Thanks for consult at DoctorSpring.com. I can understand your concern.
From the history you have provided, it seems most likely that you have psoriasis on the toes as well since you already have psoriasis on the elbows.
What is the treatment that you are taking for psoriasis.
Could you send me a picture of the toes? You can reply as follow-up.
Patient replied :
PFA the pictures....I was prescribed to use salytar and cutisalic ointments on the psoriasis affected areas. No oral medication was prescribed. I have noticed that this problem recurs only during my exams. Is it stress related? This time i have some extra burden too like a few research works, internships and i haven't been sleeping much. I have never been so busy and I have never had such a sporadic routine. I practically live on junk food. I assume that because of all this the skin problems have amplified.
Thanks for your reply and the pictures.I can understand your concern.
Psoriasis is known to recur in conditions of mental and physical stress.
If possible you need to take care of the stress.
You can apply halobetasol ointment once a day on the affected areas. Also you can apply calcipotriol ointment over it once a day. This will help in resolving the lesions.
You can stop using salytar and cutisalic for the time being.
Also make sure to use a moisturizing cream like vaseline to keep the skin hydrated well.
You can also try taking supplements of omega 3 fatty acids, they are known to improve psoriasis.
Please let me know if you have any queries.