Psoriasis on my fingers

Hi @kzeiss, I think it's bad enough having to deal with psoriasis but on your hands and fingers has to be the pits. There is another discussion where members are talking about treatments that you might find helpful.
--- Psoriasis: What treatment helps?: https://connect.mayoclinic.org/discussion/psoriasis-1/.

I also found a reference on the National Psoriasis Foundation site discussing the difficulties when psoriasis is on the hands and feet that might be helpful.
--- When Psoriatic Disease Strikes the Hands and Feet: https://www.psoriasis.org/advance/when-psoriatic-disease-strikes-the-hands-and-feet/.

It's great to hear you have a doctor that is working with you on seeking a treatment that helps. Have you done any reading on the National Psoriasis Foundation website specifically when psoriasis is on the hands and feet?

I will definitely read those websites. I did not know they existed. Thank you very much!

I have a similar situation on my index fingers and thumbs but with blisters (small and large) breaking out at the knuckles… do you have this symptom as well? I have celiac and know that i was getting glutened post hurricane Ian when I was displaced from my home for close to 8 months. I found a functional Dr who prescribed Naltrexone which has helped significantly. Unsure still tho if it was psoriasis, gluten poisoning or … ?

Hi @donnapa, Welcome to Connect. Thank you for sharing what helped with the condition on your fingers with @kzeiss. It would be interesting to know if the symptoms on your fingers was also from psoriasis.

Do you mind sharing what you were searching for when you found Connect?

Since psoriasis seems to have connection to autoimmune illnesses and since I have celiac disease, i decided to post there.
I also have scalp issues abd hair loss which my doctor said was connected to celiac.

of course… I am unsure and dubious about psoriasis and suspect that gluten poisoning was the culprit as that was the only marker which was off/very high. I have had biopsies of the blisters/many were boils, with ‘no reason for concern’. An endoscopy revealed flattened/minimal villi… I have been searching for an answer as to the reason for this issue and have subscribed to and follow many celiac and gastrointestinal groups including this one at Mayo.

Also, I was prescribed a steroid ointment which I used on my hands under surgical gloves and slept in. This moderately helped the symptoms but surely did not address the cause. The naltrexone was has seemed to be helping heal (from within) the deep subcutaneous blisters. Best of luck!

I’m assuming your dermatologist has prescribed many creams.
If you work with your hands those two digits are especially susceptible
to friction and wear and tear. The Koebner reaction causing flares explains this. When I used steroid at night I preferred white cotton gloves over
the steroid topical. Baby your hand with gloves at rough work with irritating
activities during the day. Frequent steroid use can cause thinning and
fragility limiting their use. Have you tried oral or topical apremilast.
Tacrolimus and calcipotriene creams are are other options. They are $$.
Do you have nail changes or arthritis? I became aware of psoriasis being an
internal system disease when I developed psoriatic arthritis in spite of
minimal skin area involved. Dermatologists may overlook it is a cardiac
risk factor in itself. Have your doctor screen you for that as well as doing
testing for inflammation.

I use mild cleansers like Cetaphil or Neutragena and light moisturizer after washing my hands. Also I believe Mediterranean low gluten diet is helpful.🙏🏽

a thank you. Your information snd kind advice is very helpful. Presently, I use Tacrolimus ointment and sometimes Vtama. They help but fo not clear it up. I have tried Obsulara internally but coukd not tolerate it. In the beginning, I was on a different internal drug for five days only as it was dangerous for livers and for 5 days my skin cleared up and then came back 5 days after that. My doctor is really into trying the latest drugs however, each time it is a challenge both with the insurance and also the potential side effects. I always seem to be part of that .001% that has a bad reaction to anything I take internally. Vety grateful for your response.