So i (22) frequent reddit everyday and i would say im active in this community. I however rarely ( not at all) see anyone talk about pustular psoriasis. Ive had it for two years, its clear at the moment but i get some pop ups. Mostly on my hands legs and chest. sometimes my face. When it was really bad two years ago my hands were so covered i had to wrap them and couldnt drive, do my sign language final or type. Like i said theyve been pretty clear since then, but everytime i get bumps i freak out. Im still not sure what to do when i get them, i know now not to pop them cause if you do its takes away layers of the skin and causes it to spread. has anyone else had this problem? what do you do when you get them? does sweating make it worse cause my heat flares have been causing my hands to sweat alot? can you tell my doctor never told me much? I know there are a couple different types of psoriasis i and i have three, this is the one i dont understand.
Best pimple patch for pustular acne in the market?
Hi, it has been 3 months + 1 week i have been dealing with PIH/PIE on my face (You can check out my profile to see the pic of my acne marks) Up till now, while they have faded, it is just by a bit… I wonder if they will ever completely fade? Or no matter how, they will still appear as light marks on my face?
Does ANYONE else have very aggressive, persistent pustular psoriasis on the bottoms of their feet?? My feet and inflamed, itchy, and peeling in thick pieces. I have been trying for a year now to find therapy for it but nothing has worked. I am currently taking methotrexate AND Stelara (I have crohn’s and HS as well) which doesn’t seem to help the psoriasis at all. For the psoriasis, topically, I’ve tried enstilar foam, ammonium lactate cream, tacrolimus ointment consistently for months on end, in combination w eachother, and it never makes it go away. I used light therapy as well, to no avail (both xtrac and at home therapy).
Please help me lmfao
PERSONAL INFORMATION:
SEX: MALE AGE: 26 WEIGHT: 210 lb. / 95 kg HEIGHT: 5'11" / 181 cm WHITE
PRE-EXISTING CONDITIONS: NONE RECREATIONAL DRUG USE: NONE NON-SMOKER ALCOHOL CONSUMPTION: 2-3 DRINKS/WEEK EXERCISE: 6 TIMES/WEEK PETS: RATS, SNAKES, DOGS, FERRETS
(Link to photos below) For about the past week, I've had a rash(?) on the base of the thumb on my left hand (back of hand) that has progressively gotten more pustular. There were no unusual exposures that I can recall to plants/trees, or wild animals. Additionally, I can't recall any cuts or scrapes in the area.
I had tried Benadryl (both topically and through a pill), and continue washing the area regularly. No improvement so far.
It does not feel painful. There's no burning or tingling. The skin feels a bit tight and dry around the area, if anything. Mild joint pain, but I do weight lifting and cannot say for sure if it's necessarily related. No fevers, and no coughing.
Additionally, I visited my PCP, and was told it does not seem to match the usual appearance for staph. Also ruled out ringworm, burns or insect bites. Otherwise, unable to make a definitive ruling. I was prescribed Doxycycline Hyclate 100mg/2x per day/7 days with a dermatologist referral for November.
Photos of the spread and progress throughout this last week (from 09/13 - 09/19):
https://www.flickr.com/photos/193958070@N05/?
Any ideas on what it might be?
I'm also prescribed doxy 2x a day and it's making me naseous for like the hour after I take it. This really sucks :/ I woke up this morning after applying the cream the night before and my face was super red and burning. Now I have break outs everywhere I applied the cream that I never had before.
I was using metronidazole cream before and my face was ok except a patch of pustules that cropped up so my doctor prescribed this new cream and now it's just way worse!
I know it wasn't the sulphur that caused it because I was using de la cruz 10% sulphur mask before I started this script. I'm going to take a step back and just baby my skin and pray things return to normal because right now I'm freaking out.
Has anyone had a reaction to sulfacetamide like this?
I have red, flaky, splotchy skin. On top of that, areas on my face where my sebderm seems to prevail have yellow pustular acne where it has this disgusting pus underneath it. I think its because of my clogged pores.
I'm currently using CosRx BHA and De la Cruz Sulfur Ointment (alternating it), but it only lessens it, never really goes away.
It makes me so insecure. God, I've tried almost everything. Spent so much money. Can this acne be really related to my sebderm? What is your experience?
Am I doing everything I should be? What are the stages of a psoriasis spot? Should I be wrapping my arms and legs and plastic?
I will say I have been going through a stressful transitional period in my life (young adulthood, enough said haha) Not a big drinker though… It’s always been redness/itching/dryness/bleeding from eczema for me until this last week (started in middle school on back of knees/inner elbows and hands, last 10 years it’s just been my hands on and off) now I’m definitely experiencing pustular psoriasis on both hands, dominant hand is way worse… is this a common phenomena? I have been using original formula udderly smooth lotion for my eczema, has anyone used this and had adverse reactions? Cause that’s the only new product I’ve been using, have also been cleaning a lot these last couple weeks so perhaps repeated exposure to rubbing alcohol/cleaning supplies like magic erasers could be to blame? Any support is appreciated, thanks for reading :)
I’ve been on it for about a month and a half. I felt results the first week (some spots sort of drying up) and now I feel I’m at a standstill. I’m sticking it out. Definitely not ready to give up this early. Just curious to hear other’s experiences.
January 1st I got this big pustule in my face, used Soolantra and Doxiciclin for 4 1/2 months, eat no spicy food (main trigger) drink green tea daily, eat yoghurt and results: slight improvement. But all my pustules are still there!! Not even the first one that came out January 1st has gone, only reduced. What can I do for my pustules to go??? I am an artist I need them gone so I can record videoclips with a cute face, as well as feeling handsome dating girls. Please help
Hi all, I have a question about PP rosacea.
Did those of you with PP start off with them the first flare you noticed? Or did they arrive a while after you were diagnosed/first started noticing symptoms?
I've just been diagnosed with rosacea and I think I'm lucky enough to have caught it early. I'm attacking it with skincare and laser sessions, I was wondering whether or not I'm going to just continue with the blotchyness/redness or if I'm likely to progress to PP?
I know everyone is different so this is probably a fairly stupid question 😂 but any insight from you lovely lot would be greatly appreciated!
Hi everyone,
Long time lurker first time posting so bare with me but I thought it might help some people. I am a long time dyshidrosis sufferer myself and I am also a medical student. Lately I’ve noticed some of the particularly severe dyshidrotic posts from people on this sub have a lot more of the features of PPPP mainly multiple pustular lesions rather than vesicular lesions. This might be important if it hasn’t been investigated as there are some good treatments such as UV therapy and others that work for PPPP and may bring the rashes under control. So I just thought it might be important to some people if you have particularly bad dyshidrosis it might be worth asking your doctor about the possibility for PPPP particularly if you are a smoker.
I’ve dealt with psoriasis my whole life (35 years) usually in the most common places - elbows and legs, sometimes scalp.
I recently had a flare up on my hands a little over a week ago. I’ve never had this kind of flare up before, so I went to see a dermatologist. She diagnosed me with pustular psoriasis. I’ve been using the same topical medication (Calcipotriene-Betamethasone) that I’ve used for years to treat this recent flare up. It seems like it’s getting better, but slowly.
Keep in mind the dermatologist I went to was new (4 years practicing) as my prior dermatologist retired early this year. My new dermatologist recommended trying biologics. She mentioned Cosentyx and Stelara. I told her I was hesitant to take these as they are injections... and that I’d like to see how the topical performs before resorting to that treatment. My reasoning was that this was the first time this has ever happened. Plus I’m a wuss when it comes to needles 😀
Anyone have some thoughts on holding off on the biologics?
Are these biologics that I mentioned pretty safe? All the info that I found on side effects didn’t seem too bad...
Any advice on this would be greatly appreciated!
What are the chances of pustular psoriasis flaring up on the face (more specifically, the lips) with a piercing? I know this is seemingly random chance who gets what with the psoriasis flare ups and body modification but I'd love to know the risk for flare ups on the face. I've been really wanting a vertical labret piercing.
Anyone else here suffering from constant pustules?
https://imgur.com/a/Mi4re4O
I’ve had this condition for about 4 years. Oral antibiotics clear it right up, but as soon as I stop it comes right back. There are definitely cycles of severity and things get dry and itchy. If I pop them it seems more appear from the irritation. Ivermectin gel is the only thing that has helped but it’s not a cure. I’ve tried doing nothing, sulfur, retin-A, metronidazole, azelaic acid, some more things I can’t remember. But it always comes back. So tired of this!!
I want to try zinc, and mupirocin next. I’m not giving up!
Pustular psoriasis is a well-known form of psoriasis, the main variants of which are acute generalized pustular psoriasis (GPP), including GPP of pregnancy, annular pustular psoriasis (APP), acrodermatitis con¬tinua of Hallopeau (ACH), and palmoplantar pustulosis (PPP). APP is a rare entity that presents as recurring annular or figurate erythematous plaques with periph¬eral pustules and scales that expand centrifugally.
Secukinumab is a novel human monoclonal anti¬body that inhibits interleukin (IL)-17A. Secukinumab was recently approved for the treatment of moderate- to-severe plaque psoriasis and psoriatic arthritis. We present the first report to our knowledge of an APP case successfully treated with secukinumab.
https://preview.redd.it/1jfwmyegacv61.png?width=674&format=png&auto=webp&s=42a9b105dab225dafd33c2870fe334f4717c42a3
A 29-year-old white woman presented with a 22- year history of severe pustular eruptions arising on erythematous skin. Most of the pustular eruptions had annular morphology although occasionally showed generalized pustular flares. During this time, dyslipi- demia and psoriatic spondyloarthropathy were diagnosed. She had a body mass index of 25.22. Up to 5 biopsy specimens of the cutaneous lesions were taken and analyzed, which showed histopathologic findings indicative of pustular psoriasis. A mutation analysis of the IL-36 receptor antagonist gene was performed with negative results. The patient was treated with acitretin (0.5-1 mg/kg/d), ciclosporin, methotrexate, and psoralen and ultraviolet A mono¬therapy, achieving only a partial response, particu¬larly with acitretin. Treatment with infliximab in combination with acitretin was started in October 2017. This treatment failed to control the disease, and infliximab was changed to adalimumab, achieving an almost complete response.1 The patient remained under this combination therapy for 19 months, but unfortunately, she lost the response. Because of the severity of the annular pustular flares, ustekinumab, etanercept, and golimumab were tried successively, always in combination with acitretin (up to 50 mg/d), although the response of psoriasis was very poor. In March 2019, treatment with secukinumab was started (300 mg at baseline, 1, 2, 3, and 4 weeks, and monthly afterward) in combination with acitretin (35 mg/d).
https://preview.redd.it/bb0gewaiacv61.png?width=694&format=png&auto=webp&s=5e29e7d885aacbe61
... keep reading on reddit ➡I was diagnosed with Rosacea about a year ago and have been on two rounds of antibiotics since. They help greatly but the issues resurface about a month or two after I quit so I'm trying to identify triggers.
I've never had a problem with instant flushing - I hardly ever blush even when I'm embarrassed (the only time my face gets that kind of red is after very strenuous exercise but it goes away quickly after).
As I understand it, flushing is usually pretty instant after exposing yourself to a trigger(?). But since my problem is papules and pustules, which logically should take a little bit longer to form, I was wondering how quickly those of you who suffer from those notice if a certain thing triggered you?
I would like to know if alcohol is a trigger for me and so I figured New Year's would be a good occasion to test it, but I don't know what to expect. Would I notice it the next morning? If my symptoms don't get worse until a week later, could it still be from the alcohol on New Year's eve?
I understand that there's also an individual factor, but any input would be hugely appreciated! 😊
Hello. I’m new to the forum, but I am desperately wanting advice from anyone who has experience with Pustular Psoriasis. I was diagnosed in January. I also have Ulcerarive Coltis. I was taking azathioprine and Remicade infusions for my UC (Newly diagnosed in June 2019-I’m 37). Out of nowhere, I suddenly started sprouting blisters on my hands and feet. I had biopsies done and was diagnosed with Pustular Psoriasis. I also appear to have “normal” psoriasis on my legs and arms. The doctors had issues agreeing on medication to treat both autoimmune disorders. This last Friday I went in for my first IV infusion of Stellara. Starting yesterday my hands, arms, legs, and feet broke out in the worst flair of blisters so far. I am miserable. It hurts and I cannot seem to calm it. I have used topical steroids, I am still on 60mg of Prednisone. I use multiple lotions and Vaseline, baby oil, oatmeal baths....nothing soothes it. I have 4 children and I can barely pick my one year old up. I am calling my doctor again tomorrow to tell him it got so much worse, but I was hoping someone who has experienced this might have some advice for at least soothing the blisters. I can add photos if needed as well. Thank you for any help you can give me.
Hi guys I'm really just posting this here so that there is a record on the sub of this as I've been told it is quite rare. EDIT: I made a mistake in the title, it's just paradoxical psoriasis with recurrent folliculitis.
Information:
I am currently a 24 year old male from the UK with Crohn's Disease (IBD) which the doctors believe is a big factor in this. They believe it is a result from use of Humira and then Infliximab for my IBD.
It started off as impetigo and steadily just got worse.
I've been through every topical steroid cream on the market.
Currently I am taking Dapsone and Flucloxicillin, most days I use protopic and on bad days I use some Fucibet.
Any advice, questions etc. is greatly encouraged.
I’ve posted a few times but wanted to see if anyone had any suggestions. I have pustular palmoplantar psoriasis which started as a bubble on my pointer finger a year ago and has since spread all over my hands and feet. Basically I get either little puss filled blisters in clusters (kind of looks like tapioca pudding.. similar to dyshydrotic eczema) or I get big patches of white blisters (these present more on my feet) and then they ‘pop’, dry out and my skin is left dry, cracked, peeling etc. I’ve gone through different bouts of prednisone (in the beginning), tried pimecromilous which is an immunosuppressive lotion (my hands exploded, worst they’ve ever been) and I’ve been using betamethesone and eucrisa 2x a day ever day for the past 6 months or so. My hands and feet were the absolute best they’ve ever been after I spent a week on vacation and they were basically in chlorine for a week while I swam. My hands dried out and I had no bumps until I got home again. My skin on my hands is so thin as I’ve peeled off many layers. Right now they are manageable, I’ve got some flat blisters on my fingers and my hands are dry. Once they get super dry, my skin cracks open and I have to liquid bandage them to get through the day as they are on my finger tips. Right now, my feet have no new blisters but they are covered in a very thick layer of scaly skin. Super itchy and tender in spots. I cover them in Working Feet cream and socks every night and soak them in epsom salt/coconut every other night but to no real avail. Ive tried aquaphor, gold bold, Flexitol and honey cream and so far the best seems to be working feet. Does anyone have any tips as to how to descale feet without hurting? Problem with this type of psoriasis is that it presents in “trauma” so I don’t want to upset my feet too much but want to get all the dead skin off. Any help would be greatly appreciated!!
5 days ago I underwent my bilateral breast lift & reduction. I had a great hospital experience and have been very comfortable pain wise since waking up from surgery. I was finally discharged on Friday (3 days post op), and on Saturday morning I woke up with a pustular rash on my face.
In hospital I was taking Endone, Tramadol, Paracetemol and IV antibiotics. I had no reaction to these. Since returning home I have only been taking Tramadol, Paracetemol and new oral antibiotics which I was prescribed - Cephalexin. I have not been using any products on my skin, or eating any differently than I otherwise would. I am experiencing no other symptoms other than the rash.
Waking up on Saturday, I immediately contacted my Doctor. He advised me to stop taking the Cephalexin and take an antihistamine both in the morning and afternoon. He has been great in keeping in contact to stay informed as to how it is progressing.
He said it is most likely an allergic reaction to the antibiotics, however could also be a staph infection (although very unlikely). He said we will continue to monitor it. The rash is extremely dry and itchy. The redness/angriness has improved after taking the antihistamine. I have not applied anything at all to the skin
I am not seeking medical advice from Reddit obviously, but would be interested to hear your thoughts as to what you think may have caused the rash.
https://preview.redd.it/hxcu4qijzrb51.jpg?width=2821&format=pjpg&auto=webp&s=c45125cca660efd43ac32606c130e7b04d7dfdee
