Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 I have a nasty suspicion (sp?) that I'm in the early stages of an outbreak of guttate psoriasis I've managed to convince the receptionists at the health centre to get me to the Dr this morning, and if she agrees that's what it is, I'll push for a referral to the hospital dermatologist this week so treatments can start this week or next. But please keep your fingers crossed that I'm wrong... What am I on about? Well, many of you will know what psoriasis is: probably some of you will suffer from some form of it, but it comes in several forms. The most common is plaque, which is thickened, raised patches of skin from about 1 " in diameter, pinkish round the outside with silvery scales - a lot of people have this on their elbows and live with it happily without ever knowing what it is. I have plaques on my elbows, knees, eyelid, scalp and torso on a more or less permanent basis. When they're good, they're just unsightly and when they're bad, they're big and red and angry and itchy and a royal PITA. But guttate is a whole new form of torment: it's a rash which looks uncommonly like measles, where the droplets are roughly round, have a red outside and a silvery, scaly centre. Often it confines itself to limbs. My last outbreak covered 95% of my body, including my face, hands (including palms) and feet. This one (if it is) has my legs and torso covered already (first noticed it yesterday). It doesn't itch for the first two or three days, but then it itches like crazy - imagine having heat rash or thrush all over your body. If you're lucky, a flare lasts around 3 months. My last flare was in April 2000 and I still have some spots from it on my upper arms, though the majority of the spots had gone by 10 months! Treatments consist of: first, a very aggressive course of antibiotics - guttate is often triggered by the presence of the streptococcus bacteria; second, the application of strong topical steroids - which have major side-effect implications, not least of which the fact that I've been using them on and off for most of my adult life, such that they only have a very limited period of effectiveness (they're very effective for about three days, marginally effective for a further week and then they just make the problem worse) because you build resistance to them over time; third, a combination of topical steroid and UV light treatment, or UV light treatment on its own. Previously, I've always been refused UV on the basis that I'm very fair skinned and have lots of moles so its been assumed to be too high risk. However, the research team I did some work with earlier this year have some new lights and would be happy for me to have very limited photo-therapy under close supervision. This is what I'll go for, if it is guttate, as I'm trying to get pregnant and so very, very unhappy - even more than usually unhappy! - with the idea of using topical steroids. But I guess if the worst comes to the worst, the TTC will have to be put on hold while we get the psoriasis under control... Major boo hoo!! Strangely enough, the worst point of this particular affliction usually comes about two weeks into it, when you've been keeping a grin fixed on your face while you tell everyone what's wrong with you and explain that it's not infectious (it's genetic). But at its height, last time, I had people shooing their children away from me, taking wide detours round me, and even, at the supermarket, had people " ewwww " ing and taking their hands out of the veg trays that I'd just put my hands into, to pick up veg. It's amazing how insensitive people can be... As I say, please keep your fingers crossed it's just something I've eaten!! Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Vicki wrote: > I have a nasty suspicion (sp?) that I'm in the early stages of an outbreak > of guttate psoriasis >>>>>>>>>>>. Urgh sounds horrible and painful - you poor thing. I have never suffered from Psoriasis but have a friend who managed to get it on her nipples each time she has breastfed - very painful for her. But guttate psoriasis I have never heard off and it does sound terrible. People can be so insensitive - you maybe will have to have one of those signs made to hang around your neck saying " Its not contagious! " !!!! Do let us know what the diagnosis is. Trisha SAHM to 3 boys Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Please keep your fingers crossed this morning! > I have a nasty suspicion (sp?) that I'm in the early stages of an outbreak > of guttate psoriasis Fingers very tightly crossed for you. My best friend from uni (and DD's honouree,-she's Jewish, God mother) has very bad eczema. She spends her life balancing the relief offered my steroid creams against their side effects. She has it on her face and hands and I get very upset that people judge by appearances. Their loss, they miss getting to know a very special person. Sue Hutchinson, Mum to 30/01/98 and Isobel (HB) 23/02/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 >I have a nasty suspicion (sp?) that I'm in the early stages of an outbreak >of guttate psoriasis I've managed to convince the receptionists at the >health centre to get me to the Dr this morning, and if she agrees that's >what it is, I'll push for a referral to the hospital dermatologist this >week so treatments can start this week or next. But please keep your >fingers crossed that I'm wrong... I remember happily eating a jam tart made by a psychiatric in patient who also had psoriasis (Stigma City really) and the other staff sniggering a bit about flaky pastry. (It was delicious!) Big hugs if it turns out you are right. -- jennifer@... Vaudin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Sue wrote: > My best friend from uni (and DD's honouree,-she's Jewish, God mother) has > very bad eczema. > She spends her life balancing the relief offered my steroid creams against > their side effects.>>>>>>>>>> At our local Alternative Therapies clinic the owner was saying that when she was doing her massage training there was one person on the course who was always " ill " that day, and when they got to the bottom of it she had bad eczema and had used steroid creams which had thinned her skin and she was very self concious about it so would never participate in the massage sessions. I have tended to use Aloe Vera Cream which keeps it under control most of the time - I have it on my elbows - and the two elder boys seem to have outgrown it-thankfully. I think that both eczema and psoriasis also have the vicious circle effect - you get upset about it and the condition gets worse and then you get more upset about it................ Trisha SAHM to 3 boys 2 of which are now in bed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 But guttate is a whole new form > of torment: it's a rash which looks uncommonly like measles, where the > droplets are roughly round, have a red outside and a silvery, scaly > centre. Often it confines itself to limbs. My last outbreak covered 95% > of my body, including my face, hands (including palms) and feet. This one > (if it is) has my legs and torso covered already (first noticed it > yesterday). It doesn't itch for the first two or three days, but then it > itches like crazy - imagine having heat rash or thrush all over your > body. DH had a nasty bout of HUGE liquid filled blisters on his feet when he was recovering from Leukaemia and the treatment for that, which were incredibly unsightly and painful - no-one else could see them except the nurses who tried to treat them (and me!) so I can sympathise to some extent - how dreadful for you to have to cope with this all over your body. I do hope the treatment will help quickly, I'll be thinking of you. > amazing how insensitive people can be... > I was thinking along the same lines as the first reply - how about a badge which says " It's only catching if you stare! " or " And they told me too much sex would only make me blind.... " or something else equally frivolous - if you can bear it! I'm sure a sense of humour helps, if you didn't laugh you'd cry I'm sure Good luck with this, and with the TTC too - maybe being pregnant (when it happens) will cure you of this, being pregnant does do funny things to you... Best wishes and hugs Ruth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 Vicki - really hope you're wrong - is there anything you can do to prevent this surfacing? Why does it surface periodically? love Caro Re: Please keep your fingers crossed this morning! > Vicki wrote: > > I have a nasty suspicion (sp?) that I'm in the early stages of an > outbreak > > of guttate psoriasis >>>>>>>>>>>. > > Urgh sounds horrible and painful - you poor thing. I have never > suffered from Psoriasis but have a friend who managed to get it on > her nipples each time she has breastfed - very painful for her. But > guttate psoriasis I have never heard off and it does sound terrible. > > People can be so insensitive - you maybe will have to have one of > those signs made to hang around your neck saying " Its not > contagious! " !!!! > > Do let us know what the diagnosis is. > > Trisha > SAHM to 3 boys > > > *** NCT enquiry line - 0 *** > > Live chat http://www.yahoogroups.com/chat/nct-coffee > > Have you found out about all the other groups for the NCT online? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2001 Report Share Posted October 15, 2001 > As I say, please keep your fingers crossed it's just something I've eaten!! > > Vicki Good luck Vicki - it sounds utterly dreadful. I get psoriasis, but luckily only on my scalp and using Polytar shampoo keeps it at bay most of the time. It usually clears up altogether when pregnant though. My Mum however had it very badly as child and teenager - she has terrible scars on her legs because the steroids caused her to gain a lot of weight plus her skin became very fragile. She only got in under control when she married my Dad according to her. Hannah, 27 Mum to Bethany 7, Lawrence 5 1/2, Verity 3, Alfie 8 months Visit me on the web at :- http://hannahshome.20m.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 It's thought to be triggered by streptococcal infection: difficult to avoid at this time of year! Any lingering sore throat can do it (but you have to have the genetic predisposition first!) Vicki At 20:40 15/10/01, you wrote: >Vicki - really hope you're wrong - is there anything you can do to >prevent this surfacing? Why does it surface periodically? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2001 Report Share Posted October 16, 2001 ) Just to add to your gallery of choice images, the cleaner at my old office used to tease me about how I shouldn't eat baguette sandwiches for lunch because I make such a mess with them. I never did have the heart to tell her it was my skin!! Vicki >I remember happily eating a jam tart made by a psychiatric in patient >who also had psoriasis (Stigma City really) and the other staff >sniggering a bit about flaky pastry. (It was delicious!) Quote Link to comment Share on other sites More sharing options...
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