Where
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
- Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
- Formerly BNR Skin & Vitiligo Hospital
Hyderabad
Psoriasis treatment in Hyderabad
Psoriasis is a long-term condition, so it is treated as one: a plan for the flare, a plan for maintenance, a written plan for the next flare, and a review of your joints, which is the part most often skipped.
45 years in dermatologyDermatologist & dermatosurgeonKarkhana, SecunderabadBooking on WhatsApp
At a glance
- Available here
- Topicals, NB-UVB, systemics, biologics
- Phototherapy
- At the clinic
- Screened for
- Psoriatic arthritis, metabolic risk
- Reviews
- At the Secunderabad clinic
- Flare plan
- Written, at the first visit
- Curable
- No, but often well controlled
The approach
Clearing a flare is easy. Keeping it away is the job.
Almost any potent steroid will flatten a plaque. What separates good psoriasis care from the other kind is what happens in month four, whether there was a step-down plan, or whether the treatment was simply stopped and the disease rebounded, sometimes worse than before.
So the first consultation produces three things: what clears the current flare, what holds it afterwards, and a written plan for what to start at the first sign of the next one. Patients who leave with that flare less.
It also produces a joint assessment. Up to a third of people with psoriasis develop psoriatic arthritis, the damage it causes is permanent, and the symptoms are routinely dismissed as unrelated aches. It is asked about at every visit here.
Before you decide
Who is treating you, and what his patients said.
Dr. (Lt Col) Khagendra Varada
- 45 years in dermatology and dermatosurgery
- 25 of them in the Indian Army Medical Corps
- MBBS, Osmania Medical College
- Dip. Practical Dermatology, Cardiff · Dip. Dermatology, AAAM
Reg. No. 10461, Hyderabad State Medical Council
Full background →“I have been going pillar to post to get my son cured of his white spot on his left side of lip and chin. It appeared 8 years back. I was told it’s special type of nerve vitiligo which has no cure. After reporting to him he told us that it is SEGMENTAL VITILIGO and unlikely and difficult to be cleared by medications alone. He suggested for surgical melanocyte transplant… I was amazed after around one month that he started rapidly getting pigmentation. I wholeheartedly suggest please do not waste time like I did.”
“Dr. Varada is an incredibly patient, knowledgeable and wonderful doctor. He sorted out an issue that I had been dealing with for years in one appointment and there’s been no looking back since!”
The mechanism
Skin cells made faster than they can mature.
A skin cell normally takes about four weeks to reach the surface and shed. In psoriasis it takes a few days. The cells arrive immature and pile up, and that pile is the silvery scale.
- 1
- 2
- 3
- 1About four weeks
- 2Arrives still immature
- 3A few days
The acceleration is driven by immune signalling, which is precisely what the newer treatments block. It is not an infection and it cannot be caught.
- About four weeks
- Arrives still immature
- A few days
Illustration, not a photograph.
The protocol
How a course runs
Diagnose properly
Including the nails, the scalp and the folds. The three sites where psoriasis is most often called something else.
Clear the flare
Topical therapy matched to site and severity. Phototherapy where disease is widespread or guttate.
Step down to maintenance
Frequency reduced rather than stopped, because abrupt withdrawal is the commonest cause of a rebound.
Escalate if needed
Methotrexate or other systemics for extensive or disabling disease; biologics where those fail, after TB and hepatitis screening.
What else is checked
The parts of this you cannot see.
A psoriasis review here covers more than the skin, because the disease does. Joints, blood pressure, sugar, lipids and liver all carry recognised associations, and all of them are easier to act on early than late.
- 1Heart and vessels
- 2Fatty liver
- 3A swollen finger joint
- 4The plaques you can see
None of this is a reason to be alarmed. It is a reason for the review to be a proper one rather than a look at the worst plaque and a repeat prescription.
- Heart and vessels
- Fatty liver
- A swollen finger joint
- The plaques you can see
Illustration, not a photograph.
The part usually missed
Your joints are part of this consultation.
Morning stiffness lasting more than half an hour. A finger or toe swollen along its whole length. Heel pain. Low back pain that eases as you move rather than worsening. Any of those alongside psoriasis needs investigating rather than tolerating.
Joint damage in psoriatic arthritis does not reverse, and the window in which treatment prevents it is early. Where the picture suggests it, you are referred to a rheumatologist promptly, and methotrexate, which treats both skin and joints, becomes the obvious systemic choice.
Systemics and biologics explainedNail changes are a warning
Pitting and lifting are associated with joint disease. They are looked for deliberately.
Asked at every visit
Not once at diagnosis. Arthritis can appear years after the skin disease.
Where to book
One clinic, in Secunderabad
Consulting rooms, phototherapy and the surgical list at one address in Secunderabad. The practice was formerly known as BNR Skin & Vitiligo Hospital.
How to book
On WhatsApp: one number, answered by the clinic team, who confirm a time and say what to bring.
- Photographs welcome before you travel
- Video consultation arranged the same way
Documented in clinic
Two psoriasis cases, photographed at this clinic.
Plaques cleared with creams and light, photographed in the same position before and after, and published with written consent. The darker marks left behind fade more slowly than the plaques did, and the captions say so.
Before
After
The raised, scaly plaques cleared. The darker marks left behind are not the disease coming back — colour fades more slowly than the plaque does, and it does fade.
Before
After
A thick, cracked plaque covering most of one shin. The scale settles first and the colour underneath takes longer to even out.
Second opinions are welcome
Bring the previous diagnosis, every prescription and any blood results. The commonest finding in a psoriasis second opinion is not a wrong diagnosis. It is a potent steroid that has been running for months without a maintenance plan or a review.
Questions patients actually ask
Psoriasis treatment in Hyderabad
Which psoriasis treatments are available at this clinic?
Topical therapy, medicated scalp treatment, narrowband UVB phototherapy at the Secunderabad clinic, conventional systemics including methotrexate, and biologics after appropriate screening.
Can psoriasis be cured?
No. It is a long-term immune condition. Treatment aims at remission: skin that is clear or nearly clear, held there with maintenance, sometimes for years.
Do you offer phototherapy in Hyderabad?
Yes, narrowband UVB at the clinic. A course typically runs 20 to 36 sessions at two to three a week, so it is worth checking the timings suit you before starting.
I have joint pain along with psoriasis. Is that related?
It may well be. Up to a third of people with psoriasis develop psoriatic arthritis, and it is important to catch early because joint damage does not reverse. Raise it at your appointment. It will be asked about anyway.
Where is the clinic, and how do I book?
Karkhana, Secunderabad. Phototherapy, consultations and reviews all run at the same address, so a course of light treatment does not mean travelling between sites. Appointments are arranged on WhatsApp.
Is scalp psoriasis treated here?
Yes, and it is the commonest site. It needs a descale-then-treat sequence. Ordinary anti-dandruff shampoo cannot penetrate the adherent scale.
References
The clinical statements on this page follow the guidance and evidence below. They are independent sources. None of them is connected to this clinic, and none of them sells the treatments described here.
- Psoriasis: overview, symptoms and treatmentUS National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIH)
- Psoriasis resource centreAmerican Academy of Dermatology
- PsoriasisDermNet (New Zealand Dermatological Society)
- Psoriasis: assessment and management (CG153)National Institute for Health and Care Excellence (UK)
- Global report on psoriasisWorld Health Organization
Keep reading
Related on this site
The first appointment is a diagnosis.
Not a treatment plan sold on the spot. Message the clinic and bring your history.