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Will My Lesions Clear?
Ed and Greetings from Iowa: My
name is Ryan, and I am writing you from West
Des Moines, IA. I
really enjoy your insight on P and your responses to others.
I thought I would pick your brain on my situation. Here it goes...
have had P for close to a year and a half.
I will, thankfully, admit mine is a fairly mild, but stubborn case.
I have finally been prescribed Soriatane, and have taken 50mg for 5
weeks. The side effects are
nasty, but bearable with the hopes of clearance.
I have a real stubborn area on my legs and this is what is
lesions are very flat, do not protrude off the skin much at all.
They flake often and look like they are starting to clear in the
middle of the lesion. How
does Soriatane eat away at the lesion and what should I expect to see in
the clearing? Will a brown
spot or mark remain after clearing? I
haven't got a lot of feedback from my doctor and I am curious.
Any insight you could provide would be great!
a terrific day! -Ryan H.
Response: I think you may not
have gotten much response from you derm on these questions, Ryan, because
there may not be any pat answers. While
it doesn’t get talked about much, the few exchanges I’ve had in which
the process of clearing has been discussed suggest to me that lesions go
away about as variably as they appear.
is the one popular systemic I’ve not yet tried, so I can’t even talk
about myself in this case. Perhaps
some other readers who have cleared on Soriatane will share their
experience with us.
can say that my lesions clear
similarly both with systemics (methotrexate and cyclosporine) and with
topical corticosteroids. First
their redness diminishes, then — if the plaques were thick to begin
with, and they aren’t always — the plaques will flatten, then the
flaking gradually stops and sometimes no sign of the lesion remains while
it is hibernating. (I always
say hibernating because I know they are still there and bound to
become active again.) Sometimes
a salmon coloring remains and this I tolerate without further application
of topicals. Very rarely, I’ve had lesions clear by small spots of good
skin appearing inside the lesion and then growing.
At some point I have an atoll-like lesion and the last remaining
“edge of inflammation” usually doesn’t flake but persists in looking
weird for quite awhile. (At one time I told gullible people those were the
remnants of giant squid sucker marks from my last and nearly tragic deep
sea diving adventure.)
correspondents have reported lingering skin discoloration and my derm says
this, too, will go away if the lesion remains inactive.
Will that happen to you? I
guess the only way to know is to wait and see.
we await more authoritative observations from other readers, do keep us
apprized of your progress. -Ed