This is a case of third trimester pregnancy with psoriasis, extensive involvement, possibility of caesarian section. How does one manage the case when there is involvement of the abdominal region, arms? Which are the safe drugs? Are steroids indicated?
Use combination of systemic cyclosporine and oral steroid for treatment
Thank you Dr Jon, In this case the mother has not been given any steroid as systemic treatment nor cyclosporin. Psoriasis has affected all her limbs, abdominal area. there is erythema over the skin of abdomen.all her parameters ar normal. she has had 2 abortions hence this case has been considered precious.
My concern is of the following days post delivery.
1. if the delivery is normal then c section may be avoided.
2. precious baby hence probability of c section is high.
3. nsaids post delivery pose a risk to psoriasis.
4.extensive invovement of skin leads to topical steroids being absorbed.
5.methotrexate and phototherapy may be tried post delivery after advising against mothers milk.
6. very few studies are avalable for the management of psoriasis and pregnancy.
Happy to Inform that c section was done and both mother and child are safe
Only topical medicine was used. liquid paraffin, halobetosol ointment for abdominal area application.prednisolone 10 mg was used to control itching and erythema.
outcome was good and surprising
Psoriasis is an autoimmune disease. Life style and environmental factors are responsible for it. Medicines alone can not cure the illness. Herbal extract of Wrightia tinctoria in pure coconut oil applied on the affected area, exposure to sun light, diet supplemented with good amount of fruits and vegetables, To facilitate good excretion through breathing, urine, sweat and stool advise intake of good amount of water, yoga including pranayama and asanas and exercise are recommended. Good rest and early to sleep, positive emotions will help a lot in cure. Drinking alcohol, smoking and diet devoid of fibre will not help in the cure. It is infinitely better to give the patient nutrition diet rich in bio-available vitamins, micro-nutrients and enzymes. This is the feed back from 400 patients under treatment. Medicines in strips and capsules will not help.
dear Thammayya, you may be right in your views.
Medicines in strips and capsules alone will not help, youneed to change your attitude.
nutrition, det etc. The problem with humans is that they heve preconcieved notions.
Ayurveda, diet restriction, homeo, this and that. Modern medicine also speaks a lot about diet but few follow.
Photo therapy is also part of our treatment, steroids play a role in reducing inflammation.
please do not redicule any system of medicine, we are not here to fight agaisnt each other but to help mankind
During a span of 5 years 430 patients were treated with Wrightia tinctoria herbal extract. Adults both male and female who were cured of psoriasis got married and were blessed with children. It showed that the extract has not interfered in fertility. Feed back from patients point out that treatment with sterioid and immunomodulants can not cure psoriassis . But, this herbal extract cured . Patients with drinking and smoking habits and stressful life are not cured completely.
Again I emphasise that medicines in strips and capsules alone can not cure psoriasis forever. Life style fulfilling basic needs of life via 1. water, 2. air, 3. nutricious food that body requires, 4. regular yoga or exercise, 5 daily excretion of body wastes through breath, sweat, stool and urine, 6. proper rest timely sleep and 7. positive emotions will help a lot in the cure of psoriasis.
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