Herbal extract of Wrightia tinctoria applied on the effected area, exposed to morning sun in the morning and evening. Vegetarian Diet without oil and salt, fasting with lime juice and honey. Yoga including pranayama . Regular excretion through breathing, sweating, urination and defecation. Positive emotions. The diagnosis of psoriasis must be correct, as many health care professionals confuse with contact dermatitis due to synthetic chappals and many chemicals in soaps, shampoos and sprays. This is based on our experience.

elderly females with PPP will do better with phototherapy using Narrow band UVB.

Topical steroid with salicylic combination.

It may be difficult to consider methotrexate, but fatty liver should not be a problem, if The LFT is within normal limits and it may be tried for a short duration.

but yes Phototherapy helps.