psoriasis lesions following injury to the skin. Studies have shown that about 50% of people with psoriasis develop new lesions due to injuries caused by simple cuts, wounds, abrasions, mosquito bites or simply scratching their skin. The local trauma exposes the skin cells to activated T lymphocytes triggering new lesions. The new lesions occur within 7 to 14 days of injury to the skin.

Stress

Skin conditions like psoriasis can be triggered by stress. Psoriasis flares very easily when people are under stress and tends to improve when they are relaxed. In fact many people can trace the beginning of their psoriasis to a stressful period in their life. The reason is simple. When one is stressed the body reacts in a way that increases inflammation. The biggest challenge is a catch-22 situation as having psoriasis in itself can be quite stressful.

Winter, cold weather or sudden changes in weather

Winter tends to be the most challenging season for Psoriasis patients. Winter brings dry air, colder temperatures and reduced exposure to sunlight, all of which make psoriasis worse.

Smoking & Heavy alcohol consumption

Nicotine and tobacco smoke can cause oxidative stress which can in turn alter the immune system and trigger psoriasis.

People with Psoriasis should drink little or no alcohol. Several studies have shown that heavy drinkers experience more severe psoriasis symptoms. Excessive use of alcohol can cause deficiency of vitamins A and E which are crucial for healthy skin. Alcohol is a diuretic, apart from dehydrating the skin it can cause liver damage. It is known to cause flare-ups and limits the effectiveness of the ongoing psoriasis treatment. These are many reasons for patients to say NO to this dangerous cocktail.

Certain medications

Including lithium, which is prescribed for bipolar disorder; high blood pressure medications such as beta blockers; anti-malarial drugs; and iodides.

How Psoriasis Specialists can Diagnose

When you consult the best doctor for psoriasis in Bangalore for treatment, they will ask you several questions related to your health. These professionals will analyze the condition of your scalp, skin, and nails.

After this, your best psoriasis specialist in Bangalore also offers a small sample of skin for analysis under a microscope. It helps them determine the type of psoriasis you are suffering from. 

The complications of Psoriasis

Psoriatic arthritis

Moderate Psoriasis does not pose major health complications as such. But if left untreated, it can often become severe and affect larger areas of the body. About 10-15% of Psoriatics are at a risk of developing Psoriatic Arthritis where there is inflammation of small joints and often deformities too.

Apart from its effect on the skin, nails and joints, Psoriasis has a tremendous impact on the mind and the quality of life. It interferes with daily activities, those that we take for granted, like going to the gym, swimming or attending ceremonies.

Low self esteem due to Psoriasis affects job performances and schooling. It affects interpersonal relations with family members as well. When it comes to matrimony, Psoriasis patients often wonder whether it is okay for them to get married. Some live in constant fear of passing on the disease to their children and panic on seeing even the smallest of rashes on their child’s skin. Such is the fear psychosis about the disease. However, Psoriasis by nature is non-contagious. It flares up with certain triggers. But at other times, the patients live an absolutely normal life. It is safe for psoriatic patients to get married, have children. They can play with children, cook for the family and even donate blood without the risk of it spreading to any other person.

A study has confirmed the increased risk of cardiovascular disease in Psoriasis patients, especially those with severe Psoriasis and in their forties and fifties. Psoriasis patients should undergo regular checks to rule out the presence of heart disease and also examine their risk factors like quit smoking, lower stress levels, decrease sodium intake and maintain normal weight.

Who can we prevent Psoriasis?

Psoriasis wellness is all about prevention rather than cure. It is about adopting a certain lifestyle to suit the body needs. Following the psoriasis wellness can help the patient experience more good days than bad ones. Lifestyle changes play an important role in the prevention and management of Psoriasis. Identifying your triggers is critical for reducing or preventing symptoms of psoriasis. It may not always be possible to prevent psoriasis symptoms. But avoiding triggers can help keep your symptoms to a minimum. Here are some things you can do to prevent psoriasis flare-ups:

Lower stress levels

Sleep well, take frequent breaks to unwind. Resorting to meditation, psychotherapy and yoga may help improve coping ability.

Avoid certain medications that trigger psoriasis

Keep your doctor informed about any prescription or over-the-counter medications that you are taking.

Prevent skin injuries

Common skin injuries that trigger psoriasis include sunburns and scratches. Taking good care of your skin can help prevent these types of injuries, like using sunscreens, mosquito repellants etc.

Avoid infections

Infections are known to trigger psoriasis and thus all precautions should be taken to prevent catching infections, like maintaining adequate hygiene, washing hands often, avoiding to share food, drinks with others, limiting exposure to people who are sick.

Exposure to Sunlight

Has a healing role in treating Psoriasis. Exposure to the early morning healing sun has shown to decrease the severity of a Psoriatic outbreak and prevent relapses. Sunlight kills the activated T cells in the skin thereby slowing the growth of skin cells and reducing local inflammation. Patients need only brief exposure just few minutes in a day. Prolonged sun exposure can make symptoms worse & damage the skin. Dietary Vitamin D is also effective.

Dead Sea bath salts

Several clinical studies have documented the healing effects of bath salts from the Dead Sea in treating Psoriasis. A substantial decrease in discomfort, itching, scaling was reported with no side-effects. The healing property comes from the Dead Sea which contains four times the amount of salt found in any ocean. Apart from salts, it is loaded with a unique blend of minerals like bromide, magnesium, calcium etc which soften the skin and provide the much needed relief from the symptoms of Psoriasis.

Eat a healthy diet

Include foods rich in omega-3 fatty acids in your diet. Several studies have shown a benefit for psoriasis patients when omega-3 fatty acids were added to their psoriasis treatment. A clear and significant improvement in Psoriasis Area and Severity Index (PASI) was seen in the group that was treated with omega-3 fatty acids as compared to the control group. Oily fish like salmons and sardines are rich in omega-3 fatty acids and so is tuna fish. For vegetarians flax seeds, sunflower seeds and sesame seeds are good sources of omega-3 fatty acids. These seeds can be stored in airtight containers and sprinkled over various foods for their beneficial effects. Consumption of folate rich foods like broccoli and cabbage also is helpful. Limit the consumption of red meat, dairy products and alcohol.

Exercise

People who are looking for yet another reason to exercise, here’s a good one. It has always been know that overweight people and smokers were at higher risk of psoriasis flare-ups. However in a study, it was found that despite being overweight and other lifestyle habits people who exercised regularly seemed to be protected against psoriasis flare-ups. The study further revealed that the lower risk was due to the fact that exercise lowered inflammation in the body in general, and body-wide inflammation is a common feature of psoriasis. Further exercise also lowers stress which otherwise is a big psoriasis trigger.

Psoriasis treatment options at Dr. Health Clinic

At Dr. Health, psoriasis treatment is decided based on severity of the disease, the extent of areas involved, the type of psoriasis and the patient’s response to initial treatments. Individual therapies offer relief but are seldom strong enough to clear lesions over the long term. Therefore, we use a combination approach to provide optimal results. We call this the “1-2-3-4” approach.  

Step 1 – Topical Applications for Itch Relief & Clearing Up Skin Lesions from the Surface – Psoriasis Itch is the principal and the most bothersome complaint amongst psoriatic patients. The itching is severe enough to disrupt sleep, impair concentration, and cause mental depression. In addition, the trauma caused by constant scratching results in newer lesions. Psoriasis patients are of the opinion that if the itch were to be removed, they would be at much ease with the disease. At Dr. Health, we use specially formulated topical applications that relieve itching and irritation by reducing inflammation and sloughing of dead skin. Apart from the conventional topical applications we also use aromatherapy-based skin softening agents like wheat germ, jojoba, essential oils of tagetes, tea tree and many other combinations that are highly effective against the itch.

Step 2 – Oral Medications and Immune-Modulating drugs – These medications work by modifying the response of the immune system by increasing the production of antibodies or fighter cells. 

Step 3 – Sun light and UV Therapies – The exposure to UV rays in sunlight or artificial light slows down the skin cell turnover and reduces scaling and inflammation in psoriasis. 

Step 4 – Psoriasis Wellness Regime – Psoriasis wellness is all about prevention rather than cure. It’s about adopting a certain lifestyle to suit the body needs. Patients who are prone to Psoriasis or are at high risk should follow wellness tips. A few minutes of sun exposure every morning is beneficial in mild to moderate Psoriasis cases. Complying with treatment, quitting smoking, addressing untreated depression, stopping alcohol abuse, reducing obesity, exercising, making diet changes, consuming folate-rich foods, adhering to a psoriasis-specific skin care regimen, and supplementing the diet with omega-3 fatty acids are just a few of the many factors that contribute to long-term Psoriasis management. 

Although there is no cure for psoriasis, the symptoms of psoriasis can be managed well with a combination of proper treatment and with the following Psoriasis Wellness Regime. The effects of psoriasis treatments can also be unpredictable; what works well for one person may be ineffective for another. It is important to maintain some composure when dealing with psoriasis. When a new patch is discovered, there is no need to be concerned because treatment can remove it, and a cleared patch is not cause for celebration because a new lesion may appear there or elsewhere someday. The focus is to use the resources available to keep psoriasis from interfering with your routine, livelihood, and quality of life.

Psoriasis can be effectively treated by many medical systems, even to the point of causing remissions, but none of them can currently provide a cure. Be wary of quacks in the real world and online who promise you what you wish to believe and love to hear.

Benefits of Psoriasis Treatment

  • Reduced Symptoms: Psoriasis treatment controls various symptoms like itching, red patches, and scaling. This treatment will calm the immune response which reduces the overproduction of skin cells. Patients have seen fewer outbreaks and say that the condition is more manageable because it doesn’t cause them any discomfort.
  • Improved Skin Appearance: The medications, applications, and therapies used in psoriasis treatment will improve the skin’s texture and bring out its natural tone. Since it reduces the visible patches and scaling, the treatment gives a healthy skin appearance, which makes the patients feel confident in social situations.
  • Enhanced Mental Health: Having psoriasis can sometimes take a toll on mental health, which leads to stress, anxiety, and even depression. Psoriasis treatment reduces symptoms, which can contribute to emotional well-being. The improved look of the skin and physical comfort help patients to restore their mental health.
  • Better Sleep: Psoriasis causes sleep disruption due to severe itching and discomfort, which can change the patient’s mood. Getting psoriasis treatment will allow them to have restful and uninterrupted sleep because of reduced symptoms. Better sleep can also benefit daily their productivity and mood.
  • Pain and Inflammation Relief: Sometimes, psoriasis can cause joint pain and stiffness due to inflammation of the skin. Treatment for psoriasis reduces inflammation, which can reduce joint pain and improve mobility. With reduced pain, patients can do more activities without feeling any discomfort.

Why choose us for Psoriasis Treatment?

Side effect-free psoriasis treatment

We offer the best psoriasis treatment in Bangalore, which is non-invasive and non-surgical. Our treatments are side-effect free. The psoriasis treatment we provide is safe for pregnant women as well as nursing mothers.

Expert Skin Specialist

At Dr. Health Skin Clinic our psoriasis doctor is a senior specialist with 30 years of experience. We design psoriasis treatment plans according to the  needs of each patient

Advanced psoriasis treatment methods

We conduct detailed skin analysis before proceeding with the psoriasis treatment, this helps us to move ahead once we’ve completely identified the individual’s requirement.

Nutritional Advice

Along with our skin consultations, we also provide nutritional consultations for our clients. As a leading psoriasis hospital in Bangalore, we utilize the latest and most advanced technology for our accurate diagnosis.

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Our Patients Reviews

My dad developed psoriasis and it effected him very badly. He had bad cuts on his hands and his feet and sometimes the cuts would bleed. A friend then recommended Dr Health clinic, so my dad booked an appointment for a consultation. The doctor actually consulted him for a good 30–50 mins. My dad has had been following the psoriasis treatment consistently and his condition has improved a lot.

Raju Kumar
I’m taking treatment for psoriasis since very long time been here since 10 yrs..I am cured of the psoriasis completely ..no recurrence is there though it is winter..got back my new life. thank u
Varsha Singh
My mother is taking treatment for psoriasis problem at Dr Health HSR Layout clinic since few months. Dr Pranjal has advised few medicines and instructions to be followed. Her condition has improved a lot and there is lot of relief. we are really thankful to Dr Pranjal.
Rakesh Kumar
Came to the clinic with little or no expectations after visiting multiple centres for skin treatment (My skin psoriais never was resolved until I finally came to dr health) I am absolutely happy about how the doc explained the issue to me. The procedure and tablets I had been prescribed were a 100% effective.
Arnav Yadav

Dr. Health acne treatment is working for me very well. I had stopped socializing due to how bad my skin had become. I know it sounds shallow but I could not lead a normal life nor socialize as my confidence was so low. I am sure most acne sufferers go through this low phase. I used to be the biggest party animal. But Dr. Health acne medicines are working for me especially the white mask. It makes my skin really smooth. My acne is clearing up. All I dream for is clear skin. To an extent I am now obsessed with my skin

deepal shah

Frequently Asked Questions For Psoriasis Treatment

Psoriasis is a disease where skin cells run amok. Normally the skin renews itself in about 24 days which is the time taken by skin cells to work their way from the inner most layer to the surface of the skin. However, in cases of Psoriasis the cells reach the surface in just 3-4 days. This causes a huge cluster of thick skin flakes to accumulate on the surface of the skin giving rise to typical appearance in psoriatic lesions.

Psoriasis is genetically inherited. Most people who get Psoriasis are born with a genetic predisposition for psoriasis. However, even with a family history it is not absolutely necessary that one will get psoriasis. Factors like stress, anxiety, physical injury, digestive upsets and climate changes are some of the common triggers that cause Psoriasis flare-ups in a genetically predisposed person.

Most people living with Psoriasis experience good days when their skin clears and bad days when psoriasis flares. A trigger is usually what makes Psoriasis flare up whether it is for the first time or the thirtieth time. Common triggers of Psoriasis are infection, skin injury, stress, weather changes, hormones, smoking and alcohol consumption. Winter tends to be the most challenging season for Psoriasis patients. Winter brings dry air, colder temperatures and reduced exposure to sunlight, all of which make psoriasis worse.

Psoriatic lesions are typically found on joint prominences like the finger knuckles, elbows, knees and ankles. Apart from these areas it is also common on the scalp, palms and soles.

Yes, Psoriasis is of many types, like Plaque, Guttate, Erythrodermic and Pustular. As each type of Psoriasis requires a slightly different approach, treatment should only begin after a proper evaluation of its type and triggering factors.

No, only infectious diseases can be contagious in nature. Psoriasis is an auto- immune condition which happens to people only if they have a genetic tendency for the same. A psoriasis person can play with children, cook for the family and even donate blood without the risk of it spreading to any other person.

Although most cases of psoriasis flare-up in winters, summer flare-ups are not uncommon. Summer flare ups are commonly found in people who are allergic to the sun, sweating and UV radiation.

Psoriatic lesions are very characteristic and have a typical appearance which cannot be missed. However visual diagnosis may need confirmation. At Dr. Health, we use advanced Dermatec analysis to diagnose the exact type and severity of Psoriasis.

Moderate Psoriasis does not pose major health complications as such. But if left untreated, it can often become severe and affect larger areas of the body. About 10-15% of Psoriatics are at a risk of developing Psoriatic Arthritis where there is inflammation of small joints and often deformities too. Apart from its effect on the skin, nails and joints, Psoriasis has a tremendous impact on the mind and the quality of life. It interferes with daily activities, those that we take for granted, like going to the gym, swimming or attending ceremonies. Low self esteem due to Psoriasis affects job performances and schooling. It affects interpersonal relations with family members as well.

A survey conducted by the National Psoriasis Foundation revealed that Psoriasis Itch is the principal and the most bothersome complaint amongst psoriatic patients. This itch need not restrict itself to the affected area alone. It can frequently occur in generalized areas, even where no psoriasis plaques are visible. Amongst the various types of Psoriasis, the erythrodermic type is the itchiest. The itching can be severe enough to cause sleep disturbances, inability to concentrate and even mental depression.

A combination approach that includes oral medication, topical applications, skin care and diet has been found to be effective in treating psoriasis itch. The itching in Psoriasis gets worse with the accumulation of skin flakes on the skin surface. Frequent cleaning up of the dead skin flakes using a mild soap can control itching. Fish oil and flax seed oil which are rich in omega-3 fatty acids are extremely helpful. If you are a vegetarian, you can have folate rich foods like broccoli and cabbage. Some cases of Psoriatic Itch have responded well to elimination of gluten and wheat products from the diet. Tea tree oil and neem oil containing ointments have also proved to be beneficial. Stressed and anxious patients may need calming medicines or Yoga therapy.

Vitamin D has a definite role in treating Psoriasis. Exposure to sun and the skins production of Vitamin D has shown to decrease the severity and duration of a Psoriatic outbreak. Sunlight kills the activated T cells in the skin thereby slowing the growth of skin cells and reducing local inflammation. Adequate Vitamin D also help make other topical treatments work better. Patients need only brief exposure just few minutes in a day. Prolonged sun exposure can make symptoms worse & damage the skin. Dietary Vitamin D is also effective in clearing up lesions.

It is often the long-standing nature, frequent change of treatments or suppressive treatment methods that make psoriasis stubborn and resistant to treatment. The lesions in such cases become hypertrophic with tough, leathery surface and do not heal for years. Psoriasis can be managed well if we follow ‘A Stitch in Time Saves Nine’ phenomenon which means timely treatment for the lesions before they become too tough to treat.

Although there is no cure for psoriasis, the symptoms of psoriasis can be managed well with a combination of proper treatment and with the following of Psoriasis Wellness Regime. Psoriasis wellness is all about prevention rather than cure. It’s about adopting a certain lifestyle to suit the body needs. Patients prone to Psoriasis or in the high-risk category should follow wellness tips. In mild to moderate cases of Psoriasis, a few minutes of sun exposure every morning is healthy. Complying with treatment, quitting smoking, reducing obesity, stopping alcohol abuse, addressing untreated depression, exercising, making diet changes, following a psoriasis specific skin care regime, consumption of folate rich foods, supplementing diet with omega-3 fatty acids are some of the few things that play a vital role in the long-term management of Psoriasis.

Psoriasis may get better or worse depending on different environmental factors, but it doesn’t necessarily get worse with age.

Psoriasis is a chronic inflammatory issue that does not have a definite cure. However, the specific symptoms are managed and can be significantly reduced.

Hair loss can occur as a result of scalp psoriasis, but it’s only temporary.

When skin cells replace themselves more quickly than usual, psoriasis occurs. The exact cause of this is unknown, but research suggests an immune system problem might the reason.

A few of the things that could potentially trigger psoriasis are stress, cold and dry weather, trauma to the skin, certain medications, smoking, infections, alcohol and so forth.

The symptoms of psoriasis can be treated, but it is an autoimmune condition that lasts for a lifetime.

Being the best psoriasis hospital in Bangalore, we will examine your skin, nails, and scalp for signs of this condition to find out why it’s prescribed and how to get the best results. We at Dr. Health can help you cure symptoms as well as lower the risk of developing other health conditions such as psoriatic arthritis, heart disease, obesity, diabetes, and depression by treating it in the right way.

It is often the long-standing nature, frequent change of treatments or suppressive treatment methods that make psoriasis stubborn and resistant to treatment. The lesions in such cases become hypertrophic with tough, leathery surface and do not heal for years. Psoriasis can be managed well if we follow ‘A Stitch in Time Saves Nine’ phenomenon which means timely treatment for the lesions before they become too tough to treat.

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