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Hi I'm Dr Kasparis Dermatology Consultant, please call me Christos. I am sorry to hear about your skin problem. Images would be extremely useful including your nails if you could.
Can I also ask if you have a family history of skin problems? Does the skin itch in these areas? Have you had eczema as a child or do you suffer from asthma or hayfever at all? Have you used any creams so far or seen the GP?
Thank you , have you got any of your elbows, feet , armpits or nails? these would really help
Great thanks, ***** ***** photos would be very useful
That's great thank you. From what I can see on your fingers, you have quite severe fingertip dermatitis. This is a form of eczema that usually develops over time and often is due to irritation through regular washing with soap, using various detergents in washing liquid etc(irritant contact dermatitis). I cannot see any specific signs of psoriasis in the photos you have shown me and in your nails. The treatment I would recommend would be:
1. Avoid excessive washing and always use protective gloves when in contact with washing liquid. Ideally, you shoudl be using Dermol 500 lotion as a soap substitute (can be obtained from your GP)
2. You need regular moisturizing with an ointment as opposed to a cream- Hydromol or Epaderm ointment can be very useful
3. Diprosalic ointment to apply to affected areas every night for 2 weeks and then as required- this can be obtained from your GP, it will reduce the dermatitis and allow the skin to heal nicely.
With careful hand care the problem will improve but may never go away completely so you may need to use this treatment from time to time.PLease visit this site for more advice from the association of Dermatology. I hope this helps!
If you have any more questions please just ask
You are right irritant dermatitis mainly affects the hands and fingertips but sometimes other areas of high friction can be affected too. From the photos you have shown me I cannot see definitive signs of psoriasis , unless I am not seeing the elbows at their worst at the moment. If this is as bad as it gets on the elbows then I don't think you have psoriasis it is more a dermatitis. If you have any other parts of the body( feet,armpits ) to share then I would be happy to review these. The treatment however would be very similar even if you had mild psoriasis on the elbows.
Thank you,again no signs of psoriasis here but in keeping with mild dermatitis and dryness
Absolutely. Harsh water certainly causes a breakdown in the skin barrier and contributes towards the irritation. If you use a water softener it would help however avoid it until the cracked areas on your fingertips have healed first with the treatment above otherwise it may sting !
Thank you and a pleasure , I hope you feel better soon.