No abstract

The treatment of psoriasis by the topical application of adrenal corticosteroid compounds has in the past proved disappointing. It has been noted, however, that these corticosteroid compounds were of real benefit when applied to intertriginous psoriatic lesions, and this was confirmed by Mauray and Schiff (1962) Fluocinolone acetonide 0.025% in bland paraffin and hydrogenated lanolin base was applied thinly to all psoriatic lesions. The whole body with the exception of the face and neck was occluded with polythene held in place with stockinet and hypo-allergic tape (Hinders Z.O. adhesive plaster) (see Fig.); the scalp was similarly treated. Polythene gloves were used on the hands, and the facial lesions were treated with the same ointment without occlusion. The polythene occlusive " suit " (see Fig.) was worn for three days. We found that approximately six 15Hg. tubes of ointment were needed for each treatment of an adult patient. Flexible polythene, 6-8-in (15-20-cm.)