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Jan 3, 2005


Since my seroconversion 3 months ago I have had psorarsis all over my arms and hands. Despite using the cream that my clinic gave me it persists. Can you reccommend anything else for this, or give me any indication to as when it may go. I have never had psorasis before this although there is a family history of this ailment.

Response from Dr. Pierone

There is a linkage between psoriasis and HIV infection that is not well understood. There are a number of treatments for psoriasis that extend beyond the usual steroid creams. For example, moisturizers, tar compounds, various retinoids, tacrolimus cream, and phototherapy (light therapy) are useful in many cases. If the clinic has access to a dermatologist this would be a good start. If a skin specialist is not available, the primary care doctor could start a series of therapeutic trials of some alternative agents for psoriasis. It is difficult to know which agent will work best until you try.

In some cases psoriasis may gradually go away or become milder simply with the passage of time.

When will I know that my regimen is working.

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