Psoriasis mainly appears as red patches covered with dandruff, or in some cases, as festering blisters. Scurfy redness may be in a form of drop, coin or large plaque. Drop-shaped ones are usually seen in children following the throat infection. ASO levels are high in this type of psoriasis. Antibiotics, especially augmentine, give good results therein.
Large plaque-shapes ones indicate the presence of a chronic disease, and are usually seen on joints such as knees and elbows as accompanied by pain. This type of psoriasis responds well to methotrexate injection. However, due to side effects, treatment should be done with high doses by one administration per week up to maximum 5-6 weeks.
In pustular psoriasis with festering blisters, Rocephine provides good results if administered intravenously.
The diagnosis of disease is generally easy, but a biopsy should be made for the aftermath of treatment to get important findings, if any, such as the presence of little inflammation groups called microabscesses, which means that the disease will not give a good response to the respective treatments.
It is more resistant to treatment when seen on the hairy scalp. Topical tar-based mixtures and shampoos with peeling effect, and topical steroid lotions are given.
When we think that systemic treatments will not be effective, or in the cases of mild types of psoriasis, local steroid pomades with peeling effect, such as pimecrolimus and tacrolimus can be given.