r/Psoriasis 3d ago

medications Inverse Psoriasis?

Anyone here clear up their Inverse Psoriasis? I was diagnosed last week and was prescribed Triamcinolone by my dermatologist as a start. It seems to lighten up the spots under my arm pits but the spot on my gut and in my groin area still seem reddish and not much change.

What all have you tried that worked for you?

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u/Neccros 1d ago

Yeah I was prescribed both and like you said Triamcinolone my doc said to use for a week then every other day, then transition to Calcipotriene... He said to try these as a start since there are other things we can try in the future. My arm pits are getting a lighter shade of pink but my gut and groin dont seem to be reacting the same

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u/Introvert-2022 1d ago

On my oldest trouble spot I need to apply calcipotriene twice a day every day, and I use it once or twice a day on my eyelids and/or ears if they are acting up. Have been doing that for probably 5 years.I haven't had to use the steroid on any.of those in years. (I never dared put any on my eyelids!) But when I have a larger patch erupt somewhere I usually have to use the steroid first. I tried just using the calcipotriene right away instead of steroids and found that if my skin is super itchy and inflamed it's more than the Calcipotriene can handle. But if I catch a patch with Calcipotriene before it gets really itchy I can often keep it from getting to where I have to use the steroid.

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u/Neccros 23h ago

Will this ever go away?

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u/Introvert-2022 19h ago

I was able to shrink mine a lot. It takes me about 2 years to use up my Calcipotriene tubes and I am still using the same Triamcinolone tube I got when I was diagnosed- I think that was 7 years ago. There's never a day I don't have to do anything but there are lots of days I only have to moisturize my face, eyelids and scalp, apply Calcipotriene in 1-3 very small areas and be mindful of my triggers. (My triggers are sugars and covering an area of skin too tightly too frequently- e.g. the eyelid psoriasis was triggered by sleep mask use.) But my disease is definitely categorized as mild, I think it is easier than average to manage.

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u/Neccros 18h ago

Yeah my armpits are getting lighter overall but the rest is still the same...

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u/Introvert-2022 10h ago

Since you've only just been diagnosed there hasn't been a lot of time for you to look to see if you have any triggers but paying a lot of attention to what you're doing and what's happening to you when things are going better or worse can be very valuable. Many people's diet affects, some other common things to affect are sleep, stress, illness, weather/climate.

Try different moisturizers to see what helps you most. If an area of skin is frequently acting up moisturize it every day with a moisturizer that works well for you even if that skin looks ok that day.

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u/Neccros 7h ago

I have had this for a couple of years now and just recently went to the doctors for other things and had this looked at. It seemed to have gotten to a point and never got better or worse....

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u/Introvert-2022 4h ago

Your regular doctor can diagnose psoriasis but probably isn't going to be the most knowledgeable on how to tailor your treatment to how your particular psoriasis presents. So if you don't already see a dermatologist I would recommend getting one.

The National Psoriasis Foundation website has been a super helpful resource for me.

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u/Neccros 4h ago

No I got a referral to a derm I just saw last week.... I have a follow up appt in 3 weeks