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22 years
I used Beta-Salic ointment to treate Psoriasis on my legs until it disappeared , now I have Psoriasis on my scrotum could I use this ointment , if not what I should use especially for itching
Jul 28, 2013

Dr. Salim Saab Otolaryngology (ENT)
You can ask your physician for another prescription mainly based on steroids preparations. If the lesions are advanced, you will have to use pills in order to cure it. You will have to undergo follow-ups performed by your physician.
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Dr. Rania Mousa General Medicine
Prescribed treatments for genital psoriasis usually have good outcomes but you must always be careful to comply correctly with your doctor’s directions as these skin areas are delicate.

When treating genital psoriasis it is important to keep the affected areas moisturised. When using moisturisers if any irritation occurs this may be due to sensitivity to some of the ingredients in them.

If you develop genital psoriasis, you should discuss it with your doctor who will be able to advise you on suitable treatments. Here is a summary of topical treatments which may or may not be used in genital psoriasis.

>Emollients are an important part of the daily care of psoriasis in all parts of the body, including the genitalia. They help to make the skin more comfortable. In addition, there is a range of topical treatments available, creams and ointments ,that your doctor can prescribe.

>Topical vitamin D creams and ointments are effective in treating psoriasis and the newer types are less likely to cause irritation. However, some of them do have the potential to irritate sensitive areas such as the genitalia. Some doctors recommend cautious use of vitamin D analogue creams and ointments on genital skin.

Topical steroid creams may be recommended for sensitive areas. However, care should be taken with their use as the potential for increased absorption may lead to side effects such as skin thinning. For this reason low strength topical steroids are favoured for use in the genital area. It is also important that topical steroids are not used for long periods of time or without close supervision from your doctor. Prolonged use of high potency steroids can also cause stretch marks and you may become resistant to these medications in clearing the symptoms successfully.

Treatment should never be stopped abruptly as this may trigger a rebound flare of your psoriasis.

>Topical steroids may also be combined with anti-fungal and anti-bacterial agents because infections with yeasts and bacteria in warm moist skin creases such as the groin are more common.

>Dithranol and Vitamin A derivatives (retinoids) are not usually recommended for use in skin flexures because of their tendency to cause irritation.

>Coal tar preparations are not usually recommended in genital areas because they can cause irritation, especially to the areas of the penis, the scrotum, the vulva or other cracked skin

>Calcineurin inhibitors (tacrolimus and pimecrolimus) are effective in treating genital psoriasis and don’t have the side effect of thinning the skin that limit the use of topical steroids. They do however often cause an uncomfortable burning sensation when applied and can reactivate sexual transmitted infections such as herpes and viral warts.

>UV light treatment is not usually recommended for genital psoriasis due to an increased risk of skin cancer in this area. Men with psoriasis undergoing UV light treatment are specifically advised to cover the genital area during treatment to reduce the risk of cancer in this area.

>Using a condom during intercourse may reduce any discomfort, as the condom will act as a barrier to avoid skin-to-skin and fluid to skin contact, which cuts down on irritation. Good personal hygiene prior to intercourse is equally important to avoid any transference of medications to your partner. After intercourse, cleansing the area and reapplying the medications or emollients as directed by your doctor will also aid recovery.
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