Use of a hydrocolloid dressing in combination with a topical steroid in plaque psoriasis

The treatment of chronic stable plaque psoriasis continues to present a challenge to the practitioner. The use of topical steroids to treat lesions is often associated with resistance and rebound upon discontinuation of prolonged use. Use of hydrocolloid dressings enhances the efficacy of topical steroids and reduces the amount of medication required to control plaques. We report results obtained with a hydrocolloid dressing used for a seven-day period with triamcinolone acetonide 0.1 percent. In a group of six patients, an average of 44 percent improvement was achieved, while untreated sites remained stationary. Patient satisfaction with results and rating of convenience of the treatments was high.