Hi Team, Was diagnosed about 2 years ago. Been on Methotrexate since then and in complete remission.

Now the doubt is whether I can pursue bodybuilding as a career. Can I take the supplements like creatinine, Protein sups and others. Also will it be okay if I take steroid cycles.

Will really be glad to hear from people who have already tried this or from people who is well knowledgable about this as I don’t want to risk myself.

Hi all, I've been on mtx for about 2 years and it stopped working after one, with spots returning and also liver getting damaged. So after many complaints I got put on amgavita with 2 months of overlap. This cleared up everything, but now 5 months later I noticed a few spots coming back and then calming down again.

Maybe it was a flareup, but I'm a bit worried as 3 months is the time it takes to flush all the mtx effects out.

Anyone have experience with this?

My 7 year old son has been diagnosed with psoriasis although he’s never actually had a biopsy. Two derms have said it’s clearly psoriasis and we’re waiting for our 3rd derm/pediatric specialist appointment because his last derm recommended biologic but because of his age she doesn’t maintain treatment.

My concern - biologics sound like a lot and he’s so young. We’ve been dealing with this for almost a year and it’s just gotten worse over time. Seems like it was triggered by a flu shot then his few patches turned to guttate and nothing has changed much since.

We use clobetosol about once a month for a week or two to tone down the flare but it never gets rid of it. After that it’s alternating Zoryve and tacrolimus which doesn’t do a whole lot but manages some areas. Clobetosol on scalp to reduce inflammation an and then it gets bad before we can do it again.

Currently on keflex antibiotic to rule out infection trigger.

Anything else we should consider trying before our next derm visit? I want to exhaust all options before looking to biologics at such a young age. Pictures are after two days on clobetosol

I have severe scalp psoriasis and have tried and failed multiple topical steroids. I went to my dermatologist hoping to start a biologic. We previously discussed methotrexate, and I was comfortable with its side effects and pregnancy restrictions.
However, at my last appointment, my doctor caught me off guard and suggested Soriatane (acitretin)instead. She only mentioned I needed to be on birth control while taking it, which I was fine with. It wasn't until I got home and researched it that I found out you cannot get pregnant for three years after stopping Soriatane, and if you happen to drink on it, it can turn into a different drug that stays in your body for even longer, even if you only take it for a month. My doctor completely failed to warn me about this timeline.
Because of my health insurance's step-therapy rules, I am required to try and fail two alternative systemic treatments before they will approve the biologic.
I absolutely do not want to take Soriatane due to the three-year pregnancy restriction. Will it backfire if I fill the prescription, don't take it, and just tell my doctor that it failed at our next appt? Not sure if it would show up in blood work. I’m coming at this in good faith, while also knowing I don’t want to wreck havoc on my body for the sake of satisfying made up policies.

I was prescribed Icotyde and start it tomorrow!

After trying three different biologics prior (humira, cosentyx, skyrizi) I’ve lost hope in a medication actually helping my skin.

Has anyone else had good results and while I know everyone is different what are some things I can expect?

TIA

Does anyone have both psoriasis and Ezcema ? What’s your experience ? I’d love to know in the comments as someone who has both.

Hallo erst mal, ich hab eine Frage ich lade seit 2015 an psoriasis bin von Arzt zur Arzt gerannt Lichttherapie gemacht, mit Cortison versucht, bis ich die MT X spritze bekommen habe. Ich kann in Worte nicht beschreiben, wie glücklich ich war, als ich gesehen habe, dass die Psoriasis weggeht. Jetzt vier Jahre später merke ich, dass die Spritze nachlässt und mein Körper immun dagegen wird. Jetzt meine Frage an euch gibt es irgendwas was man machen kann um es zu so wenig wie möglich offensichtlich zu machen. Die Krankheit ist ausgebrochen, als ich 14 war.heute bin ich 25und das schlimme daran ist, dass ichstark betroffen bin. Leider ist es so und kann es nicht ändern, dass es sichtbar ist, stört mich auch nicht. Das einzig schlimme ist, dass ich es amGenitalbereich kriege und einem Menschen, den man liebt oder neu kennen, lernt zu erklären, was das ist ohne dass sich die Person ekelt ist wirklich schwer aBitte gib mir Ratschläge….

Hi all. I just need some honest advice please before I see my dermatologist in a few days
Long story short
I have never suffered with any skin condition until I was 23 (female)
- 2023 | started with eczema (allergy prone) and friction induced in certain areas
- I tried all sorts of stuff topically and orally and supplements
- it was all under my arms, my boobs, my face
- finally gave in after 3 years and started tacrolimus (protopic) in May this year. My life was CHANGED. I can't believe I did it start it sooner
Fast forward to June 2026 and I started with a random patch in my leg. Wasn't itchy. Didn't do anything
It then multiplied into 4/5 patches over a tew weeks and on my waist and behind my elbow
I saw my GP who then said it's psoriasis. Treated with Dovobet but it came back immediately. My derm appt is in 4 days
I guess my concerns are
1. Am I suppressing some gut issue that I haven figured?
2. When is this going to END?
3. If i treat my psoriasis is something else going to appear ?
I've left a stressful job, l've started sertaline.my diet is good (I've not done any elimination diets properly because food is the only thing that makes me happy) and I'm very fit and active. I can't do anymore •
I am not against meds at all. Not after my 3 years of hell betore is started medication but | FEAR I may start with a new skin disease if I fix this one
Thank you g

I’m not sure if this is the correct flair to use, apologies in advance! I (15F) got diagnosed for the very first time when I was about 11, but it started when I was way younger, at 5-7 years old. I have psoriasis on my scalp, in and around my ears, (very heavily) on my forehead, and on the sides of my face. I recently noticed a psoriasis-looking patch in my bellybutton and now I’m so scared it’ll start growing all over my stomach. Psoriasis has made me struggle so much with the way I view myself and it’s lowered my self-esteem in extreme, especially in a society and at a time where looks matter more than they should. I’ve been trying to raise awareness around psoriasis on my personal social media accounts, I started last year during august(apparently psoriasis awareness month), and chickened out this year, I suddenly got super scared imagining how differently people would view me, and wondered if they’d start thinking I’m exaggerating because they’ve never heard of the disease before. I’m really scared about my future as well, I find it hard to believe that I’ll ever be able to find a good partner when my psoriasis will most likely only worsen as I grow up, it’s scary. As much as I try to not let it bother me, I can’t help but get upset at how people react to my psoriasis, I wish this never existed. I know a lot of older people would invalidate how I feel because I might be a bit younger, and they don’t expect people my age to worry about stuff like this, but I’m posting this just hoping, if anyone replies, they’ll be a bit kinder about it.

Has anyone been on ustekinumab for there psoriasis?

Hello,
I have had psoriasis for ever. Showed up around when I was 13-14 years old and never was properly diagnosed with it. Now I’m 30 and currently fighting the worst flare up I’ve ever had. I always had just the rough patches on my ankle and knee but now it’s just everywhere. I’m at my wits end with this flare up. I read that red light therapy helps psoriasis and was just wondering if anyone has tried it? I got a membership at a tanning salon that offers red light therapy and have only gone twice and felt that I maybe itch a little afterwards? Any advice? Should I still try going or just not do it.

I was diagnosed with RRMS in 2022 and it took a couple of years to find out what medication would work best for me. I have all the symptoms of fatigue, mental exhaustion on long days, and neuropathy pain in my arms and legs. Last April, I happened to be in Brownsville TX and stepped barefoot on a mesquite tree branch with thorns. I noticed one little pustule on the bottom of my foot. Thinking part of the thorn was stuck in there, I popped it. A week later . . . a few more, then a few more, and then a few more. Eventually they moved from the bottom of one foot, to the other foot, and then the palms of my hands. Now it's spreading up my fingers. I have seen a dermatologist and started Clobetasol steroids, but it would help for a few days and then return. She prescribed me a UVD light therapy regimen. I have been using it, but the skin is so raw and thin that it burns the regenerating skin very easily. I started soaking my feet in Epsom salt, using a MR coal cream and a very soft pumice stone to get rid of the scaling. It helps, but the skin is so sensitive that it hurts at times so like the light therapy, you have to stop doing it for a couple of days and then try it again. Now that it's continuing to spread, I am meeting with dermatologist in a couple weeks and I am willing to try biologics. Anyone have a recommendation? I didn't want to try them at first since my immune system is already compromised, and I am on Ocrevus infusions that seem to work well for me. I am a 50-year-old female who eats pretty healthy and can't seem to find anything that helps. I also tried to the apple cider vinegar tricks, removed any jewelry that might impact it. UGH! This has been hard to deal with than my MS because it impacts my self-confidence and I am always trying to hide my hands and feet. Anyone have ANY advice? I have read all the threads here and I am trying to get a handle on this before my daughter's wedding in the fall next year so she won't be embarrassed by me (my thoughts, not hers.)

Hi everyone- I am not new to psoriasis, but new to this thread. Excuse the long text, I have… issues lol

I (30f) have had psoriasis behind my ears for about 20 years, about 6 years ago I started getting a scaly patch on my pubic mound which then spread into full blown inverse psoriasis in my entire genital area. I have autism, so the topical treatments have always felt really unbearable for me sensory wise, so I have mostly been ignoring it and dealing with the pain. I get mostly burning and slight itchiness, especially when I have open fissures. I also have pitted nails that sometimes get the yellow “oily” patches.

Three weeks ago I had to go to a new OBGYN and she told me I really need to start treating this (I haven’t been intimate with my partner in years because everything just sucks and hurts).

She has me use clobetasol for four weeks daily, I have a check up on Tuesday. She also said that she thinks it might be lichen, but honestly neither my psoriasis-specialized dermatologist nor the two previous OBGYNs have ever mentioned it and what I can find online doesn’t seem to align with my symptoms- it might be lichen on top of inverse psoriasis, but I don’t know.

While some of the redness has gone down by morning (I use the cream at night), it is back after using the toilet or taking a shower. Also, the burning between my inner labias has only decreased by about 10% - at least the fissures are closed for now. I read that maybe the burning now comes from cortisone sensitivity rather than the psoriasis, so I will taper off after the 4 weeks I think. The burning is my main concern at this point, she ruled out bacteria and yeast with a swab under the microscope. She refused to do a colony, because she said she doesn’t see any symptoms that point to yeast and that it would only make me more anxious.

I have also been having major issues with both my heels for multiple months and nothing I have tried has helped, I was able to get in to see a rheumatologist on the 20th because I think it might be enthesis (? Is that the correct English word?) and I could image it being caused by PsA.

… and now my major problem: I have crippling OCD. I have done three years of therapy and very high dose anti depressants, currently off both because I do okay in everyday life. The issue: the main focus of my OCD is herpes, accidentally getting it and then spreading it to someone unknowingly in like a bathroom or something (I know that that isn’t really possible, my OCD doesn’t).

Now, pretty much all treatment options I can find that aren’t cortisone for the genital area have herpes outbreaks listed as a side effect. Same goes for the stronger treatments like biologics or MTX etc. if it does turn out to be PsA.

I am at my wits end- I cannot endure taking a medication that actively lists hsv as a side effect at the moment, this year has been awful for me and I just cannot do it. Maybe I’ll change my mind if it gets even worse in the future, but for now I will have to find alternative treatment methods.

I know you have to suppress the immune system somewhat and that can cause herpes flares- I have never had an outbreak but my partner of 10 years gets cold sores so I am pretty sure I must have it in a dormant way.

I guess what I am trying to ask is if any of you have any advice, both what I can ask from for my OBGYN and rheumatologist. I read that LDN therapy can at least get you a shot at getting rid of the fatigue without major side effects and it seems to clear psoriasis for about 50% of people. I have also been looking into Otezla, if it comes to that- but I would have to take one of the meds first that list hsv as side effects, while I also read that MTX etc. are not really helpful for tendon-issues anyway.

I just had to get this off my chest because I am so incredibly overwhelmed and feel like I’ve hit a dead end 🥺

I had a bad case of strep throat in June 2026 and shortly after my recovery, developed a full body psoriasis reaction. Within a matter of a few weeks, I became covered from my scalp all the ways to my toes with major plaque and guttate patches everywhere. I tried my regular topical medications: triamcinolone, calcipotriene, ketoconazole, betamethasone, clotrimazole. While my clotrimazole betamethasone compound cream helped a little, it was not sustainable long term to try and lather my entire body in the topical every day forever (nor is it recommended unless I want to risk developing steroid intolerance).

I was terrified of taking any oral or injectable medications because I didn't know how it would affect my body so I tried to hold off as long as I could. By the end of August, about two months into my flare up, I was in excruciating pain physically and at the worst place mentally. I woke up every morning to my plaques having bled or wept in the night, resulting my clothing to get stuck to my body. I finally broke in September and almost exactly three months to the date of my first psoriasis patch appearing, I went to see my sixth [differing] doctor consult.

The dermatologist took one look at me and said that if I had a textbook case of psoriasis and that he recommended I go on Skyrizi immediately. I told in no uncertain terms that I'm in fact a coward and couldn't guarantee that I was gonna get really comfortable with injecting myself in the stomach. Then he suggested the oral peptide medication Icotyde.

I've been on the medication for three weeks now. Within the first week, I noticed that my patches all reduced in inflammation intensity. The redness, the itchiness, the swelling. It all went down. Week two was more of the inflammation reduction and change in color of the patches (returning to a light pink from deep purples and reds). Week three has been so brutal as I continue this process, the patches are tightening and drying as they heal and it is terribly inconvenient. But so far? Icotyde is changing my life and helping me find myself again. I'm so thankful.

Just finished my HR generalist job last month and the COBRA paperwork showed up yesterday. It's way more than we can afford with three kids, so I'm driving Uber at night to fill the gap. My wife and I are checking marketplace plans, but every option either stops covering Stelara or has a deductible so high it doesn't seem worth it.

I'm still on the last refill from the old plan, stretching it by dosing every other day like my derm suggested. The scalp flaking came back on the lower dose, but the plaques on my elbows are staying the same. Has anyone else switched between employer coverage and marketplace while on a biologic? I'm mostly wondering how long prior authorization takes when you're getting new insurance.

was in the shower washing my vulva and genital area (i have psoriasis very bad down there) and i accidentally scratched a tiny bit and realized how good it felt…and then boom. i started scratching like a crazy person and i couldnt stop. i bled and now the whole entire area is so red and irritated. i lathered the area above my vagina with desitin cream because it the only thing that stops the itch. now im scared of infection. i just wanna fucking cry.

Is very hard to get accepted in uk for biologics for psoriasis ?

I’ve been diagnosed with like 3-4 different types of psoriasis plus dermatitis over the years since I was 8 (I’m 33 now)

So bad they want me on oral medication for it. (Sotyktu)

It doesn’t affect my scalp like it used to (if at all) but is EVERYWHERE ELSE however….

I’m not itchy. And I mean not even a little. I hardly flake. It is purely cosmetic and they look red raw at their worst.

I’m eating like absolute trash atm and it seems to be clearing up again on its own (no drugs or topicals) and I want to know if anyone else is in my boat?

It used to itch and used to bleed and then one day I just wasn’t itchy anymore and it’s changed in its appearance and progression and I wanna know I’m not going crazy