Psoriasis and Eczema Treatment in Thalassery

Phototherapy and Long-Term Control at the Founding Clinic

Psoriasis in Malabar is often diagnosed late, after years of steroid-antifungal creams bought for a rash assumed to be ringworm in the monsoon. By the time it reaches the founding clinic the plaques are thick, the scalp heavily scaled, the nails pitted and sometimes the joints stiff. Eczema arrives the same way: hand eczema in fishermen, cooks and construction workers, atopic eczema in children, and seborrhoeic dermatitis mistaken for both.

Dr. C.P. Thajudheen and Dr. Swathi P confirm the diagnosis, with a biopsy where the picture is unclear, check nails and joints, and identify triggers: stress, throat infections, medicines, sweat and friction in the folds, work irritants, and the stop-start steroid use that destabilises both conditions. Treatment begins with barrier repair and prescription topicals chosen for each site, including the scalp and folds that need different vehicles.

Phototherapy is where the founding clinic stands apart. Narrowband UVB in the whole-body cabin two to three times a week calms the immune activity across large areas; the hand-and-foot units treat palmoplantar psoriasis and chronic hand eczema that cabins reach poorly; targeted phototherapy clears individual resistant plaques. Severe or joint-involving disease is treated with supervised oral medicines and blood monitoring, and referred for advanced therapy when appropriate.

Control, not cure, is the honest goal. Patients leave with a written routine for monsoon and summer, a flare plan, and the understanding that maintenance visits and consistent moisturising matter as much as the first clearance.

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