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

### input:
I am being treated for lichen scelorsis at the moment. I was told to take a bath everyday. Since starting this my psoriasis has flaired up worse than ever. Its terrible. Im using dobovate cream on it at the moment. do you think the baths might be the cause problem. Is there anything else you would recommend?

### output:

Hi, As you said you suffer from psoriasis and that is worsened after treatment of lichen sclerosis. You also have doubt that daily bathing is responsible. I would like to say about few lines for psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. There may be scaly plaques on various parts of the body, scaly lesions on the scalp and sometimes joint pain may be there due to politic arthritis. Exact cause is not known. Genetic tendency, autoimmunitity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You did not say what treatment you took for lichen sclerosis. If your doctor has given oral steroids or steroid injections for lichen sclerosis.that would have worsened the psoriasis. I do not believe that daily bath is responsible. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcitriol point on the lesions. For scalp psoriasis, tar shampoo may be done. You may apply moisturizer to improve the skin texture. Avoid soap bath for few weeks. Avoid stress and worries as that might worsen psoriasis. I hope you got my answer. Thanks.