June 17, 2009 9:27 AM Subscribe
I have psoriasis and wonder what treatments work if you or someone you know also has it and what your experience has been.
posted by longsleeves to health & fitness (23 answers total) 8 users marked this as a favorite
My father has plaque psoriasis and over the last eighteen months or so I have begun to develop it. I had a quick initial onset on my scalp and upper chest, which has since slowly expanded in area affected. A local dermatologist I finally consulted two weeks ago prescibed Derma-Smooth/FS, a suspension of fluocinolone acetonide in purified peanut and mineral oil. I have used the stuff and it has resulted in some clearing of the affected areas but the lesions are persistent and less noticable but no smaller, even thogh the doctor said the would begin to go away. He mentioned some other treatment that he woud use after the fluocinolone did its work.
Dad had a case that was very bad, progressing to that point that it affected large areas of his skin. He spent two weeks at a clinic in another state (The Cleveland Clinic?) for some sort of intensive treatment that failed. The concern as I understand it was that psoriasis in its more extreme manifestaions can result in skin cells replicating so fast that the body's temperature is raised by the accelerated metabolism to dangerous fevers.
Eventually Dad's psoriasis was controlled with methotrexate, which is more commonly employed as part of anti-cancer chemotherapy treatments due to its slowing of cell division. He had to get a liver biopsy before they started using it and subsequent biopsies to check for liver damage.
It worked, and the dosage was decreased over time to minimal levels to maintain the "remission."
The Dermatologist's staff had me fill out a form describing why I was consulting the doctor. By the time the doctor breezed into the examining room I was waiting in, one of about four he has, he already had his prescription pad out. From his seat abot five feet away he glanced at the red patches on my upper forehead near my hairline and said the scalp oil he was prescribing would control the codition. He didn't look at my chest and he spent less than five minutes with me.
I have a follow-up appointmet with this doctor in a few weeks. I did not remember to ask him about arthritis as part of the aouto-immune symptoms associated with psoriasis. My knees hurt.
I understand that immune suppresant chemicals are used sometimes to treat my condition, and well damn, that sounds scary.
Should I consult a rheumetologist on my own?
Any thoughts you may have or experiences you could relate awould be welcome.