Just diagnosed with Psoriasis ( have UC)

Sorry to hear about your daughter. I know Remicade is used to treat psoriasis, so I doubt she would have to go off of it. What did the doctor recommend for treatment?

I'd say it is unlikely she would have to stop remicade. Sorry, but sounds like a secondary autoimmune condition, in addition to having an UC. I'd follow what your dermatoligist says.

I'd expect to have her use psoriasis safe shampoos, body soaps, and laundry detergents (no harsh chemicals or perfumes).

She should shower/bathe at a non-scalding temperature, towel off and immediately apply a non-scented moisturizer in those rashed areas.

Psoriasis runs in my family (pretty bad for my dad and aunt, my brother just has it on his scalp). I did not start getting it -- and in two big patches on my scalp and in one armpit (yeah odd) until a few months ago. My GI and the IBD PharmD assigned to monitor my meds don't think I am one of the very small percentage of people who get psoriasis as a side effect of Remicade/Inflectra (yep! even tho it is used to treat it) bc when they have seen that, it is usually within the first few months that it pops up. My guess is it is just a secondary AI disorder, as they come in clusters. The topics and keeping very moisturized should help.

I have both UC and psoriasis. I developed seb derm and psoriasis when I was a tween. I’m 47 now. I got diagnosed with proctitis 8 years ago. My psoriasis has been manageable most of my life but lately I’ve noticed it’s gotten a bit worse. It’s on my scalp and legs. I think stress is my biggest trigger for the UC and psoriasis.

I just saw my daughter & the area she said are less red with the topical ointment the Derm gave her. I think it looks pretty bad! The areas are all over her back, legs & chest. She is going to have her Remicade infusion this Thursday(every 8 weeks). I am pretty worried. It has gotten bad so quickly.

The Derm did a biopsy & It is definitely Psorasis. It is a shame if she may have to go off Remicade because she has done so well with it for her UC. The Psorasis is pretty bad.

There is a variety of topicals used to treat psoriasis with & without steroids. It's a matter of finding which one works the best for the patient. It sounds like her current topical is working since she is seeing improvement. Light therapy is another option.

It is not uncommon to develop a secondary AI condition. Stinks, but it happens. After a while, I learned what was my triggers, stress was number one at the top of that list.

As I mentioned above, I stayed on Remicade, it did not cause the condition.

or dr Michael's series of cosmetics for psoriasis, that's another thing that was recommended on the Polish uc forum

Does your daughter take anything besides the Remicade? I ask because there are oral medications that can be taken for Psoriasis, as well as other biologics, if the Remicade is not helping, and they would just be added to the regime, as opposed to being taken in lieu of Remicade. Case in point: I actually met with a Rheumatologist this week because while the Inflectra (Remicade biosimilar) controls 95% of my bowel symptoms, I have developed psoriasis on my head (unrelated to the drug, as I mentioned above I have a family history), and I still have some lingering joint pain, which she thinks may be the type of inflammatory arthritis that co-occurs with IBD, and that the Inflectra is also not fully addressing it. ANYWAY, I also take Imuran with my Inflectra primarily to prevent antibodies, and the Rheumatologist was talking about maybe switching it out for methotrexate, because that is used for psoriasis and arthritis and IBD. She's going to talk to my GI and discuss options, so perhaps what your daughter may need is for her GI and dermatologist to get together and chat because it sounds like her psoriasis is pretty bad and may benefit from more systemic meds.

RE: Psoriasis-She had another Dermatologist appointment today. He prescribed 2 more creams (1 during week & a stronger 1 for weekend) & told her no use in using the steroidal cream,for too long for it just won't work. He wants to see what GI Dr has to say- she has 12/4 /19 appointment. It's still there, but definitely better. Praying the new creams help control Psoriasis a lot & she can continue with Remicade.

iPoop said...
A steroid cream worked well for my contact-dermatitis. I believe they gave me triamcinolone and it showed results in less than a week. Hope it works as well for your daughter.

Correct.....Triamcinolone Acetonide Cream, USP, 0.1% can work wonders!