The above-mentioned treatment should be discussed with the patient. The chronicity of this disease and the slow response to treatment should also be mentioned. Psoriasis of the palms and soles is exceedingly difficult to treat and the patient should be warned that complete clearing is unlikely and treatment is aimed at controlling symptoms. Because of the chronicity of this disorder, follow-up with a dermatologist in four to six weeks is recommended. The patient should be educated about other treatments, such as acitretin (Soriatane), psoralen-ultraviolet light A, or methotrexate, that are available should the above recommendations fail; however, referral to a dermatologist is recommended to commence such treatment. Immediate consultation with a dermatologist is usually not necessary, but follow-up in several days to four weeks is warranted, depending on the degree of involvement and severity of symptoms.
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Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.