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

### input:
hello sir,i m dr.milan aptel . i m a dentist.i have scalp psoriyasis with acne. i have acne filled with whiye and yellow colour pus on my face chest and back most. my skin is oily. there is no family history of psoriyasis in my family except me. i have scar and a lot of dendruff prob on my scalp. i dont have hair loss problem.

### output:

Hello. Thanks for writing to us at Chat Doctor You seem to have inflammatory acne, since you mention that they are pus filled. If I was the treating doctor I would have started you on Oral antibiotics for inflammatory acne. My choice of oral antibiotics would have been Azithromycin. It can be continued as pulse dosing regime for 8-12 weeks depending on the response. Topical treatment options that I use in my patients of inflammatory acne are benzoyl peroxide gel and clindamycin gel. They can be used separately at different times of the day and are also available in a combination (clindamycin 1%+benzoyl peroxide 5% gel). Scalp psoriasis presents as thick scaly patches. A coal tar+salicylic acid based shampoo is standard therapy for scalp psoriasis. Since psoriasis is a steroid responsive dermatitis, therefore, apart from the shampoo, I also ask my patients to apply topical potent steroid+salicylic acid lotion. Salicylic acid helps to loosen up scales and allow better penetration of the steroid. These are all prescription medicines (oral as well as topical), therefore, I would suggest that you seek an appointment with a dermatologist for the needfulAcne as well as psoriasis are chronic conditions and there can be recurrences, therefore the need to follow up with your dermatologist regularly. Your dermatologist will tell you more about these conditions in detail and treatment options available. Regards