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Guttate psoriasis


Melon

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Melon Apprentice

I’m still trying to figure out my itchy lesions. Has anyone heard of guttate psoriasis? 

A new general doc said I clearly have something going on internally (not bug bites like the last one insisted it was and not scabies like the allergist said). She said it looks like an atypical psoriasis, so I googled. Have a derm apt. Monday. 

For those searching for answers, maybe check it out: Open Original Shared Link

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knitty kitty Grand Master

I suggest you have your doctor check for nutritional deficiencies common in Celiacs.    Deficiency in Vitamin D can make psoriasis worse.  Vitamin A deficiency can cause goose flesh and other skin problems.  Also deficiencies in several B vitamins can manifest as skin problems.  Deficiencies of Vitamins B12, B3 (niacin), B2 (riboflavin), and B 9 (methylfolate) can contribute to rashes, DH, and psoriasis.  

Hope this helps.  

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Melon Apprentice

Thanks for the info. I had a vitamin D deficiency a couple of years ago and started a supplement. I’ve not been good at taking it lately. In the past, when many things were wrong/off with me regarding sleep issues, all they found was a B-12 deficiency.

What’s goose flesh?

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knitty kitty Grand Master

Goose flesh....you know when you're cold and you get chill bumps?  Well, goose flesh is like those bumps but they stay even when you're not cold.  It's caused by a build up of keratin near hair follicles.  Keratin can also build up in your intestinal tract and lungs.  The body needs vitamin A to process out that keratin, and for skin and eye health, and blood cell production.  Poor night vision and taking a long time to adjust to dim or bright light is an early sign of deficiency.  Other signs are dry eyes, skin problems, and vaginal dryness.  

Vitamin D acts like a hormone in the body and is involved in many body processes.  I advocate for vitamin D levels up in the 70's or higher, the levels one would have if living in the tropics with abundant sunshine.  Vitamin D deficiency can cause depression, thyroid problems, bone and muscle pain and fatigue, hair loss, osteoporosis, female hormone problems, and slow wound healing (including slow healing of the intestinal tract).  

Vitamins A, D, E and K are fat soluble vitamins.  If you have difficulty absorbing fats, you may become deficient in these vitamins.  These vitamins can be stored in the body for only a few months. 

The eight B vitamins all work together.  They are water soluble and need to be replenished every day.  Cobalamin (B12) needs folate (B9) especially to work properly.  Other B vitamins like riboflavin (B2), thiamine (B1), niacin (B3), and pyridoxine (B6) are instrumental in keeping your skin and intestinal tract well and your brain and body functioning.  Some Celiacs need a more bioavailable form of some B vitamins, methylcobalamine, methylfolate, and P5P form of pyridoxine.  

And then there's the minerals like zinc, calcium, iron, and magnesium, as well as trace minerals like selenium and molybdenum, that may be deficient.  Deficiencies in these minerals can cause skin problems, too. 

If you're deficient in one, there's a good chance you're deficient in all of them.  Because these vitamins and minerals work inside the body's tissues, a deficiency isn't always spotted early by a blood test or urinalysis.  And doctors are not familiar with deficiency diseases.  (Deficiency diseases only happen in third world countries, right?)  Celiac Disease causes malabsorption which results in malnutrition. 

Vitamin deficiencies may take several weeks or months to correct.  I understand how one would want a magic pill from a doctor that works overnight to relieve the symptoms, but one really needs to treat the root cause, nutritional deficiencies.  

If you had a really expensive car, a Lamborghini or a Maserati, you would put the best oil and high octane fuel in it, right?  Well, your body has got dashboard lights blinking, saying there's a problem, and you need to put high octane nutrition in your tank!  

I went through a horrible experience because doctors did not recognize my deficiency symptoms and resulting deficiency diseases and I suffered for years unnecessarily and am left scarred and partially blind. I don't want that to happen to anybody else.  So....please.....

Take your Vitamin D and B 12 deficiencies seriously.  Get checked for other deficiencies and correct them!   

Hope this helps, 

Knitty Kitty

P.S. Trazodone can cause riboflavin deficiency.  Try tryptophan (a precursor of niacin), calcium, and vitamin D for improved sleep.  

 

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    • trents
      But if you have been off of wheat for a period of weeks/months leading up to the testing it will likely turn out to be negative for celiac disease, even if you actually have celiac disease. Given your symptoms when consuming gluten, we certainly understand your reluctance to undergo  the "gluten challenge" before testing but you need to understand that the testing may be a waste of time if you don't. What are you going to do if it is negative for celiac disease? Are you going to go back to merrily eating wheat/barley/rye products while living in pain and destroying your health? You will be in a conundrum. Do I or do I not? And you will likely have a difficult time being consistent with your diet. Celiac disease causes inflammation to the small bowel villous lining when gluten containing grains are consumed. This inflammation produces certain antibodies that can be detected in the blood after they reach a certain level, which takes weeks or months after the onset of the disease. If gluten is stopped or drastically reduced, the inflammation begins to decrease and so do the antibodies. Before long, their low levels are not detectable by testing and the antibody blood tests done for diagnosing celiac disease will be negative. Over time, this inflammation wears down the billions of microscopic, finger-like projections that make up the lining and form the nutrient absorbing layer of the small bowel where all the nutrition in our food is absorbed. As the villi bet worn down, vitamin and mineral deficiencies typically develop because absorption is compromised. An endoscopy with biopsy of the small bowel lining to microscopically examine this damage is usually the second stage of celiac disease diagnosis. However, when people cut out gluten or cut back on it significantly ahead of time before the biopsy is done, the villous lining has already experienced some healing and the microscopic examination may be negative or inconclusive. I'm not trying to tell you what to do I just want you to understand what the consequences of going gluten free ahead of testing are as far as test results go so that you will either not waste your time in having the tests done or will be prepared for negative test results and the impact that will have on your dietary decisions. And, who are these "consultants" you keep talking about and what are their qualifications? You are in the unenviable position that many who joint this forum have found themselves in. Namely, having begun a gluten free diet before getting a proper diagnosis but unwilling to enter into the gluten challenge for valid testing because of the severity of the symptoms it would cause them.
    • Zackery Brian
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    • Fluka66
      Thank you very much for your reply. I hadn't heard of celiac disease but began to notice a pattern of pain. I've been on the floor more than once with agonising pain but this was always put down to another abdominal problem consequently I've been on a roundabout of backwards and forwards with another consultant for many years. I originally questioned this diagnosis but was assured it was the reason for my pain. Many years later the consultant gave up and I had a new GP. I started to cut out certain food types ,reading packets then really started to cut out wheat and went lactose free. After a month I reintroduced these in one meal and ended screaming in agony the tearing and bloating pain. With this info and a swollen lymph node in my neck I went back to the GP.  I have a referral now . I have also found out that acidic food is causing the terrible pain . My thoughts are this is irritating any ulcers. I'm hoping that after a decade the outlook isn't all bad. My blood test came back with a high marker but I didn't catch what it was. My GP and I have agreed that I won't go back on wheat just for the test due to the pain , my swollen lymph node and blood test results.  Trying to remain calm for the referral and perhaps needed to be more forceful all those years ago but I'm not assertive and consultants can be overwhelming. Many thanks for your reply . Wishing you all the best.
    • Moodiefoodie
      Wow! Fascinating info. Thanks so much! I really appreciate the guidance. @Spacepanther Over the years I have had rheumatologists do full lab work ups on me. They told me they had screened me for arthritis, lupus, and Lyme disease (all negative). In addition to joint pain and stiffness I had swelling in both knees that later moved to my elbow as well.  I also experience stiffness and pain in my neck and shoulders when it flares. I vomited fairly often growing up, but there wasn’t a real pattern to it and I didn’t know it wasn’t normal (thought people caught stomach viruses often).  I don’t usually have stomach symptoms immediately after eating gluten that I notice.  The only other joint condition I know of is fibromyalgia. Good luck! Hope you can get it figured out. I only assumed my joint symptoms were due to the celiac’s because it is under control for the most part on a gluten-free diet.  The rheumatologist also mentioned that some inflammatory/autoimmune diseases can be slow-moving and not detectable until they progress.
    • knitty kitty
      @Spacepanther, I found these articles about the connection between Celiac and joint pain. Musculoskeletal Complications of Celiac Disease: A Case-Based Review https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201087/ And   Intestinal microbiome composition and its relation to joint pain and inflammation https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814863/ And The gut microbiome-joint connection: implications in osteoarthritis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903327/ Sounds like it's time to change the diet to change the microbiome.
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