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Psoriasis is often associated with other comorbidities such as psoriatic arthritis, obesity, inflammatory bowel disease, diabetes, and cardiovascular disease. Psoriasis causes increased medical costs, work limitations, as well as productivity loss. This economic burden, along with reduction in quality of life in patients prompts the need for effective disease management. Widespread disease often requires systemic treatment due to the extent of BSA involvement. Guidelines recommend treatment with biologic agents or nonbiologic agents or phototherapy with ultraviolet B (UVB) or with psoralen plus ultraviolet A (PUVA) therapy. Guidelines suggest that physicians should balance the individual patient characteristics with side-effects when making therapeutic decisions. Please share your thoughts on the same......

A 30 years man with this skin rashes over his right scapular region What is the Dx and Rx Seniors plz guide

Aplasia cutis congenita occurs if the mother has taken ________________ medication

Pain in tongue, often tongue bit. Ill dentures since five years, 52years aged poor women.Tongue swelling, under chin lymph nodes swelling. Teeth are extracted by Dentist in Gov. Hospital. Holding cold water in mouth is amelioration of pain. *Chief Complaints* Pain in tongue. Speaking and eating problem. *History* It occurs three years ago, she treated by Dentist but pain not subside. *Vitals* Anaemic Hb%-9, ESR - 80+, *Physical Examination* Ill dentures dental sharpness causes laceration on tongue, gum infection caused lymph nodes swelling. Glossopharyngeal nerve involved. Tongue swelling causes speaking and eating problem. *Investigations* Need X-ray of gum, but not done. *Diagnosis* Ulceerative Stomatitis I think. *Management* Plantago Q and Merc sol cure swelling tongue, but pain gone by applications of Mullen oil internally and as well as externally. Scar gone by one dose Causticum 1m.