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Dermatology (Expert Forum)
Prednisone § Psoriasis
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
Prednisone § Psoriasis
by ac, Mar 24, 2001 12:00AM
For the past few years I have been plagued with red itchy blotches on my face. They would suddenly appear every few days, primarily around my scalpline and cheekbones. The problem would be worse when I was under more stress. Though the blotches would fade after about three days, they would return within a week at most, but usually sooner. Eventually I consulted my doctor who told me I had psoriasis. She prescribed Prednisone (pill form) for me to take for about two weeks. After the first day of treatment, the blotches disppeared, and I did not have any new blotches appear. Within two days of stopping the Prednisone, the blotches returned. I consulted my doctor by phone and asked her to please refill my prescription. She said she could not give me another prescription, but that I could come in for a shot. Why couldn't she refill my prescription? Is Prednisone a drug that should not be taken long term? Also, will the shot be just as effective, and is it something I will have to have every so often?
Doctor's Answer
by Alan Rockoff, MD, Mar 25, 2001 12:00AM
, Mar 25, 2001 12:00AM
Prednisone is a very powerful drug, whose side-effects mount up fast when it's taken chronically (high blood pressure, cataracts, etc. etc.) Shots of cortisone pose similar risks. In general, we shy away from using internal steroids in psoriasis, because the condition often flares up, sometimes worse, when the cortisone is stopped. Facial psoriasis, if that's what it is, should be easy enough to control with topical medications. I'd get another opinion.
Best.
Dr. Rockoff
Best.
Dr. Rockoff
The second is over time,
1 hole 7 days
1/2 10 days
1/4 14 days
This i found to be more efective than the first and prodlem has not come back since to the same severity,
I also have found a reacition to in cola and gas drinks after one glass the next day symptons can be seen, so try elemating one thing a week in what you use and eat it may help.
Best Luck...
My doctor also suggested that exposure to sunlight (or using a tanning bed) would lessen the severity of the psoriasis, but I haven't yet tried this.
Thanks.
Has anyone ever had any nail deformaties associated with psoriasis? My fingernails and toenails are curving under about halfway down and then seem to be dying. My doctor has never seen this but said he would test me for psoriasis amongst other autoimmune disorders. Thanks for any feedback.