PMID: 15249786Jul 14, 2004Paper

Common diseases/treatment options: treatment options for psoriasis part 1: topical treatments

Skinmed
Noah S Scheinfeld, Maryann Mikhail

Abstract

A 40-year-old Hispanic man presented for treatment of dermatitis on his elbows and knees that had been evident for 5 years (Figure 1). He also had scaling plaques on his scalp. He had not been treated previously. He did not have any other medical problems and did not complain of arthritis. A clinical diagnosis was made of psoriasis and he was prescribed clobetasol propionate ointment with salicylic acid 6% in petrolatum that should be applied in the evening to his elbows and knees and calcipotriene ointment with clobetasol that should be applied in the morning. For his scalp, he was prescribed betamethasone valerate foam 0.12% to be applied directly to the scalp once a day and told to use a tar shampoo contain-ing 4% neutar solubilized coal tar extract (1.0% coal tar) three times a week. He followed this regimen for 2 weeks and the plaques became much less keratotic. He continued his scalp regimen. He then started using calcipotriene ointment and clobetasol propionate ointment together twice a day. Three weeks later the plaques were much flatter and less erythematous. The patient was instructed to apply clobetasol propionate to the affected areas twice a day on Saturday and Sunday and calcipotriene twice a day Monday through Fr...Continue Reading

References

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Sep 19, 2002·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·M SecondulfoR Carratù

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Citations

Jul 9, 2008·The Journal of Dermatological Treatment·Steven R FeldmanPeter Heald
Sep 14, 2007·The Journal of Dermatological Treatment·Amit BhatiaOm Prakash Katare
Jun 26, 2013·The British Journal of Dermatology·A R MasonG Dooley

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