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

### input:
I am a psoriasis patient for the last 25 years. I tried several type medicine. For me it comes ocationely . Normally I control my diet and apply Lobate Gn skin cream in badly affected areas and give little relief . Now a days it is not at all effecting . Is it any other cream which give more effect. I am 67 years of age & retired person.Regards G.Nath

### output:

Hi, As you said you suffer from psoriasis from long time. I would like to say you few things about psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. It is a controllable disease. It is very difficult to cure totally. He 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 the disease. 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. Folic acid may be taken if there are oral ulcers. If there is itching, take antihistamines. All this may be taken for long time till good response. Blood tests may be done to monitor the treatment. There are many applications for the psoriasis. You may apply mild steroid cream or calcitriol point. On the lesions. Or you may apply combined point of steroid and salicylic acid like clop - So int. You may apply moisturizer to improve the skin texture. You should avoid soap bath for few weeks. And also you should avoid stress and worries as that might worsen psoriasis. You might get good result after few months' treatment. I hope you got my answer. Thanks.