### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
.hi sir i m Dr. phani physiotherapist .i have a query to ask you about my mother suffering from psoriasis since four years ,i have consulted many doctors about this, but there was no positive result,would u suggest a best doctor for us in hyderabad please

### output:

Hi, As you said your mother suffers from psoriasis... I would like to say few things about psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizin... Avoid steroid, as there may be severe flare up after stopping it. She may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. She may apply moisturizer to improve the skin texture. Furthermore, she should avoid soap bath for few weeks. And she should be free of stress and worries as that might worsen psoriasis. She might get good result. You contact nearby general practitioner and ask him for experienced dermatologist in Hyderabad...OK hope you got my answer. Thanks.