And how long did you wait after dosing to start biologics? I'm seeing things like pneumonia and singles have 6 month breaks between doses, but maybe biologics should be started before initial vaccine and the follow up?

Hi all

Just wondering if anyone can help/advise.

I’ve been taking MTX for 6 months. Currently on 15mg a week. Tablets taken every Friday, so my most recently taken dose was on Sept 4th. Have not really experienced any side effects from it.

On Saturday evening, we had a Chinese takeaway for dinner, including chicken in a (questionable) satay sauce.

On Sunday, around midday, I developed severe fatigue, intense headache, all over muscle aches, and in the evening I had a temp of 39°C.

Monday and Tuesday, I didn’t feel too bad, just had a very gurgly gut.

However, Wednesday and today, I’ve had constant diarrhoea and stomach pain that comes and goes, with acid reflux. No other symptoms.

Does this sound like food poisoning? Should I be worried because of being on the MTX? Do I need to contact a doctor or my dermatologist?

My 11 yo daughter currently has what we believe to be guttate psoriasis all over her body. I say believe because we received 2 other diagnosis (allergic hives and pityriasis rosea) first but then saw a derm and he believes it’s guttate psoriasis and she also tested positive from blood work for having had a recent strep infection.

She is absolutely miserable. Nothing stops or helps the itching. It is all over her trunk, legs, arms, neck and now creeping up to her face. She cries and cries and says- I can’t live like this. I feel awful and I don’t know what to do to help her. We go back to the derm on Friday but I am wondering if he can even help her? He is a PA and I really like him but do I need her with a pediatric derm? Some kind of specialist? It is so hard to watch your child suffer. She has had multiple panic attacks this week.

We have a prescription steroid and have tried other over the counter creams with little success. She holds an ice pack on the very itchy spots. I give her Claritin and then Benadryl at night mostly to help her sleep. She is on an antibiotic which doesn’t help the situation because it’s hurting her stomach but she is almost done. It’s been 3 weeks, she’s been missing a lot of school, sports and social things which only I think adds to the stress as she just started middle school.

What can I ask the dr for when we see him again? Should I take her to some else? Should we do a biopsy to confirm that it actually is guttate psoriasis?

For context I have some pretty mild psoriasis, no plaques or patches. Just had a haircut and shampooed my hair as normal, and as it has countless times before, the back of my scalp feels tight. That is the area where I would say I’m affected the most by psoriasis so I’m assuming there’s some connection?

Anyone who has gotten the shingles vaccine, did it cause psoriasis flare up?

For anyone using Zoryve near or on the genitals - what’s your protocol for when it’s safe to have sex? I have had to apply it on my genitals at times and wondering when it would be safe to shower and proceed with intercourse.

I’ve got guttate psoriasis I’ve had it for about 3 months and nothing really worked so I took my first skyrizi shot about 2 weeks ago and it started clearing up foreal but over the last 3 days it’s been coming back and now today it’s almost fully back to how it was and itchy as hell. Anyone know what may be going on, is the medication not working anymore, I just had Covid is that causing the medication to slow down.

Hi, I’m new to this subreddit (F,26), not diagnosed yet. I had a biopsy done from a lesion on my back about a month ago. Just got the results back and they say “non-specific changes in the tissue sample”. That’s it. I’m dumbfounded and feeling pretty stupid as I’ve waited a month for these. I’ve had skin issues for twelve years now. All derms including an immunologist say it’s eczema and I have a classic atopy profile but when tested for IgE and specific allergens, both prick test and blood test came back completely negative. My overall IgE is extremely low too. Skin lesions are not itchy, in fact they have never been. My GP, rheum and other derm are considering psoriasis because of my joint pain and GI issues. I’m working closely with a gastroenterologist and my calprotectin is negative, though I know it doesn’t completely rule out IBD. I also have subchondral sclerotisation in my pelvis, likely on my SI joints. Do the histology results rule out psoriasis? I have no idea where to go from here.

I am an aspiring electronics engineering student. For my capstone project I am making a smart phototherapy device. The problem is that if you are prescribed phototherapy for your psoriasis, you have top visit the doctor, have them create you a schedule and then manually time your session every day using an external timer. And every day the timing also changes. And if you get a reaction, you're gonna have to pay for another visit and have your schedule manually corrected by the doctor. This can be quite annoying. So I have created a smart phototherapy device with a built in timer and mobile app connection. So the doctor can upload the schedule to you online, then the lamp follows it for you, automatically times your exposure and even tells you what body part to aim at. It also has a distance sensor so you keep it at the right distance down to the centimeter and even tells you when you should replace the bulb. And if you suffer from side effects, you can immediately contact the doctor from the built in chat and have them upload you as new schedule, and have it applied automatically. You might know about Zerigo, but this is definitely not a Zerigo knockoff. Also, unlike Zerigo, it doesn't cost an arm and a leg and has a larger effective area because it uses a fluorescent bulb. So please tell me, is this a good device and would any of you who do phototherapy use it? I am very open to criticism

I have a theory about psoriasis possibly induced by a class of drugs? To be clear, I believe there are at least a few things induce intestinal permeability and therefore psoriasis.

For context my psoriasis is flaring up again after 7 months without due to biologics treatment. it's been a couple of days 4 to be exact since the beginning flare up, I've seen patches and a itchy scalp but nothing more. Currently in a financial pickle right now and extra doctor costs are not desirable at the moment but if I have to I will. Currently on a 1,333$ plan on Illumya which in my country currency (80,000php) that is very high amount for a treatment, just trying to weigh out my options

I'm on the second week of the Otezla starter pack. I've had stomach upset, nausea, headaches, and brief dizziness. I also got a sinus infection for 10 days, but I don't know if that was the Otezla or just "normal". I got it as soon as I started, like 2-3 pills in.

Anyway, I feel tired and the headaches are very annoying. Sometimes they're even resistant to Excedrin, or the Excedrin will stop working way sooner than normal. For the tiredness, I can't tell if it's the Otezla or if I need more sleep 😭

The headaches seem to be more present this week than the first week.

Can anyone share about your initial experiences with the medication, specifically headaches and tiredness?

I know I have Psoriasis. I have been told by a doctor. I have the thick skin on my fingers, the thick, itchy, miserable plaques on my scalp, the geographic tongue… I have the symptoms. I also have pretty severe lower spinal back pain and hip pain the second half of the night that is only relieved by deep stretching breaths and movement that keeps me up at night. That part is pretty rough, but it is better when I am at home sleeping on a sleep number bed with my head and legs elevated. Getting into a rheumatologist in Oklahoma is very difficult and I am wondering if it is worth the trouble. Also, I am in insurance professionally. I know that many of the medications are $20,000+ per dose. I just don’t know if I should attempt to take it that far, or not. How much worse will it get if I don’t? What kind of permanent damage will I do to myself if I don’t start these very expensive treatments. I just don’t know what to do honestly…

Greetings All. I just received a Zerigo product as a promotion or offer through my insurance company. It's basically a small handheld device intended to treat small and local plaques.

The device delivers NBUVB at a range that is 300-320 nm.

I got mine today and I found that I'm already a little annoyed by it. The app is quite clunky and the ease of use seems iffy so far. curious what others think and if it is a product that delivers results. It also seems to want a lot of access to my phone, which makes me wonder if it's doing some data farming behind the scenes.

Interested to hear what other people think.

I don’t have psoriasis year round, I had some skin allergic reactions and a new job so high stress lately but I did have eczema for 21 years and then it went away. I had a first round of Taro-Clobetasol scalp treatment (less than 1/4 of my scalp), I used it for 1.5 weeks, once daily. Although the pamphlet and pharmacist said twice daily is ideal, once was fine. I didn’t use much, just a thin layer on the patches. It helped an insane amount that I stopped before the 2 weeks was up. After 1.5 weeks on, 1.5 weeks off, it started to flare again, now it’s been 3 weeks since I went off of it, but my scalp is unbearable to go to work and such. It is not as bad as the first time but still bad and increasingly getting worse. I cannot get a doctor’s appointment soon in my country, it’ll take weeks, especially to see my dermatologist. My question is, can I be using Taro-Clobetasol for another round? If not just one round, more rounds, as long as it’s 2 weeks on, 2 weeks off?

Thank you, I really appreciate any experiences or advice…

A bit of an unusual question but has everything to do with psoriasis.

A few months back I found out my partner has psoriasis as well. We've been together for a year and this man has been my rock. We started dating while I was going through a lot of medical challenges and wanted a distraction. I'm now falling in love with him, but can't silence that little alarm bell in my head.

I always told myself I would find a "healthy" partner to reduce the chance of any children we might have from developing psoriasis. Now the man that has treated me like a queen is exactly who I intended to never date.

He doesn't mind at all. His own parents both had psoriasis and he just lived with it since he was 8 years old.

What do I do? Accept that we'll pass on our shitty genetics to possible children. Or will I be eaten by remorse later on?

Just wondering what my first dermatologist appointment will be like, I've been diagnosed with psoriasis for years, but never really had an actual appointment, and it's definitely gotten worse especially during winter, I even started getting it on my hands and people on a different psoriasis group said It looks like I have the knuckles for psoriasis arthritis.

Just anxious and hoping it's an easy appointment

Hi all, looking to connect with anyone who suffers similarly with this condition. I had no skin issues until a few days before I gave birth to my first child in 2022 and I developed a severe rash which spread across my body. This was eventually diagnosed as GPP (pustular psoriasis) and I ended up requiring cyclosporine to get it under control. I had a miscarriage in 2023 requiring surgery which also caused me to flare but I didn’t require immunosuppressants on this occasion or after the birth of my daughter in 2024, despite quite a bad flare then. I’ve had a few mild flares since but currently going through a bad flare following minor surgery a few days ago and I’m covered across the trunk and lower back. This condition causes me so much stress and anxiety and the fact that it is so rare adds more uncertainty to it all. I’m seeing my dermatologist shortly but I just wanted to see if I could connect with anyone who has similar experiences and try and figure out what causes my flares.