[43F] Experiencing a variety of symptoms including psoriasis

Patient Description

A 43-year-old female presents with a history of psoriasis, particularly noting a red, flaky, tough rash on the left elbow and the start of a similar rash on the upper right eyelid. She also reports flaky skin near the ear canal. The patient experiences persistent cold hands and feet, a sensation of feeling full quickly, constipation, stomach discomfort, and occasional sharp stomach pains. Additionally, she describes symptoms of brain fog, forgetfulness, and being easily distracted. The psoriasis has been present for 4 years and is episodic in nature. There have been no recent changes in diet, travel, or exposure to others with similar skin conditions that have been noted to correlate with her symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Psoriasis: This is a chronic skin condition that speeds up the life cycle of skin cells. It causes cells to build up rapidly on the surface of the skin, leading to red, flaky, and sometimes painful patches. Psoriasis can also be associated with other health conditions, such as psoriatic arthritis, which could potentially explain your stomach discomfort and joint pain.

    • Treatment typically involves topical treatments, light therapy, and systemic medications.
  • Hypothyroidism: This is a condition where your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility, and heart disease. Symptoms can include fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, thinning hair, depression, and impaired memory.

    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine.
  • Celiac Disease: This is an immune reaction to eating gluten, a protein found in wheat, barley, and rye. Over time, the immune reaction to eating gluten creates inflammation that damages the small intestine's lining and can lead to medical complications. It can also prevent absorption of some nutrients (malabsorption). Symptoms can include diarrhea, fatigue, weight loss, bloating and anemia, often begin in childhood but can occur at any age.

    • Treatment for celiac disease is a strict gluten-free diet.

Please note that these are only possible explanations for your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take while you arrange to see a healthcare provider:

  1. Keep your skin moisturized. This can help reduce dryness and flaking associated with psoriasis.
  2. Try to identify and avoid any potential triggers for your psoriasis flare-ups. This could include certain foods, stress, or skin injuries.
  3. Maintain a balanced diet and regular exercise routine. This can help manage your weight and overall health, which can in turn help manage symptoms of conditions like hypothyroidism and celiac disease.
  4. Keep a symptom diary. This can help you and your healthcare provider identify patterns and triggers for your symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your rash becomes significantly worse or spreads rapidly.
  • You experience severe abdominal pain.
  • You have difficulty swallowing or breathing.
  • You experience sudden or severe pain in any part of your body.
  • You feel unusually weak or fatigued.

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are common triggers for psoriasis flare-ups?

Common triggers for psoriasis flare-ups include stress, skin injuries, certain medications, infections, and weather changes. Identifying personal triggers can help manage the condition.


How can hypothyroidism affect my daily life?

Hypothyroidism can lead to fatigue, weight gain, depression, and impaired memory, affecting daily activities and overall quality of life. It may also increase sensitivity to cold and cause dry skin.


What dietary changes are necessary for managing celiac disease?

For managing celiac disease, a strict gluten-free diet is necessary. This means avoiding all foods containing wheat, barley, and rye, and being cautious about cross-contamination.


What are the potential complications of untreated psoriasis?

Untreated psoriasis can lead to complications such as psoriatic arthritis, which affects joints, and an increased risk of cardiovascular disease. It can also impact mental health, leading to anxiety or depression.


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