Does anyone else have psoriasis?

  • Posted by a hidden member.
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    Apr 06, 2010 9:00 PM GMT
    I never really knew what Psoriasis was, until I developed a rash about a month ago. Long story short my dermatologist informed me it is guttate psoriasis. This means i have red dry spot, that are fairly small, all over my trunk and legs.

    It's not pretty.

    Got any stories? Treatments?

    At this point I never want to be shirtless or wear shorts in public again. I feel hideous D:
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    Apr 06, 2010 9:53 PM GMT
    mizu5 saidI never really knew what Psoriasis was, until I developed a rash about a month ago. Long story short my dermatologist informed me it is guttate psoriasis. This means i have red dry spot, that are fairly small, all over my trunk and legs.

    It's not pretty.

    Got any stories? Treatments?

    At this point I never want to be shirtless or wear shorts in public again. I feel hideous D:

    My brother has it. My uncle had it, too. It's inherited through genes. There's really no cure for it.
  • BlackBeltGuy

    Posts: 2609

    Apr 07, 2010 1:39 AM GMT
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    Apr 07, 2010 1:48 AM GMT
    PAJohn saidI knew a guy in school who had it. It is nearly impossible to treat not to mention that it is pretty disgusting. Once you have it it never goes away.

    This is untrue. I've had psoraris spots here and there and they have been treated and gone away. Psoraris is when skin cells in an area grow so fast that they crust up and don't fall off.

    Stress is the number one cause of it. Don't smoke, don't stress. Moisture often and get some sun. Common steroid creams like Cortisone are used to treat it, but should not be used for more than 3-4 days on one area. For some it will go away, then come back later in life. You can control it if you treat yourself right.

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    Apr 07, 2010 2:57 AM GMT
    Great article on it:

    Psoriasis is a common skin condition where the skin develops areas that become thick covered with silvery scales. It is a common problem, and millions of people in the United States have psoriasis. The course of psoriasis is quite variable, but in most sufferers it is a chronic problem that continues for years. The presence of psoriasis can cause emotional distress.

    Psoriasis is considered a skin disease, but really it is the result of a disordered immune system. The T-cells, a type of white blood cell, become over-stimulated. They then direct the skin to try and "heal" a non-existent injury. The skin reacts the same way it does when it has a fungus infection; it grows very fast, trying to "grow" the infection off the skin. These areas become the reddened, inflamed, patches with white scale on them.

    There are several ways psoriasis can start. In most sufferers, the tendency to get psoriasis is inherited. It is not passed on in a simple, direct way like hair color, but involves multiple genes. For this reason, it is not always clear from whom one inherited it. Inherited psoriasis usually starts in older childhood or as a young adult. Sometimes, especially in children, a virus or strep throat triggers brief attacks of tiny spots of psoriasis.

    In middle-aged older adults, a non-hereditary type of psoriasis can develop. This changes more rapidly than the inherited form, varying in how much skin is involved more unpredictably. Most types of psoriasis show some tendency to come and go, with variable intensity over time.

    Psoriasis flare-ups may be triggered by changes in climate, infections, stress, excess alcohol, a drug-related rash and dry skin. Medications may trigger a flare up weeks to months after starting them. These include non-steroidal anti-inflammatory drugs (Indocin, Advil, Feldene, others), blood pressure (beta-blockers such as Tenormin, Inderal), oral steroids such as prednisone, or depression (lithium).

    Psoriasis tends to be worst in those with a disordered immune system for other reasons (cancer, AIDS or autoimmune disease). Psoriasis areas are worsened by scratching and minor skin injuries or irritations. Psoriasis may itch or burn. It most often occurs over the elbows, knees, scalp, lower back, and palms or soles of the feet. The skin may split or crack in areas that bend.

    There are several forms of psoriasis. The most common form shows reddened areas a few inches across covered by silvery scales. Dermatologists refer to the affected areas as areas as "plaques". Other patterns psoriasis can appear in are "inverse" (shiny, red patches in areas of friction such as in the folds of skin in the groin, the armpits or under the breasts), pustular (blisters of noninfectious pus on red skin), or "erythrodermic" (reddening and scaling of most of the skin).

    Psoriasis may also affect some of the joints causing discomfort and restricted motion, and even distortion. This occurs in about 10 percent of people with psoriasis. This is called "psoriatic arthritis". It often affects only a few fingertips, but in some it can be severe and widespread. It also may affect the fingernails, toenails and the mucous membranes lining the genitalia and mouth.

    Treatment is based on the severity of the disease and it's responsiveness to prior treatments. The lowest level of treatment is topical medicine are applied to the skin, the next level involves treatments with ultraviolet light (phototherapy) and finally, taking medicines internally. Treatments from each level are often combined, or switched around every 12 to 24 months to reduce resistance and adverse reactions.

    A treatment that is effective in one person may fail in another. Both trial-and-error and personal preferences often guide treatment. Over time, psoriasis tends to resist its treatments. The locations, size and amount of psoriasis, prior treatments, and the specific form of the disorder are factored into treatment decisions.

    Topical corticosteroids (topical "steroids") are the first treatment most people with psoriasis get. Available in greatly varying different strengths, short-term treatment is often effective, at least for a while. The highest potency steroid ointments (Diprolene, Temovate, Ultravate, or Psorcon) are almost 1000 times stronger than over the counter 1% hydrocortisone. High-potency steroids may be used for treatment resistant plaques, particularly those on the hands or feet. Overuse of high-potency steroids can lead to thinning of skin, internal side effects, treatment resistance, and even worsening of the psoriasis. Medium-potency steroids are used when larger areas or longer treatment times are needed. For safety reasons, only low-potency preparations are used on delicate skin areas such as the groin or face.

    Dovonex (calcipotriene) is a synthetic, activated form of vitamin D3. Regular vitamin D supplements have not benefited psoriasis, and used in excess are dangerous. Dovonex ointment applied twice daily controls the excessive production of skin cells in psoriasis. The ointment mildly irritates the skin, especially if used on the face, scalp or genitals, where the cream or solution versions are preferred. It is slow to work, and since it is mildly irritating, it is often combined with topical steroids. In about a third of the people who try it, Dovonex has almost no effect, while the rest do very well with it. To prevent excessive accumulation of vitamin D in the body, there are limits as to how much Dovonex can be used in a given week.

    Coal tars are one of the oldest and most widely used treatments. They are non-prescription, and are applied directly to the skin, used for a medicated bath, or in medicated shampoos. It is available in different strengths, the refined forms are less irritating and don't stain, but "crude coal tar" is more potent. Because coal tar makes skin more sensitive to ultraviolet (UV) light, it is sometimes combined with ultraviolet B (UVB) phototherapy. Coal tar is safer than steroids but is messy, smelly and less effective.

    SCAT treatment is the short contact treatment with anthralin. Anthralin is a very old treatment for psoriasis, but because it stains skin and clothing brown or purple it has fallen out of favor. To limit the staining an especially washable form (Micanol cream) is used for a 15- to 30-minute application, then carefully washed off with tepid water. There are no dangerous side effects, and no long term skin damage, but this treatment often fails to completely clear psoriasis and it may irritate the skin so it is unsuitable for acute or actively inflamed eruptions.

    Salicylic acid is added to other creams to remove scales, and is in some non-prescription creams. It is combined with topical steroids, anthralin, or coal tar.

    Tazorac is a newer psoriasis gel that may be very effective. Like Dovonex it is irritating, but it has the special benefit of clearing psoriasis for a longer time after it is stopped than any other topical medication. It is often combined with topical steroids to limit the irritation. It is not clear it is safe for pregnant women, and may cause sun sensitivity where it is applied.

    Psoriasis sufferers may find that a medicated bath may help soothe the skin, remove scales and reduce itching. These are done by soaking 15 minutes in oatmeal (Aveeno colloidal oilated oatmeal), Epsom salts or Dead Sea salts, or Tar (Zetar emulsion, Balnetar oil). Application of a greasy ointment after the bath is particularly helpful.

    Ultraviolet light inhibits the immune system cells in the skin, and stimulates production of activated vitamin D. These slow the excessive of skin growth that causes scaling. Ultraviolet light treatments include the milder UVB, or for the more severe or extensive psoriasis (psoralen and ultraviolet A [PUVA] therapy. Sunlight and tanning booths tend to be less effective, but can be used if an appropriate plan is followed.

    UVB Phototherapy
  • Posted by a hidden member.
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    Apr 07, 2010 3:01 AM GMT
    I have had Psoriasis on and off for 40 years. It is an autoimmune illness. Other things like allergies and stress can trigger it.
    If you have medical insurance, go to a Dermatologist. If no insurance, go to a free clinic. There are foods to avoid. Getting enough sleep can also help. Steroids like prednisone are tough and have their own side affects. I use betamethasone valerate to treat my cystic psoriasis, which is very painful.
    If you tackle it systemnatically, from several vantage points, you should make a significant dent in its impact.
    Also, there is no specific bullet to treat with one apprioach. The allergy factor, soaps, food, stress, etc. has a major rold. Become educated and monitor yourself and establish a healthy baseline in your life. Good Luck.
    Also, if people comment on your skin, tell them to go procreate themselves in public. The very best.
  • Cannon

    Posts: 100

    Apr 07, 2010 5:00 AM GMT
    I work at Lush and people, especially with eczema and psoriasis, go crazy over these two products. I don't have either skin condition, but my skin is extremely sensitive, and I can attest that they are miracle workers. Both products are actually made in the Vancouver kitchens. If you've never tried anything from Lush, I suggest you go in and ask for samples of the two products and see how they work on your skin. We love giving samples out.

    This creamy Smoothie is made for those of you with sensitive, itchy, rashy and sunburnt skin. We put the most soothing ingredients in for optimal results, including calamine powder, aloe vera gel, rose and chamomile. It smells rather herby because it's full of herbs. Lather this soft pink soap all over to calm down your skin and when you're done in the shower, rub on our best-selling body lotion Dream Cream to make your skin so happy it'll think it's dreaming.

    If you've got skin with severe problems, you could spend your whole life dreaming of a clear, trouble-free epidermis. Give our best-selling Dream Cream a try; we get loads of emails about how well it works. With a base of oat milk (traditionally used to calm skin), it's packed with every calming plant we could find: tea tree, lavender and chamomile, moisturizing olive oil and loads more. If it seems nothing works to calm your skin, apply a healthy dose of this, our best-selling cream. You can thank us later.
  • CincyBOJ

    Posts: 306

    Apr 07, 2010 7:49 AM GMT
    I use betamethasone and now added to that, methotrexate. I have used the betamethasone for 20+ years but learned something recently... I recently had a break out that covered a very large area using that much topical caused very uncomfortable spikes in my blood pressure. LOL. don't do that.

    Just be glad you do not have the arthritis version of psoriasis. Keep on eye on your joint health too.
  • Posted by a hidden member.
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    Apr 07, 2010 8:05 AM GMT
    Sorry to hear about your diagnosis. Psoriasis is very common, but the first thing to do is get a second opinion and possibly a biopsy. Not everything that looks like Psoriasis really is (and even dermatologists have a hard time distinguishing between Psoriasis, Eczema and other similar skin problems).

    If it is Psoriasis, I highly recommend trying these remedies:

    1) Apply pure Vegetable Glycerin to your skin. It's pretty cheap, about $5-$10 per bottle, and is said to work wonders for Psoriasis..

    2) Some people claim that showering with Lye soap helps. It's a type of soap that used to be popular and isn't so much today. You can get it online and it'll probably take some experimenting to find a brand that doesn't smell weird (because it's made of animal fat)

    3) For periods when your skin is inflamed, try applying pure Aloe Vera. Some studies have compared its effectiveness to Cortisone creams and it's natural.

    4) Some people find that Apple Cider Vinegar helps, though it may sting the first few times until your skin starts to heal:

    5) Psoriasis is usually triggered by stress, so it's important to work on reducing stress in your life. Some techniques that can help are meditation, slow breathing techniques and Yoga.

    Hope this helps. Good luck!
  • Posted by a hidden member.
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    Apr 07, 2010 8:35 AM GMT
    Wow thanks to all of you!

    my dermatologist also told me to get bath to being very very hot, almost scalding, dissolve 1-2 cups of table salt in to and then get in when it's still very hot.

    Has anyone tried this? Any success?

    I think a big problem is also, being in Vancouver now, its wet all the time. Exam and essays due now, so I'm stressed to the max, first year in Uni.

    But thank you to everyone, I've definitely gotta try some of these things out!
  • speedo_z

    Posts: 1

    Apr 07, 2010 9:58 AM GMT
    Hi, I've had it since my early twenties.

    Moisturise, moisturise, moisturise!

    find your nearest gay beach where you can tan naked. Having this is the best reason to run around with practically nothing on during the summer.

    I know that because you feel like crap with a breakout all over you this can be hard, but if necessary try taking a book into a screened off area of the backyard. However, always tan safely, as overdoing it may bring it back. The red lesions will turn to white normal skin after a couple of good days in the sun and then you need another little while to get the white spots tanned up to match the rest of the body - But it's worth it as this can keep the spots away for months.

    There is a theory that there's something about the way we can't handle vitamin D that affects this so make sure you take your vitamins and eat foods high in vitamin D like oily fish.

    Use the creams sparingly. As Psoriasis encourages the skin to grow up to 20 times as fast, the way they all work is to thin the skin. Obviously this isn't particularly great for anywhere but especially for delicate skin like that on your face.

    My main advice is: Keep training. Keep your body looking good and don't let the little spots run your life.

    there are guys who can see past this believe me - but along with the rest of us you'll pull better in the summer icon_smile.gif
  • Posted by a hidden member.
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    Apr 07, 2010 11:04 AM GMT
    Would you believe I used to have it on my ass? I did, which made gym class a horrifying experience. A dermatologist gave me something for it that cleared it right up when I was 12 or 13. Haven't had it since, and I honestly don't know what she gave me.
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    Apr 07, 2010 11:07 AM GMT
    I had pretty bad eczema since I was a baby up until college. It was all over my arms and legs. It sucked.

    It's not the same as psoriasis but treated similarly and going to the beach was the best treatment.. Not sure if it's because of the sun or the salt water or the lack of allergens or all three. The salt water baths helped, but I always heard you should use sea salt, not table salt. And if you don't know what you're allergic to you should get an allergy test. I used to get allergy shots every week which might have had something to do with it finally going away in college. Prescription creams were mostly a waste of money. Mometasone Furoate was the only one that worked.
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    Apr 09, 2010 7:13 AM GMT
    I've had some eczema flare-ups on the palm of my hands.
    (And no, it has nothing to do with going blind, either.)


    Mine is not that extreme, but that's the idea. Seems to be seasonal and I try to moisturize since it mostly appears to be flaking dead skin.

    Things could be worse. My uncle, the dermatologist, mentioned that in the old days people with such non-contagious problems were often mis-diagnosed as suffering from leprosy and sent to a leper colony... where they were infected with leprosy (thus proving the original diagnosis "correct", with eczema/psoriasis being seen as a precursor to leprosy.)

    For a good, hot, salt bath (with plenty of sun, too)... go floating in the Dead Sea! (:
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    Aug 27, 2010 5:58 PM GMT
    hooked up with a guy with psoriasis on his penis, needless to say he was very self-conscience about it. i tried to act like it wasnt a big deal but it was, i didnt and in my head could give him oral.

    i feel bad for him cuz i too have my own self-conscience issues, he got so embarrassed he bolted as soon as he was finished.

    anyone else have this happen?
  • Posted by a hidden member.
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    Aug 27, 2010 6:16 PM GMT
    Ask your doctor about possibly using "Cordran Tape" for this condition.

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    Aug 27, 2010 11:05 PM GMT
    iv had it for about 5 months now Its on my butt. I bought some coal tar gel I'm going too use for the next week if that doesn't work I'm going to try the tanning bed.
  • mke_bt

    Posts: 707

    Aug 27, 2010 11:20 PM GMT

    I had a patch on my scalp for years. Nothing really worked to get rid of it. I did have short term success with controlling the itch with cortizone cream.
    What finally worked for me was living in New Mexico for 18 months. I think with the low stress, physical lifestyle I had along with the constant sunshine it went away for good. It's been six years since I've had a flair-up.