<s>[INST] Hello  My husband has had severe psoriasis since age 17; and now is 77.He sometimes can keep it under control;but at the present time is going through detox (through Doctor) for stomach problems.  He is not halfway though the detox and has had a severe flareup of the psoriasis.  Tries to get admitted to a hospital; but that seems impossible anymore as in our area they say they treat as outpatient.  Any suggestion on how to getadmitted for observation and tests?  Thank you. [/INST] Hi, As you said, your husband suffers from psoriasis from long time. It is a chronic and relapsing skin disease. I can understand your anxiety for your husband disease. But, you have to keep patience. He might get relief slowly. You take him to consult eminent dermatologist for firm diagnosis and perfect treatment. There is no need to admit him in hospital. OLD Treatment will be enough. I would like to suggest accretion 25 mg daily along with methotrexate 15 mg weekly in three decided doses of 5 mg 12 hourly. Blood tests may be done at regular intervals. Steroid with salicylic acid point may be applied twice a day. Soap bath should be avoided. All precautions may be taken to avoid Chat Doctor. After few months, he may be alright. But, maintenance therapy may be continued. Thanks. </s>