35 Yrs old male with psoriasis leisons like above,with psoriatic arthrits since 4 Yrs. Pt says onset of disease was with joint pains ,what should b the treatment for psoriatic arthritis.

70yrs M,having scaly erythematous plaque on thighs, buttocks,arms,knees,neck since 1.5yrs.NO itching.lesions cm n go every 2-3mnths. Taking oral n topical steroids off and on. Taking montair LC since long time for rhinitis. No other comorbidity H/o he had lesions on neck 10days back .then he taken oral steroids and betasalic oint.from sm chemist and lesions spread whole over body

50f Lower backache & pain radiating to both thighs x 1yr

A 36 yrs Male is suffering from plaque psoriasis . I advise these treatment Rasamanikya +Giloya satva Gandhak Rasayan + Guduchaydi loha +Nisha churns + Arogyavardhini vati Sarivadhasava +Khadirarista 777 oil Mahatikta sneha 10 ml twice daily

30 years old young healthy male patient, non smoker, non alcoholic, vegetarian having c/o backache off and on and morning stiffness in back for around 2 years which improves after exercise/mobilization H/o Near complete tear of right tendo achilles spontaneously while walking 2 years back- operated and repaired. H/o recently detected hypertension (~150/90mmHg) and hyperlipidemia+. August 2020: Vitamin B12: 112(low), Vit.D3: 10(very low) June 2021: ESR: 2, CRP:1 (normal range- upto 6); LFT, RFT normal. HLA B27: Negative(By flowcytometry) X ray pelvis and LS spine attached. As per radiologists there is intervertebral calcification seen in x rays. D/d: Ankylosing spondylitis; Ochronosis; ?? Kindly opine. *History* H/o Near complete tear of right tendo achilles spontaneously while walking 2 years back- operated and repaired. H/o recently detected hypertension (~150/90mmHg) and hyperlipidemia+. *Investigations* August 2020: Vitamin B12: 112(low), Vit.D3: 10(very low) June 2021: ESR: 2, CRP:1 (normal range- upto 6); LFT, RFT normal. HLA B27: Negative(By flowcytometry) X ray pelvis and LS spine attached. As per radiologists there is intervertebral calcification seen in x rays. *Diagnosis* D/d: Ankylosing spondylitis; Ochronosis; ??