For erythrodermic psoriasis the treatment of choice is:
A. Topical corticosteroids
B. Coal tar topically
C. Methotrexate
D. Corticosteroids
Ans.
A Topical corticosteroids
An important point in treatment of
erythrodermic psoriasis is not to irritate the skin further and therefore
anthralin and' other irritating compounds are relatively contraindicated in
erythrodermic psoriasis. Bland topical steroids such as 1 % hydrocortisone in
an ointment base applied liberally can be useful. If there is not a reasonably
rapid improvement, consideration should be given to the use of cyclosporine 2
to 5 mg/kg/per dose or methotrexate 5 mg, 12 hourly for 3 doses, once a week.
When the acute episode has subsided, UVB or PUVA car be restarted.
