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A practical goal is one to two servings of fermented foods daily

Intralesional corticosteroids and potent topical steroids are provided to improve the cutaneous disease Hydroxychloroquine: This medication, originally used to treat malaria, can also help with lupus and arthritis symptoms Methotrexate: This is an immunosuppressive drug that weakens the immune system to treat symptoms Thalidomide/lenalidomide : These medications can be used in a recalcitrant cutaneous disease that has not responded to standard therapy

Here are some practical strategies to clinicians and primary care physicians for handling these issues to optimise patient outcomes

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