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|Painful PUVA and Dr. Tirant
from Suzanne B.
Hello, I'm Suzanne from Melbourne, Australia. Just a brief rundown on my P situation: I’ve had it since I was 13 (related to onset of puberty, apparently) and am now 47, and it keeps getting worse. I've been having PUVA treatments two times a week at a public hospital outpatient clinic for the last two months and also using cortisone cream prescribed by the derm there. Now the P has become unbearable — beyond just itchy; very red and PAINFUL. Has anyone had a similar experience with PUVA? I have gone back to using coal tar lotions to get some relief. Sometimes I think P gets worse here in the Melbourne winter, which is dry and very cold.
I have also tried treatment with Dr. Michael Tirant here in Melbourne in the past, and found it very helpful. The treatment was easy, and also PLEASANT — products smell great and feel good, as well as being effective. But I found it expensive to use, so I am slowly putting a few dollars together in order to go back to Dr. Tirant. I also found his consultation (cost $60) rather perfunctory ("What? Not taking any before-and-after photos?")
Anyway, I would like to hear if anyone has had a bad time with PUVA treatment, and if so, what they did to GET OVER IT. -Suzanne B.
Background: Dr. Tirant’s Treatment in Australia
Ed’s Response: A quote from the National Psoriasis Foundation’s booklet titled PUVA seems to specifically address your side effect:
I was amused in one of those why-am-I-not-surprised? ways when I read your description of Dr. Tirant’s consultation as "perfunctory." I suppose his interest in before-and-after photos is a positive statement about his confidence. Please let us know how you fare if/when you return to Dr. Tirant.
Good luck, Suzanne. -Ed