Suffering from erythoderma psoriasis 3 months

[Caroline]

Hello Mehwish,

Welcome to psoriasisclub.

I understand your distress, but remember we are not doctors, we are sufferers like you. So the dermatologist is the important factor you need to keep consulting.

In the mean time you can search on the Internet on "erythroderma psoriasis", that is what I did and my conclusion out of it is that (but remember I am no doctor!!!) that it is a sudden outbreak of normal psoriasis.
The special thing is that it is sudden, which on the Internet it is suggested that there perhaps is an inflammation source in your body that has triggered it. So reseach in your blood should aim for something extra.
The Internet/some dermatologists talk about the signalling of skin failure, but as psoriasis is an auto immune disease, the problem is somewhere else it is certainly not on the skin. Allthough the skin can be a trigger source if damaged by some cause.

So your doctor has to search for something inflammatory in your body.
What to do in the mean time. What I found on the Internet and what seems to be smart is the following:

• Topical tar therapy and phototherapy should be avoided in the early phases of treatment.
  
• Retinoids have also been reported to induce this condition
  
• Corticosteroid treatment is tricky: subsequent withdrawal may worsen the clinical state but, sometimes, this is the only effective treatment for the acute episode.
  
• Ciclosporin and infliximab are the most rapid-acting agents, with acitretin and methotrexate the slower-acting first-line choices. My comment to this: "try to avoid cyclosporine. Infliximab is a biological and may work quickly, but other biologicals may also work like stelara and cosentyx. Acetretin may be ok, but has disadvantages, MTX (to my opinion is poison, you are too young to use this very long), long term you could also go for Fumaderm which is quite less bad for your body"
  
• Combination therapy may be more effective but this remains unproven. In the Netherlands we have good results mentioned with a combination of DMF and biologicals, reported by the leading dermatologist of the Netherlands dr. P. Van de Kerkhof.
  
• Effective treatment with golimumab, a human monoclonal antibody, has been reported but further research is required.
  

Unfortunately psoriasis is an auto immune disease and has a number of comorbidities. There is nothing we can change to that. It is possible to fight psoriasis and reduce it.
You are young, I think you don't have to panic because of these comorbidities, if you together with your derm can reduce the inflammations, you should be fine.

Hope I was a bit of help.
That is the purpose of this forum. Think along with you, generate possibilities, share common problems, but also to support each other.

Cheers,
Caroline