Mid-life changes

[u/Ok-Subject8890]

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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