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Update! Went to ANOTHER derm today and FINALLY had a skin scrape done of my forehead, cheek and chin. He also pulled a few hairs off the top of my head. After examing everything under a microscope, he said that I had some sort of hair folicle condition that he has seen quite a few cases of and asked if I used artifical sweetners. I said “NO”. I am dead-set against anything artifical in my food. I never drink anything diet. He then asked me if I took vitamins and if so what did they look like? He said that certain dyes could trigger this as well. He also said one Altoid mint a month could cause this folicle reaction to occur. He has told me to avoid any and all artifcial sweetners, no vitamins for a month and put me on Nizoral (the pink stuff that is a stronger formula than over the counter blue stuff) and some sort of steriodal scalp foam. He did not take an eye lash sample, grrrr. He told me to use baby shampoo on my eyes and to possibly see an eye doctor for the itchy eyes. If I do not see any major improvement, I will insist that he do another skin scrape as I hear you sometimes need multiple ones for an accurate diagnosis (is this true?). Would a superficial skin scrape show any signs of a parasite condition, if I had one? Have you heard of this folicle condition?

The main drawback to the psoriasis biologics is their high-cost, and fortunately most third party (. work) insurance will pay for these medications. There are also instances of coverage under ODB/social assistance and for seniors. In cases where a biologic medication is indicated for psoriasis but the cost is not covered for the medication by a drug or government plan, at the Toronto Dermatology Centre we offer clinical research trials in psoriasis which allows many patients to obtain psoriasis medications for free. Speak with one of our physicians to decide the best treatment plan for your psoriasis.

Up till now I thought the knowledge of psoriasis was virtually inexistent in Nigeria so I’m glad this has come up. I found out I had psoriasis when I was 21 – it usually shows up in your early 20s if you’re going to have it. The doctor said to me “the bad news is you have psoriasis; the good news is it’s not cancer” and then he gave me pamphlets about psoriasis support groups. I don’t need to explain how freaked out I was. I also found out that it’s very common, even among Nigerians. The problem is that it’s always mistaken for “severe dandruff” or “dry scalp”. Before I knew what it was a lady at the salon was actually scraping flakes off my scalp and lecturing me about how I needed to take better care of my hair and myself. Because I’ve seen what psoriasis can do, I’m very grateful that mine is still limited to my hairline and I admire the fact that you’re coming to terms with skin psoriasis, especially in Nigeria where it doesn’t seem to be so well known (when I did my hair outside of Nigeria it was the hairdresser who even picked up on it and told me she thought I had psoriasis and that’s when I had it checked out). Like you said, there’s no cure and because it’s caused by a number of things depending on the person and their environment or stress level, I’ve found there’s no perfect treatment regime. Right now I use Neutrogena T-Gel shampoo and this topical mix that was prescribed for me but it doesn’t seem to work all the time so I’m sort of stuck. If anyone needs suggestions I was also told by a doctor that eating healthy, cutting down on alcohol and using hair oils (eg olive oil, carrot oil) instead of creams and pomades might help. At the end of the day, you have to love yourself so when I get asked”why’s your hairline scaly?” I say “I have psoriasis; it’s not contagious.” If that’s not good enough then .. *shrugs*

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