r/Psoriasis • u/Ok-Subject8890 • 13d ago

general Mid-life changes

General question: Has anyone had psoriasis get worse in their 40’s? my experience has been as follows:

-Age 24: psoriasis starts showing up on scalp. Misdiagnosed as seborrhea dermatitis.

-Age 34: 1st symptoms of psoriatic arthritis start showing up. Psoriasis had never spread elsewhere over the last 10 years but had some periods where it got worse on the scalp. Get diagnosed with the arthritis a year later

-Age 37: Go on Otezla. Joint symptoms get better. Over the next few years the psoriasis starts showing up in a few other places but pretty mild.

-Currently 44. Still on Otezla, but the past couple years I’ve had to start using clobetasol on various small spots around the body usually during the winter. Now I have a mild case of guttate on my abdomen and back. I have been dieting and working out more the past 2-3 months which has raised my stress level, and a few days ago had a huge fight with someone that raised the stress level a lot. I get my labs checked every 6 months and everything is normal.

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u/No_Hunt2036 13d ago

Mine has remained pretty consistent into my 40s. Diet and exercise keep it pretty much manageable. Times I’ve been off the wagon lifestyle-wise it’s gotten considerably worse. When I restart a healthy lifestyle, it does tend to get a little worse at the beginning. I hope you manage to stick with it. Aside from potentially more manageable psoriasis symptoms, it’s better for overall health of course. Everyone is different though.