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Is this pustular psoriasis?

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Is this pustular psoriasis?
Toodlesoodles
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#1
Thu-03-11-2016, 20:15 PM
I have very minor psoriasis (it is never thick, doesn't flake and I've never had a patch much bigger than a coin) and less than 1% of my body is covered  but recently I have noticed I am getting small pimples appear on my legs, mainly on the calves. If I didn't have psoriasis I wouldn't be at all concerned about them but because I do and have heard about pustular psoriasis I'm wondering if that is what it is. 

The only treatment I've had for psoriasis is topical creams, namely Dovonex and Dovobet.  I use Dovobet once on Saturdays and Sundays and Dovonex twice a day on week days. I know a side effect of topical steroids is folliculitis and I'm wondering if it's that? I have noticed there has been a hair coming directly through the middle of the pimple a few times but it's not always the case as you can see in the pics. I have to admit I sometimes lightly prick these pimples with a sterilised needle and gently squeeze them after which they disappear after a few days. I've never had more than two at any one time but a new one will pop up every few days or so.. 

Here is a couple of pics of two different pimples on the back of each leg. 

[Image: vs2ph3.jpg][Image: 9hl65z.jpg]
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Fred Offline
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#2
Thu-03-11-2016, 20:25 PM
It does look as if it could be, but to be honest you are better off getting a professional opinion.

I have had them before ad it was classed as pustular, but I have also had some like it and they said after a biopsy it was bacteria infection.

Best get it checked as you may need a change in treatment.
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Toodlesoodles
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#3
Thu-03-11-2016, 20:38 PM
I'm booked in to see a dermatologist on Tuesday.
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Fred Offline
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#4
Thu-03-11-2016, 20:43 PM
(Thu-03-11-2016, 20:38 PM)Toodlesoodles Wrote: I'm booked in to see a dermatologist on Tuesday.

That's good. For now I would give the creams a miss and go from there.

Just don't go popping them. NoNo
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Toodlesoodles
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#5
Thu-03-11-2016, 20:54 PM
I should add that they appear in areas I have definitely never applied any creams for psoriasis.
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jiml Offline
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#6
Thu-03-11-2016, 20:58 PM
(Thu-03-11-2016, 20:54 PM)Toodlesoodles Wrote: I should add that they pop up in areas I have definitely never applied any creams for psoriasis.

If you look at this post it has a description of pustular psoriasis and a link to some pictures. From what I have seen of pustular psoriasis it seems to be more general and not just odd spots ....but I'm not an expert
Take a look here Pustular Psoriasis
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Fred Offline
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#7
Thu-03-11-2016, 20:59 PM
(Thu-03-11-2016, 20:54 PM)Toodlesoodles Wrote: I should add that they pop up in areas I have definitely never applied any creams for psoriasis.

It could be just folliculitis I sometimes get them and don't use any creams. As long as you don't get covered in them you should be fine, the reason I said miss out the creams is because it could help make it look worse for your dermatologist. It may help you get moved onto a better treatment if it looks worse. Wink
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mataribot Offline
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#8
Thu-03-11-2016, 23:29 PM
Looks to me like folliculitis, but no way to tell for sure.
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mataribot Offline
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#9
Thu-03-11-2016, 23:31 PM
PP tends to cluster together, pop and forms what looks like a lake of fire.
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Toodlesoodles
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#10
Fri-04-11-2016, 00:03 AM
(Thu-03-11-2016, 20:59 PM)Fred Wrote:
(Thu-03-11-2016, 20:54 PM)Toodlesoodles Wrote: I should add that they pop up in areas I have definitely never applied any creams for psoriasis.

It could be just folliculitis I sometimes get them and don't use any creams. As long as you don't get covered in them you should be fine, the reason I said miss out the creams is because it could help make it look worse for your dermatologist. It may help you get moved onto a better treatment if it looks worse.  Wink

Good idea.   Big Grin

Tbh though I am not sure where my treatment will go from here.. Dovobet and Dovobet haven't worked on my more stubborn patches and I know my psoriasis won't be considered anywhere near severe enough for oral medication or even light treatment.  I know my psoriasis is nowhere near as bad as a lot people so I feel bad for saying it's affecting my quality of life but it is to some degree. I didn't wear shorts once during the summer even though I'd have loved to.
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