So last year I had a patch on my foot of what I initially thought might be poison ivy. Very red, very swollen, with tiny blisters. But it didn’t behave like poison ivy other than the blisters and the itch. And the itch was way more extreme than any poison ivy that I’ve ever had. At the same time, I had some blisters on the palms of my hands, just a few. After a month or two of this, I realized that this wasn’t at all poison ivy. It kept almost clearing, then suddenly the patch would be bright red, swollen, and then blisters would appear. I finally got myself to the dermatologist, who suspected pustular psoriasis. As a reminder, I’ve only ever had patches of plaque psoriasis on my knees and elbows, and realistically, it’s one patch on my right knee. This all happened late in the summer last year.
Flash forward to last Saturday. I went to the gym and was suddenly struck with what felt like a fever, and lethargy. I got home, took off my shoes, and saw the same bright red patch in the same exact spot on the top of my foot, and the blisters broke out about an hour later. I’m being much more aggressive this time, now that I know that it’s pustular psoriasis. I’m using clobetasol 2X a day, and using lidocaine to numb up the area. It’s obscenely itchy otherwise.
Anyone have experience with this? I’m thinking that it won’t clear up with a week of clobetasol. So what’s next after this?