r/Psoriasis

finally booked with a dermatologist for psoriasis after years of dealing with it. what actually happens at the first appointment and do they usually jump straight to meds?

So. I’m 29 year old active male 190 lbs lean. I don’t drink, eat very healthy. High protein diet etc. workout 4x per week.

I have always struggled with intense lower back and neck pain since I was 16. As I get older, my joint pain in wrist, shoulder, and back continues to get worse.
My psoriasis is on my groin area, eyebrows, and scalp. I’ve managed it but every year gets worse and when flairs, can be really painful and itchy.

I just started a gluten free diet as I heard that could help.

My biggest concerns is that the skin rashes are getting to the point where it’s affecting my personal life.
The shoulder and wrist pain is significantly reducing my strength and range of motion in the gym.
And the morning stiffness is really difficult to push through- especially my lower and mid back. Takes about an hour of walking and stretching for the pins and needles to go away in my next and back after I wake up.

The Dr. has recommended I get on a biological/ monoclonal antibody like Rinvoq or Skyrizi because it’s a chronic condition and the concern is long term joint damage that could be irreversible.
I’m very holistic and try to avoid medications and shots/ concerned about known and unknown side effects especially because I am a highly sensitive person.

Can someone share their experience with these drugs or natural routes? Anything that’s helped?

I’m covered on every part of my body with Guttate psoriasis and have been for over a year. My NHS phototherapy treatment has been postponed three times now and I was supposed to start it today but this has now been cancelled too so I’m lost once again with nothing to hold onto for hope.

I don’t think I’m going to be able to get over this. I feel like psoriasis has defeated me. It feels too strong and has overpowered me. My suicidal thoughts have started popping up again and I haven’t had those in years. Getting very close to rock bottom now.

Hi all! I’m looking for some advice as I’ve had the roughest month and a half of my life. I’m type 1 diabetic, and in April I got seriously sick. The running theory is gastroenteritis, but I didn’t get better, I couldn’t eat, and I ended up in ICU with severe diabetic ketoacidosis that very nearly killed me. I was in hospital for a couple of weeks, started recovering slowly, and was discharged two weeks ago. Since then I’ve been recovering very slowly, until a couple of days ago (Tuesday) when I suddenly took a massive turn for the worse again.

My main symptoms are nausea so bad I can’t eat, awful brain fog (confusion, difficulty concentrating, general wooziness and dizziness), normally before the nausea hits I get this cold feeling right through my body, like the sort of feeling you get when you get told terrible news, it’s awful. I’ve had some diarrhoea as well.

Now I’m aware that a lot of these are common side effects of methotrexate, but I’ve been on the drug since December. I had a similar experience of sickness at the end of March that lasted a couple of days. But it seems odd that id be fine for three months (December- end of March) before suddenly experiencing all of these side effects so dramatically? Can methotrexate do that to you after months of being fine, or is there something else going on here?

I’ve spoken to my diabetes team and posted in the diabetes subreddit and by all accounts, it shouldn’t be the diabetes causing this anymore. The only thing I can think of now is the methotrexate. I went to A&E on Tuesday when I got ill again, and they ran bloods and said everything was fine there and my infection markers were all normal so there shouldn’t be a bug or anything causing this. I feel like I’m losing my mind trying to figure out what’s making me so poorly! Any advice would be so appreciated.

(For added info, I take 8 methotrexate tablets on a Monday, then folic acid every other day. The first time I got sick was a Wednesday, then both other times were a Tuesday)

I have my biologics scheduled tmrw but my doctor is out for 1 FUCKING MONTH. I cannot change the doctor as all the paperworks are already done for insurance. The doctor told me to "continue with regular meds" that to be precise is just allegra.

On top it she gave me very less dose and the duration between the biologics is comparatively more and now this?

This was supposed to be my 3 dose..now i jave to wait a whole FUCKING month?

Why should i do now??!!!

She's not taking this shit seriously enough. Inexperienced and quite unprofessional.

I hv been to few derm’s for my psoriasis. And i can see that they are not really caring about my concern all they are doing is talk for 2 mins and give some steroid creams
Im currently having scalp psoriasis and inverse psoriasis in groin area and i can see a small patch in my underarm and very small patch on back and i need some help i want to find a good derma. For this in hyderbad and also i want to please suggest a cream or something for my inverse paoriasis. Im having clobatesol but its strong steroid for groin area

Please help

Any reason why I can’t do my first dose at home?

Step 1: Remove dose from fridge and let sit for 30 minutes to get to room temp.

Step 2: Clean injection area (not in an infected area and 2 inches away from belly button)(thigh or stomach)

Step 3: Be sure to press completely in and until full dose is expensed.

There you go! Am I set?

I’m an American citizen with US health insurance and I am traveling to SE Asia this summer. My next dose is scheduled for early August. I was curious if anyone here has received a dose in SE Asia and how to handle the logistics of that. I’m fine flying anywhere within SE Asia to get my dose.

Also if I can’t get a dose in SE Asia I was considering pushing my dosing date out by a week. Would moving this out a week have impacts on efficacy, side effects, etc or would being a week late still be fine?

Hi everyone. I’ve never posted or used Reddit before but I’m at a loss with this outbreak i am having. I have had severe psoriasis since I was 12 and I am now 20 years old. I’ve been on stelara since I was 15, and was clear for almost 5 years up until 2/3 weeks ago. I got strep throat and i flared worse then i ever have (full coverage on chest, back, 50% of my legs and arms) within a week and a half. I used vtama cream on it because it was a prescription my derm gave me for small patches that i would occasionally get. The vtama made things 10x worse and now i’m also covered in a rash and some kind of folliculitis. I was also 5 weeks late for my stelara shot due to insurance things, which probably also contributed to the flare up, but I’ve been late before and I would get small patches but nothing to this scale

I went to the dermatologist this past Friday, and they essentially told me to take Benadryl for the rash and gave me triamcinolone to put on it. today, I’ve seen absolutely no improvement and my skin is still the worst it’s been in 5 years. I can’t sleep due to pain and it’s unbearable, not to mention it’s not possible to cover it with clothing especially in hot weather. I went back to the dermatologist today and they just told me “we’ll see” and i left with no answers to when i might start clearing up.

Has anyone experienced this before? Being late for their biologic/having strep and flaring badly or using vtama and having a horrible reaction? I have events this summer and the outbreak is to the point where i can’t cover it in clothes that are suitable for hot weather. If anyone can let me know any of their experiences or how long they took to clear that would be so helpful. Thank you!!

Hi all. I am losing my absolute mind. To start, I am on biologic, it is helping and has helped 98% of my patches of psoriasis except this one.

I have this very large patch that covers the top of my foot. I have found as the medication is starting to help and heal that the patches get kinda itchy, nothing crazy, until my foot. I just can't stop itching it. It drives me crazy and I cant sleep but then the skin gets all torn up and weeps (or bleeds 😭) and then when the torn up skin heals and gets scabby it is even more itchy so Im in this horrible cycle of scratching myself up, being in pain as it stings and then heals and gets itchy. Im absolutely miserable and I cant stop doing it. I cant cope and am having full on meltdowns because of how itchy it is or how sore.

I dont know what to do anymore, I honestly want to cut off my foot its that bad.

Ive been trying to keep it moisturised as the dryer it gets the worse the itching is, so I moisturise and wrap it in a bandage to keep it covered and act as a barrier to stop me scratching, but it doesnt help. I cant sleep, I cant think about anything other than how itchy it is. I try tapping or slapping to help the itch, no good, I try very gently scratching against the skin so that my nails dont catch but always end itching too much and ripping the skin or pulling flakes/scabs anyway.

I just want to sleep, im so tired of this

I am recently married and within 1 months. I am diagnosed with psoriasis on my penis head and foreskin.

In addition on fingers of my both hand.

I don't know how to discuss it with my wife and how she will react to it.

I am getting lot of unnecessary thoughts and getting stressed out.

Also, my dermatologist said it will not impact sexual life completely and you can have child, but I am worried about its impact on our sexual life.

Dermatologist prescribed Otezla (Apremilast 30 mg), Providac and Omega XL 4g tables twice daily alongwith Pimecrolimus cream application on glan.

Pl help / suggest

I developed scalp psoriasis almost 2 years ago. I've seen a lot of posts where people start seeing results within weeks. I started Tremfya in October and even my dermatologist told me I might see results in 6-8 weeks. It took 6 months for me to have any progress. But my scalp psoriasis is finally gone! My husband, on the other hand, has had psoriasis his whole life and when he started his Tremfya he saw results within a month. At my last appt, when I still had no progress, the doc said it can actually take up to a year for some people to see results.

I’ve been diagnosed with plaque psoriasis since i was 17. I’ve been through the steroid creams, pills and then biologics. The biologics have helped the most.

I’m 28 now and have been on Cosentyx for awhile. I still have gotten some flareups in the past while on it, mostly my face, neck and genital area. Some flare ups extended to my upper chest and upper back. I have also had it in my finger nails too. Right now though, i only have a mild flare on my neck and genitals that has been ongoing for sometime but I guess my Cosentyx does a good job at managing it on top of using colloidal oatmeal for the itch and tacrolimus as needed.

I really want tattoos. Based on everything i read here the results are highly individualized. I guess it’s just a matter of trying on an area that doesn’t get flares and seeing what happens? I know i shouldn’t get medical advice from the internet but what do you guys think?

Soffro da anni di artrite psoriasica. Da circa 50 giorni ho iniziato terapia con Otezla. Il dolore ai piedi è migliorato, è riesco a fare delle lunghe camminate. Tutto diverso per le mani e i polsi. Tre dita della mano destra gonfie e rigide. Non le posso piegare, È i polso fanno male se faccio un po di sforzi. La macchia sul viso ancora resiste. È ancora presto? Possono migliorare questi sintomi? Le dita possono tornare normali? Qualcuno ha o ha avuto lo stesso problema è mi può rispondere? Grazie in anticipo.