Help with a diagnosis
Hello. I have had a reoccurring rash on my knees for over 5 years. It always comes back to exactly the same spots then spreads to cover the knees. This summer, the rash appeared on the soles of my feet which made walking normal pretty much impossible so I finally went to the doctor. The PAC took one look at my knees and said psoriasis. He biopsied just for confirmation. I will see my own doctor next month and am not sure what this diagnosis means:
FINAL DIAGNOSIS:
SKIN, RIGHT KNEE LATERAL, PUNCH BIOPSY:- SPONGIOTIC AND PSORIASIFORM DERMATITIS- SEE COMMENT
COMMENT
The histological findings show chronic spongiotic (eczematous) dermatitis. There are features of psoriasiform
hyperplasia and neutrophilic abscess, therefore a very early presentation / evolving psoriasis remains a
differential consideration. PAS is negative for fungal organisms. Clinical correlation is advised.
He left a phone message stating it was a form of psoriasis caused by something environmental.
So this means I do not have psoriasis? Web says psoriasis can cause psoriasiform dermatitis? Has anyone else had similar pathology?
Asking as my mother had psoriatic arthritis without the rashes.
____________________________________________________________________
Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.
Connect

Important to consult a Dermatologist for proper diagnosis and therapy.
Family history is an important factor. Topical meds may be enough.
Awareness that psoriasis is a cause of chronic systemic inflammation
will help avoid other issues. Friction can be a trigger on knees.
Medication can also contribute to flare ups. Moisturizer twice a day is
a very basic preventive measure.
-
Like -
Helpful -
Hug
1 ReactionThank you. I will look into getting an appointment with a dermatologist.
-
Like -
Helpful -
Hug
1 ReactionI’m looking for a group with Villa atrophy that is not celiac
-
Like -
Helpful -
Hug
1 Reaction@davidjones123 Have the doctor(s) determined the cause of your villious atrophy? Some include NSAIDs (aspirin and such), infections such as Girardia, and unknown. It is useful to keep a food journal, just in case some foods or medicines worsen your symptoms. I have celiac; it was triggered 16 years ago by H1N1, and is controlled with diet (no gluten or NSAIDs, some sensitivity to legumes). I was likely gluten intolerant for decades before based on health issues that went away after going GF (skin rashes, bloating, reflux, neuropathy...). Here are some links: https://www.bidmc.org/-/media/files/beth-israel-org/centers-and-departments/digestive-disease-center/celiac-center/celiacnow/non-celiac-enteropathy.pdf https://pmc.ncbi.nlm.nih.gov/articles/PMC11997019/
-
Like -
Helpful -
Hug
2 Reactions