Psoriasis: What treatment helps?

Posted by bio @bio, Oct 2, 2021

Do you have a cure

Interested in more discussions like this? Go to the Skin Health group.

Any direction or suggestions from a specialist ?

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@bio

Any direction or suggestions from a specialist ?

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Hi @bio, Welcome to Mayo Clinic Connect. While we’re backed by Mayo, we’re a community forum of members such as yourself who try to provide answers or encouragement for other each other. But we’re not medical professionals so we can’t diagnose conditions or offer treatments.

You’re a person of few words. Have you been diagnosed with psoriasis? Was this just recently or has it been ongoing for a while?

Wondering if you have any other underlying conditions which might be contributing to your condition such as arthritis?

There are several types of psoriasis and locations on the body where the symptoms appear. Do you have a specific name for your type? It might help other members respond with some helpful information for you.

How about medications. Are you currently on any type of treatment? Some members have gotten good results in remission from Stelara or methotrexate. Have you tried either of these two meds?
https://www.mayoclinic.org/diseases-conditions/psoriasis/symptoms-causes/syc-20355840
https://www.mayoclinic.org/living-with-psoriasis/scs-20300903

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Am only ointments for the rushes

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@bio

Am only ointments for the rushes

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Do the ointments you use help with the rashes? Are these ointments prescribed by your doctor?

Sadly, at this time this is no cure for psoriasis. But there are quite a few prescription medications which can help with the symptoms. There are topical treatments such as the ointments you’ve been using. But there are also more aggressive options for people who have more severe psoriasis. Often this involves immunosuppressives to calm the over active immune system.
I’ve posted 2 more links that shed a little more light on psoriasis for you.
https://www.mayoclinic.org/diseases-conditions/psoriasis/diagnosis-treatment/drc-20355845
https://www.livescience.com/42285-psoriasis-skin-treatment-cure.html
Also one more link regarding finding the right specialist to diagnose and treat your specific type of psoriasis. https://www.healthline.com/health/psoriasis/medical-specialists

Are you currently with a dermatologist or rheumatologist?

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Thank you very much I am with a Dermatologist but the there is no much improvement

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@bio

Thank you very much I am with a Dermatologist but the there is no much improvement

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I’m so sorry you’re not getting any improvement from your current topical treatment. That has to be terribly frustrating for you. You’re not alone thought, because psoriasis is one of the most prevalent skin disease in the world.
Is this a relatively new diagnosis for you? Do you have plaque psoriasis?

If this treatment isn’t working, has your dermatologist discussed other options for you? There is an ultraviolet light therapy as well as the medications I mentioned in my earlier reply.

Psoriasis is caused by an increase in normal skin cell production. Usually new skin cells are replaced every 10 to 30 days. With psoriasis, new cells grow every 3 to 4 days. The buildup old cells with layers of new cells is what produces the scaling and flaking. The light therapy can slow the growth of the skin cells.

Do you notice anything that triggers a flare up?

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Yes there a lot of plaque and on my toe and finger , the finger and the is dead new has not come since. I stop eaten a lot of food the were said can trigger it but there is not improvement, from the psoriasis revolution I red I stop eaten Tomatoes , bread , rice , corn and what have you

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@bio

Yes there a lot of plaque and on my toe and finger , the finger and the is dead new has not come since. I stop eaten a lot of food the were said can trigger it but there is not improvement, from the psoriasis revolution I red I stop eaten Tomatoes , bread , rice , corn and what have you

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This has to be so disruptive to your quality of life. I know it’s difficult to make these adjustments in diet. I’ve had to do that too, for other health related issues. But we are capable of making things work when we have to.

The diet your dermatologist suggested is to help curb the inflammation in your body. Some studies suggest that antioxidants, like vitamin C, vitamin E, beta-carotene, and selenium, may make a difference along with fatty acids from fish oil. My doctors recommended a Mediterranean style diet.

Anti-inflammatory foods are generally healthy, so it won’t hurt to give them a try. Slowly you can add more acceptable foods as you eliminate items that can cause inflammation.

Below is a list of acceptable and healthy foods so you can see that you’re not severely limited in what you eat.
Fruits and veggies, especially berries, cherries, and leafy greens, lentils, dried beans, whole grains, Salmon, sardines, and other fish rich in omega-3 fatty acids.
Antioxidant-rich herbs and spices like thyme, sage, cumin, turmeric and ginger. Green tea is another healthy antioxidant to drink.
Heart-healthy sources of fat, like olive oil, seeds, ground flax seed, nuts.
You might be able to substitute brown rice or wild rice instead of white rice.
If you miss bread, you might consider trying a 12 grain or other whole grain bread in moderation. But avoid white bread.

Foods to avoid which can cause inflammation are:
Processed foods and refined sugars.
Fatty cuts of red meat
Dairy

A little more reading material for you. But these articles are excellent for helping to see why it’s important to eat healthy, what causes inflammation and why it happens.
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/how-to-use-food-to-help-your-body-fight-inflammation/art-20457586
https://health.clevelandclinic.org/5-foods-that-can-cause-inflammation/
Does this help you feel a little less helpless about changing your diet?

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Thank you very much pls can I get appointments to come for the UVB ?

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@bio

Thank you very much pls can I get appointments to come for the UVB ?

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@bio, I’m so happy I’ve been able to help you with your anti inflammatory diet and also help you get a better understanding of your psoriasis.
You’re already working with a dermatologist and that is the doctor you need to contact about getting a different treatment plan.

If you were recently diagnoses with this, the change in diet and the ointments you’re trying will be the first line of attack. With some people it’s successful to stop the psoriasis.
If the topical medications don’t work, then your dermatologist will consider taking you to the next level of treatments. That might involve the UV treatments or taking some medications which can slow the immune system response to the inflammation.

But you need to contact your doctor to let them know that you’re not seeing any progress in stopping the disease. How long ago were you diagnosed with plaque psoriasis?

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It started from toe and finger last year Around June and now my arms and knee including some part of my body

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@bio

It started from toe and finger last year Around June and now my arms and knee including some part of my body

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Oh thank you for the photos!! It really helps me get a better understanding of what you’re dealing with. You have psoriasis of the nails and now it’s spreading to other parts of your body. I can sure empathize with the splitting and damage of your nails. It can be so painful and your nails catch on everything!
I went through almost a year of that after chemotherapy. I had to use glue on my nails to hold them in place when they tried to split and also used a clear fingernail polish to keep them intact. They’d catch on clothing all the time! There were several weeks where had to resort to wearing nitrile gloves so I could type, wash dishes, eat, bathe, etc. I’m sure you’re facing similar challenges.
I found another article on our Mayo Website that talks about Nail Psoriasis and how to care for your nails while the treatments start working.
I’ve looked for other members who have similar issues but so far haven’t been successful. So I hope we’ll get some feedback from other members with psoriasis who might be able to offer some suggestions for you.

In the meantime, keep up the good work with making modifications in your diet and keep using the ointment. This will take time for your body to respond. And nails take months to grow out…which is discouraging. But it all happens one cell at a time. We’ll hope for some good progress over the next few months!

Do you have a follow up appointment with a dermatologist?

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