Psorasis and gyneo issues

My Sister is suffering from psoriasis for last year 1998 and no improvement is there she is on methotrexate
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Dr. Manoj Agarwala
Dermatologist 11 yrs exp Delhi

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Psoriasis is a immune system mediated skin disease which can be brought into remission by certain medications and life style changes. Now its believed to be a multi system disorder involving joints, hearts and kidneys as well. A proper assessment to determine the severity of psoriasis and other comorbidities is needed.
Next Steps
There is a maximum limit upto which methotrexate can be given. Such long term usage needs specific understanding. Please mention this during your visit to a skin specialist.
Health Tips
Most of the patients do well if they stick to the recommendations. Kindly see a dermatologist for a treatment plan.
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