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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......

Topical agents are the cornerstone of treatment, either alone, or in combination with phototherapy or systemic treatments for psoriasis. Topical therapy is the treatment of choice in patients with psoriasis affecting < 10% body surface area (BSA) or for psoriasis affecting sensitive areas such as face, flexures, and genitals. They are used intermittently or continuously but more potent agents should be used for a shorter duration to avoid the side-effects. Please share your experiences with topical therapy for patients with psoriasis......

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.