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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Cosmetic surgeon
Category: Dermatology
Satisfied Customers: 63512
Experience:  MBBS MS
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I would like to send you a photo over and get an opinion on

Customer Question

Hi i would like to send you a photo over and get an opinion on it?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Not yet! tried over the counter creams and not taking any medication
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: Nope! Don’t think so
Submitted: 20 days ago.
Category: Dermatology
Expert:  Dr. Arun Phophalia replied 20 days ago.

Welcome to Just Answer.

Answers here are for education and information.

I will respond shortly with an answer or further information request.


Expert:  Dr. Arun Phophalia replied 20 days ago.

Please post a picture.

What are your symptoms?

Customer: replied 20 days ago.
Hi i have a couple of photos of my hands, they’ve been like it for maybe 2 years now. I’ve tried different creams and nothing seems to work.
Expert:  Dr. Arun Phophalia replied 20 days ago.

This looks like psoriasis.

What creams have you tried?

Customer: replied 20 days ago.
Ive tried all different hand cream and moisturisers, the strongest one i’ve used is probably hydrocortisone cream
Expert:  Dr. Arun Phophalia replied 20 days ago.

Thanks for the further information.

I am writing the answer for you and will get back to you in 3-5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Customer: replied 20 days ago.
Okay! Thank you
Expert:  Dr. Arun Phophalia replied 20 days ago.

Psoriasis is treated by the following;

  1. Corticosteroids.
  2. Vitamin D analogs.
  3. Retinoids.
  4. Calcineurin inhibitors.
  5. Salicylic acid.
  6. Coal tar.
  7. Anthralin.
  8. Antimetabolites (methotrexate)
  9. Immunomodulators (eg, tacrolimus topical 0.1%, cyclosporine, alefacept, ustekinumab)
  10. TNF inhibitors (infliximab, etanercept, adalimumab)
  11. Phosphodiesterase-4 inhibitors (apremilast)
  12. Interleukin inhibitors (ustekinumab, secukinumab, tildrakizumab, guselkumab, risankizumab, ixekizumab, brodalumab).

All the above treatments are stepwise and failure of one warrants the other treatment.

Usually, local application and another oral or injectable treatment are advised simultaneously.

You may consult a Rheumatologist or a dermatologist


I hope your symptoms resolve soon.

I would be happy to assist you further if you need more information.
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