Severe psoriasis is driving my partner crazy.

[giddyup]

My partner started suffering a mild case of psoriasis a couple of years ago and she went the usual route first, trying whatever the pharmacist recommended. When it didn't clear up I took her to the dermatology clinic at Bkk/Pattaya hospital where she was wrongly diagnosed initially as having a fungal infection. Someone on this forum recommended a Dr Anna at the same hospital and we went to see her several times, where she gave injections (not sure what they were) and various pills and ointments, but nothing seems to be working. I feel so sorry for my partner, as well as the severe itching her hands have also developed bad cracks that sting like crazy. She is loathe to go back to see Dr Anna as she can't see her helping her, so I'm at a loss as what to do to try and help her problem.

[JHolmesJr]

Diet contributes a lot to psoriasis….try and read up on what foods to avoid. Ive got a book somewhere on what foods help alleviate it….I'll post later if I can find it.

[giddyup]

Diet contributes a lot to psoriasis….try and read up on what foods to avoid. Ive got a book somewhere on what foods help alleviate it….I'll post later if I can find it.

People with psoriasis may find that certain foods seem to trigger flare-ups. There is no scientific evidence that any special psoriasis diet is beneficial, says Paul Yamauchi, MD, of the Dermatology Institute and Skin Care Center in Santa Monica, Calif. However, as long as you eat a healthy diet, he adds, there’s no harm in exploring whether avoiding some foods and eating others might help you manage psoriasis flares and reduce inflammation.

[Tolley]

Try Apple Cider Vinegar baths along with taking a tablespoon a day internally.

It is cheap and easy to do and some people have had good results with it.

[Sheryl]

Dr. Anna specializes in skin cancers. She is top notch for that, but your partner needs to see someone spciliazing in psoraisis, of which there are a number since the condition is common in Thais.

However this will necessitate a trip to Bangkok.

Some suggested doctors:

1.Prof. Leena Chularojanamontri, Prof. Puan Suthipinittharm or Dr. Sukhum Jiamton at Siriraj - can be seen privately through http://www.siphhospital.com/en/index.html

2. https://www.bumrungrad.com/doctors/Pravit-Asawanonda - Burmrungrad

Suggest you also direct her to this website for moral support https://www.facebook.com/National-Psoriasis-Society-Thailand-148230238542357/

[giddyup]

Dr. Anna specializes in skin cancers. She is top notch for that, but your partner needs to see someone spciliazing in psoraisis, of which there are a number since the condition is common in Thais.

However this will necessitate a trip to Bangkok.

Some suggested doctors:

1.Prof. Leena Chularojanamontri, Prof. Puan Suthipinittharm or Dr. Sukhum Jiamton at Siriraj - can be seen privately through http://www.siphhospital.com/en/index.html

2. https://www.bumrungrad.com/doctors/Pravit-Asawanonda - Burmrungrad

Suggest you also direct her to this website for moral support https://www.facebook.com/National-Psoriasis-Society-Thailand-148230238542357/

Thanks Sheryl, but no one in Pattaya that you know of? It's not that easy for us to get up to Bangkok for various reasons. The other thing is that I doubt one trip to see a specialist will be enough, so it may involve several trips to BKK.

Edited November 29, 2015 by giddyup

[PokerFace]

I have had psoriasis for years and have very good luck with Dermovate Ointment. They also have the cream but it doesn't work nearly as well for me as the ointment. I get it over the counter here in Bangkok for less than 1,000 Baht for a 80g tube. When my hands get bad I buy lose fitting surgical gloves, apply the ointment liberally, put the gloves on and wear them overnight. Do that for 2-3 days then you will only have to do it once ever 7-10 days. Stress also greatly affects psoriasis.

[Sheryl]

Dr. Anna specializes in skin cancers. She is top notch for that, but your partner needs to see someone spciliazing in psoraisis, of which there are a number since the condition is common in Thais.

However this will necessitate a trip to Bangkok.

Some suggested doctors:

1.Prof. Leena Chularojanamontri, Prof. Puan Suthipinittharm or Dr. Sukhum Jiamton at Siriraj - can be seen privately through http://www.siphhospital.com/en/index.html

2. https://www.bumrungrad.com/doctors/Pravit-Asawanonda - Burmrungrad

Suggest you also direct her to this website for moral support https://www.facebook.com/National-Psoriasis-Society-Thailand-148230238542357/

Thanks Sheryl, but no one in Pattaya that you know of? It's not that easy for us to get up to Bangkok for various reasons. The other thing is that I doubt one trip to see a specialist will be enough, so it may involve several trips to BKK.

Unfortunately no.

There is no comparison between the range and quality of specialists available in Bkk and in Pattaya. Most of the dermatologists in the Pattaya area are focused on cosmetic medicine, Botox, etc.

And you are quite right that multiple trips may be necessary.

If you prefer she could try the government hospital in Chonburi town first. It is a Regional hospital so will surely have a dermatologist or two on staff though I have no idea how good.

[lockman]

I have psoriatic arthritis, and had a lot of psorasis. A dermatologist is good to start, but this is an autoimmune disease. Find a rheumatologist for real further treatment. I see one in KK Ram if needed.I have also seen one in BKK hospital, as well as in US.

[Denim]

I have had psoriasis for years and have very good luck with Dermovate Ointment. They also have the cream but it doesn't work nearly as well for me as the ointment. I get it over the counter here in Bangkok for less than 1,000 Baht for a 80g tube. When my hands get bad I buy lose fitting surgical gloves, apply the ointment liberally, put the gloves on and wear them overnight. Do that for 2-3 days then you will only have to do it once ever 7-10 days. Stress also greatly affects psoriasis.

The problem with dermovate is that it is a cortisone medication and can therefore be addictive. Works well at first but upon stopping useage the condition often returns...sometimes worse than before.

I still use it myself but vary sparingly and only then once a month or so.

[BB24]

I have been prescribed Neotigason and been using it for several months - it has worked brilliantly - much better than anything previous prescribed or tried over many years. Because of the nature of the medication (very serious) it can only be supplied through a Hospital in Thailand - expensive too. This stuff is VERY serious but it works. If she takes it she must not become pregnant for 3 years minimum, and must not donate blood ever. She must have a blood test every 4-6 weeks and she must avoid expsoure to the sun, and there will be complications and downsides - there is a list of them and it varies from person to person. And several types of antibiotics commonly prescribed can be extremely toxic when taking Neotigason. This website is very informative - https://www.medicine.../medicine/21212. Hopefully she does not need it - but there is a solution if nothing else works. Talk to a skin specialist before taking anything - and be prepared to be trying things for years. They know less about skin problems that any other organ - not high profile and not often the choice for medical students looking to specialise - but most people have skin problems in their life. If neotigason is recomended than I can say that it worked for me - but hopefully it is something solved by removing an irritant from environment or diet - anything changed about when it started?

[hugocnx]

Once you have psoriasis, you will never get rid of it totally, meaning you will always be depending on medicine.

Thai climate helped me in some way and for flares I use Dermovate liquid. Not that expensive and yes it is cortisone , but then use it when you need it.

[simple1]

As previously mentioned I have psoriatic arthritis & have been using Pyralin EN twice a day for over 15 years with no side effects. Not once since commencing use have I had another outbreak of psoriasis. Of course you should liaise with a medical professional, but it may be worth experimenting for say a week with a gram a day of Pyralin EN (one tablet after food in morning and evening) to ascertain if indeed it does provide a solution for your partner. Topical application of Vitamin D is also known for providing relief for psoriasis.

You may like to consider using the 'Red Cross' Hospital in Sri Racha (not too expensive, but long waiting times) as many local Thais are very distrustful of the services provided at Chon Buri provincial hospital.

[giddyup]

As previously mentioned I have psoriatic arthritis & have been using Pyralin EN twice a day for over 15 years with no side effects. Not once since commencing use have I had another outbreak of psoriasis. Of course you should liaise with a medical professional, but it may be worth experimenting for say a week with a gram a day of Pyralin EN (one tablet after food in morning and evening) to ascertain if indeed it does provide a solution for your partner. Topical application of Vitamin D is also known for providing relief for psoriasis.

You may like to consider using the 'Red Cross' Hospital in Sri Racha (not too expensive, but long waiting times) as many local Thais are very distrustful of the services provided at Chon Buri provincial hospital.

Is that vitamin D in a cream?

[simple1]

As previously mentioned I have psoriatic arthritis & have been using Pyralin EN twice a day for over 15 years with no side effects. Not once since commencing use have I had another outbreak of psoriasis. Of course you should liaise with a medical professional, but it may be worth experimenting for say a week with a gram a day of Pyralin EN (one tablet after food in morning and evening) to ascertain if indeed it does provide a solution for your partner. Topical application of Vitamin D is also known for providing relief for psoriasis.

You may like to consider using the 'Red Cross' Hospital in Sri Racha (not too expensive, but long waiting times) as many local Thais are very distrustful of the services provided at Chon Buri provincial hospital.

Is that vitamin D in a cream?

Yes, more info at URL below, lot more sites via Google search. Again a suggestion & cross check with medical professional.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945865/

[giddyup]

As previously mentioned I have psoriatic arthritis & have been using Pyralin EN twice a day for over 15 years with no side effects. Not once since commencing use have I had another outbreak of psoriasis. Of course you should liaise with a medical professional, but it may be worth experimenting for say a week with a gram a day of Pyralin EN (one tablet after food in morning and evening) to ascertain if indeed it does provide a solution for your partner. Topical application of Vitamin D is also known for providing relief for psoriasis.

You may like to consider using the 'Red Cross' Hospital in Sri Racha (not too expensive, but long waiting times) as many local Thais are very distrustful of the services provided at Chon Buri provincial hospital.

Is that vitamin D in a cream?

Yes, more info at URL below, lot more sites via Google search. Again a suggestion & cross check with medical professional.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945865/

Cheers

[Sheryl]

...

You may like to consider using the 'Red Cross' Hospital in Sri Racha (not too expensive, but long waiting times) as many local Thais are very distrustful of the services provided at Chon Buri provincial hospital.

Agree, the Red Cross hospital is another possibility.

Private hospitals in the Pattaya area are not going to have the expertise she needs.

[ParadiseLost]

My wife occasionally has a flare up of what I am presuming is psoriasis. This seems to coincide with the consumption of (uncooked?) shellfish - cockles I believe.

Many times I have told her the old proverb my sweet grandma taught me - eat sh*t and die...

[JHolmesJr]

Too often these kinds of things are caused by the body's immune system turning upon itself...

I was looking at a list of things that can cause inflammation causing molecules to rise….caffeine, sugar, gluten, dairy, beans and processed foods

The following juices can be therapeutic towards psoriasis: dark grapes, lemon, orange, grapefruit, tomato, cucumber, beet, carrot, cultured cabbage juice, molasses, apple cider vinegar and spinach.

I would also introduce the indian spice turmeric into the diet somehow….it's a very potent anti inflammation agent.

Edited November 30, 2015 by JHolmesJr

[giddyup]

My wife occasionally has a flare up of what I am presuming is psoriasis. This seems to coincide with the consumption of (uncooked?) shellfish - cockles I believe.

Many times I have told her the old proverb my sweet grandma taught me - eat sh*t and die...

That sound more like an allergic reaction to shellfish, not psoriasis.

[cyberfarang]

My Thai girlfriend has suffered from psoriasis for years, mostly affecting her legs and arms and usually was able to keep it under control. 12 years ago she lived in England with me for a year and suddenly the psoriasis erupted all over her body. It was horrendous, the doctor at the hospital told us it`s one of the worse cases she had seen.

My GF was given antihistamine tablets, steroid tablets and hydrocortisone cream, which is a steroid. Eventually it subsided but every now and them it returns in a mild form, so it never really goes away.

This is how to keep it under control. Take cold or warm showers only and do not use soap. Shower only once a day and always thoroughly dry the skin afterwards. Do not use deodorants, use baby talcum powder. She should wash her clothes in washing up liquid, do not use soap powder that has strong chemicals. Avoid eating spicy and acidic foods, even citric fruits. Stress can bring on psoriasis. She should sleep in the nude so the skin can breath and be aireated. Great if you have a young desirable girlfriend or wife. If she`s old and has to sleep in the nude, best to have separate bedrooms.

If later signs of psoriasis start appearing again, she can obtain a mild white skin cream from the local government hospital as my girlfriend does. It`s very cheap and works. Forget about cider vinegar and the other miracle cure remedies, they don`t work.

[giddyup]

My Thai girlfriend has suffered from psoriasis for years, mostly affecting her legs and arms and usually was able to keep it under control. 12 years ago she lived in England with me for a year and suddenly the psoriasis erupted all over her body. It was horrendous, the doctor at the hospital told us it`s one of the worse cases she had seen.

My GF was given antihistamine tablets, steroid tablets and hydrocortisone cream, which is a steroid. Eventually it subsided but every now and them it returns in a mild form, so it never really goes away.

This is how to keep it under control. Take cold or warm showers only and do not use soap. Shower only once a day and always thoroughly dry the skin afterwards. Do not use deodorants, use baby talcum powder. She should wash her clothes in washing up liquid, do not use soap powder that has strong chemicals. Avoid eating spicy and acidic foods, even citric fruits. Stress can bring on psoriasis. She should sleep in the nude so the skin can breath and be aireated. Great if you have a young desirable girlfriend or wife. If she`s old and has to sleep in the nude, best to have separate bedrooms.

If later signs of psoriasis start appearing again, she can obtain a mild white skin cream from the local government hospital as my girlfriend does. It`s very cheap and works. Forget about cider vinegar and the other miracle cure remedies, they don`t work.

Asking a Thai to avoid spicy and acidic foods, no way that's going to happen. A little research on Google tells me that there is no scientific proof of the diet having an effect on Psoriasis. Any idea what the cream is that your GF gets from the government hospital?

[BB24]

My Thai girlfriend has suffered from psoriasis for years, mostly affecting her legs and arms and usually was able to keep it under control. 12 years ago she lived in England with me for a year and suddenly the psoriasis erupted all over her body. It was horrendous, the doctor at the hospital told us it`s one of the worse cases she had seen.

My GF was given antihistamine tablets, steroid tablets and hydrocortisone cream, which is a steroid. Eventually it subsided but every now and them it returns in a mild form, so it never really goes away.

This is how to keep it under control. Take cold or warm showers only and do not use soap. Shower only once a day and always thoroughly dry the skin afterwards. Do not use deodorants, use baby talcum powder. She should wash her clothes in washing up liquid, do not use soap powder that has strong chemicals. Avoid eating spicy and acidic foods, even citric fruits. Stress can bring on psoriasis. She should sleep in the nude so the skin can breath and be aireated. Great if you have a young desirable girlfriend or wife. If she`s old and has to sleep in the nude, best to have separate bedrooms.

If later signs of psoriasis start appearing again, she can obtain a mild white skin cream from the local government hospital as my girlfriend does. It`s very cheap and works. Forget about cider vinegar and the other miracle cure remedies, they don`t work.

All good advice for someone with Psoriasis. Maybe also try Dove non-soap soap - it seems to work for me. I only buy Boots pure talcum powder - all the others seem to have a little/lot of 'additions' (rice and/or corn powder).