Pustular Psoriasis

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jordie500
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Joined: Tue Mar 24, 2015 1:32 am
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by jordie500 on Mon Sep 14, 2015 10:40 am

Pustular Psoriasis

[/b]3 years ago I developed a rash on the palms of my hands & the soles of my feet. The rash consisted of lots of tiny fluid filled blisters, those blisters clumped together as they grew & thenmy skin goes red & scaly. I was sent to see a dermatologist who immediately recognized it, but i needed further tests. I was diagnosed with pustular psoriasis. I was told it was a severe case.

When I have these severe flares, I find it very difficult to walk on my feet, it is too painful. I have been treated with steroid creams, acitretin, PUVA light therapy, zinc bandage wraps.

1 year later I started having constant recurring earache. Sometimes I get earache up to 3 times per month. At my most severe point, I was admitted in to hospital because my ear canal had closed up. A wick was fitted (to force my canal to open) and treatment started. I was sent to a specialist who looked at my medical history. The specialist says that psoriasis is effecting my ears. The advice was to not touch my ears, don't try to clean my ears, and try add a drop of olive oil. This has helped a little.
I am now suffering from what I would describe as white flakes on the outside of my ear. I try wipe with unfragranced wipes and it does clear it away, but the next day it is back. It is white flakes that make my outer ear feel oily. Please can you advise me as to how I can clear away these white oily flakes for good? [/b]

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Dr Helen Webberley
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Joined: Wed Apr 08, 2015 10:31 am
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by Dr Helen Webberley on Mon Sep 14, 2015 5:00 pm

Re: Pustular Psoriasis

Poor you, this sounds awful for you. Is there a consultant dermatologist who could help here? Dr Webberley
Dr Helen Webberley
NHS GP and Director of www.MyWebDoctor.co.uk
MBChB MRCGP MFSRH DipGUM DipIPM
http://www.talkhealthpartnership.com/on ... berley.php

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Dr Anton Alexandroff
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Joined: Tue Sep 18, 2012 9:11 am
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by Dr Anton Alexandroff on Mon Sep 14, 2015 11:33 pm

Re: Pustular Psoriasis

Dear Jordie500

thank you for you question. Pustular psoriasis can be bad. Have you tried ciclosporin, methotrexate, fumaderm? Ears can be difficult. You are probably heading towards tablet treatments but have tried daktacort cream ?

I hope this is helpful.
Dr Anton Alexandroff MRCP(UK) CCT(Dermatol) FAAD FRSM
Consultant Dermatologist
Member of the British Association of Dermatologists
Leicester Spire and Nuffield Health Hospitals, and Leicester Royal Infirmary
www.alexandroff.org.uk
Dr Anton Alexandroff
Consultant Dermatologist, Honorary Senior Lecturer & BSF spokesperson - FRCP, CCT (Derm), PhD, FRSM, FAAD

http://www.talkhealthpartnership.com/on ... ndroff.php

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Psoriasis Association
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Joined: Wed Sep 09, 2015 12:31 pm
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by Psoriasis Association on Tue Sep 15, 2015 10:12 am

Re: Pustular Psoriasis

Hi Jordie500,

As Dr Alexandroff said, there are a number of treatments that might be able to help. Hopefully you are still under the care of a Dermatologist who treats your pustular psoriasis flares when they occur. If the treatments you have already tried don't work well, then it is certainly worth asking them about the other treatments that Dr Alexandroff has mentioned.

It is not uncommon to have psoriasis in the ears and, as you have found, it can have an effect on hearing and cause pain if there is a considerable build up. The skin of the ear is very sensitive, and so treatment of this area is usually quite cautious. However, there are a number of topical (applied to skin) treatments which may be of use, including emollients and mild steroid treatments.

If you are still seeing a Dermatologist regularly for your pustular psoriasis then do ask them about your ears as well - it is important they know about any skin conditions anywhere on the body, and they should be able to help. If you're not, then do go back and discuss this with your GP. You can find information on psoriasis in sensitive areas on the Psoriasis Association website www.psoriasis-association.org.uk, if you would like something to take with you to aid the discussion.

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