Hello,

Thanks for posting your query at DoctorSpring. I can understand your concern.

From a couple of pictures, it does seem that she has lesions of psoriasis.

However, the pictures are not very clear, if you could send a few clear ones, it would be very helpful.

The sites are classic for psoriasis.

From the history, you have provided I understand that the itching is only on the areas where there are rashes.

She can take another antihistamine like hydroxyzine to relieve the itching.

Also regular application of an emollient like vaseline will be useful.

The betamethasone cream can be continued on the affected areas.

Also she can discuss with her physician about starting omega 3 fatty acid supplements. They are useful in controlling the triglyceride levels also.

Hope this helps, please feel free to discuss further.

Take care.

Hello,

Thanks for your reply. I can understand her concern.

However, fluconazole need not be continued. We do not give more than four doses usually.
Each dose is given once a week for four weeks.
Fluconazole by itself doesn't control the itching.

The red spots are mainly caused due to itching, the hydroxyzine tablets and a moisturizer will help with that.

In view of the skin concern, she doesn't need any dietary changes.

But if she is getting reflux secondary to medications, I recommend that you request her physician to review her medications.

Please let me know if I can address any other concern for you.

Take care