Psoriasis Doctor » Guttate Psoriasis » New to the web group. Need advice about how to treat.

New to the web group. Need advice about how to treat.

Question:

Thank you for your help.  I looked at some of the sites on P but was a bit overwhelmed.  There is so much information.  You referred to the UVB.  It has been so long I can not remember how we used it.  I think perhaps we just got a UV bulb and put it in a  lamp that would hang directly over the floor.  We would just get him to lay under it for 10-15 min on each side.  Something like that.  Is that the right thing to do?  How many times a day should he do it?   It seems like there was a salve we put on him but it was very messy.  Thanks for your response. – Hide quoted text — Show quoted text ->Hi, there’s a link in my .sig to the group FAQ, which is itself >basically a set of links to other information sources such as you are >looking for. >Strep is a pretty common trigger of a type of psoriasis called guttate >because it comes out in a bunch of not very scaly red droplets. Sounds >like that’s what he’s got and FWIW in that case some of the new things >people are posting about, like Amevive, are not appropriate for that >form. >One of the first things to do to treat it is to try to get rid of the >strep infection that is triggering the outbreak. After that, there has >been a lot of progress in treatments in the 20 years since, but in a >lot of cases they aren’t appropriate unless the case is particularly >severe because of side effect risks. UVB is still a good place to >start, because it can be very effective for that kind and is also very >safe. After that, there are a few different categories of topicals to >use singly or in combination with UVB/each other. These include >different strengths of cortico-steroids, which are probably what he >was given as a kid. Fairly safe to use, but some side effect risks >with high strength long term continual use. Dovonex, a vitamin D >analogue that is slower to work but has less side effect risks. >Steroids and dovonex together are often more effective than either >alone.  Anthralin, another topical that can stain and irritate but is >otherwise very safe and can be quite effective. And on. >Seriously, what you should do is read a bit from some of the places >linked to in the FAQ, like the NPF, to get a bit of basic info about >what your options are, then make an appointment with a good derm to >get treatment that will get it under control ASAP.. >Kim >My son had psoriasis as a child.  It only showed up on two occassions >when he had strep throat at ages 7 and 14.  In both cases we used some >kind of ointment and had him sit under an ultraviolet lamp.  It seemed >like it went away in a month or so.   As a 30 year old adult he >occassionally has minimal shows of the condition that do not last >long.  Recently he had a sore throat and it poped out all over him. >What is the state of the art of treatment for psoriasis now?  Any >recommendations for treatment or advice about how to proceed will be >appreciated.  Also, if there are any good web sites on this, please >let me know.   Thanks >The Psoriasis Newsgroup Resource FAQ can be found at >              http://www.psoriasisfaq.com >but will also be coming soon (twice a month) to a >           newsgroup near you…

Response:

Hi, there’s a link in my .sig to the group FAQ, which is itself basically a set of links to other information sources such as you are looking for. Strep is a pretty common trigger of a type of psoriasis called guttate because it comes out in a bunch of not very scaly red droplets. Sounds like that’s what he’s got and FWIW in that case some of the new things people are posting about, like Amevive, are not appropriate for that form. One of the first things to do to treat it is to try to get rid of the strep infection that is triggering the outbreak. After that, there has been a lot of progress in treatments in the 20 years since, but in a lot of cases they aren’t appropriate unless the case is particularly severe because of side effect risks. UVB is still a good place to start, because it can be very effective for that kind and is also very safe. After that, there are a few different categories of topicals to use singly or in combination with UVB/each other. These include different strengths of cortico-steroids, which are probably what he was given as a kid. Fairly safe to use, but some side effect risks with high strength long term continual use. Dovonex, a vitamin D analogue that is slower to work but has less side effect risks. Steroids and dovonex together are often more effective than either alone.  Anthralin, another topical that can stain and irritate but is otherwise very safe and can be quite effective. And on. Seriously, what you should do is read a bit from some of the places linked to in the FAQ, like the NPF, to get a bit of basic info about what your options are, then make an appointment with a good derm to get treatment that will get it under control ASAP.. Kim >My son had psoriasis as a child.  It only showed up on two occassions >when he had strep throat at ages 7 and 14.  In both cases we used some >kind of ointment and had him sit under an ultraviolet lamp.  It seemed >like it went away in a month or so.   As a 30 year old adult he >occassionally has minimal shows of the condition that do not last >long.  Recently he had a sore throat and it poped out all over him. >What is the state of the art of treatment for psoriasis now?  Any >recommendations for treatment or advice about how to proceed will be >appreciated.  Also, if there are any good web sites on this, please >let me know.   Thanks

The Psoriasis Newsgroup Resource FAQ can be found at               http://www.psoriasisfaq.com but will also be coming soon (twice a month) to a            newsgroup near you…

Response:

> My son had psoriasis as a child.  It only showed up on two occassions > when he had strep throat at ages 7 and 14.  In both cases we used some > kind of ointment and had him sit under an ultraviolet lamp.  It seemed > like it went away in a month or so.   As a 30 year old adult he > occassionally has minimal shows of the condition that do not last > long.  Recently he had a sore throat and it poped out all over him. > What is the state of the art of treatment for psoriasis now?  Any > recommendations for treatment or advice about how to proceed will be > appreciated.  Also, if there are any good web sites on this, please > let me know.   Thanks

Hi, http://www.yourmedicalsource.com/library/psoriasis/PSO_treatment.html Or www.psoriasis.org And/or, he can try a diet like Terrys or relaxation or ssri’s etc. Does he know how to google? You can extract any info out of this psoriasis group with a few choice keywords. Use www.deja.com and enter psorisis into the search box and then click the longer of the two options. (alt.support.skin-diseases.psoriasis) Then click the search this group only option and enter whatever keywords into the search box. Say you want to know what terrys diet is. Enter diet terry. Have a haPPy day. randall

Response:

My son had psoriasis as a child.  It only showed up on two occassions when he had strep throat at ages 7 and 14.  In both cases we used some kind of ointment and had him sit under an ultraviolet lamp.  It seemed like it went away in a month or so.   As a 30 year old adult he occassionally has minimal shows of the condition that do not last long.  Recently he had a sore throat and it poped out all over him. What is the state of the art of treatment for psoriasis now?  Any recommendations for treatment or advice about how to proceed will be appreciated.  Also, if there are any good web sites on this, please let me know.   Thanks

Response:

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