I suggest you research protracted attritional warfare. It's not just about ground taken. As for 2000 km2 in three years this just shows how hard fought and difficult this war is for the troops on both sides with countless 100's of thousands (?) losing their lives.
It is quite possible to mistake something else for psoriasis. In addition there are different types of psoriasis including one (rare) that is serious and potentially fatal.
In some cases skin cancers can superficially resemble psoriasis, and most Thai dermatoligists have limited evlxperrience with skin cancer.
When no response to treatment to standard psoriasis treatmrnts, , biopsy makes sense.
Cost will vary with type of hospital e.g government or private. Important to do this at a hospital where the pathologists have extensive experience with skin diseases including less common ones.
@Fabio1980 where are you located?
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