Do I have Psoriasis?
At 21 years old, I've recently experienced some troubling symptoms. A day ago, I had my hair trimmed due to persistent itchiness and flaking on my scalp. I'm uncertain whether these issues stem from dandruff or simply a dehydrated scalp. During my recent shower, I used a Head and Shoulders shampoo, but I ended up feeling a stinging sensation across my entire scalp—definitely time to rethink my shampoo choice. Additionally, it's worth mentioning that both my mother and sister have been diagnosed with psoriasis, which adds to my concern.
Answers (1)
7/30/2025, 3:01:39 AM
OpenHealth AI
It's understandable to be concerned about your symptoms, especially with a family history of psoriasis. Scalp itchiness and flaking can be caused by various conditions, including dandruff, scalp psoriasis, or dryness. Here's a clear overview of your situation and some actionable steps.
Main Points:
- Itchy, flaky scalp can result from different causes.
- Family history increases the likelihood of psoriasis.
- Other scalp conditions should also be considered.
Explanation:
- Dandruff is usually characterized by white flakes and often does not cause much redness or inflammation. It's typically related to dry skin or a mild scalp condition.
- Psoriasis on the scalp can cause red, scaly patches, often accompanied by itching, and is likely to appear thicker than typical dandruff flakes.
- The stinging sensation you experienced could indicate irritation caused by the shampoo or an underlying condition, especially given your symptoms.
Next Steps:
-
Switch Products: Discontinue the use of any product that causes irritation. Choose gentle, hydrating shampoos that do not contain harsh ingredients. Look for those that are sulfate-free and designed for sensitive skin.
-
Moisturize Your Scalp: Consider using natural oils (like coconut or olive oil) to help hydrate your scalp. Apply a small amount to your scalp and leave it on for 20-30 minutes before washing it out.
-
Monitor Symptoms: Keep track of your symptoms over the next week. Pay attention to changes in itchiness, flakiness, or any new symptoms (like redness or scaling).
-
Seek Information: Research more about psoriasis and scalp conditions to understand your concerns better. Look for reputable sources like the National Psoriasis Foundation or medical blogs written by dermatologists.
-
Consider a Patch Test: You could try a patch test with a new shampoo or treatment on a small area of your scalp to see if it causes irritation before using it broadly.
If your symptoms worsen, become more uncomfortable, or you notice additional signs (like redness or thick plaques), it may be wise to consult a healthcare professional for a proper assessment. They can help diagnose the condition and recommend effective treatments tailored for your needs.
Related Questions
Concerns After Surgical Recovery: Infection and Exposed Structures
I am a 33-year-old woman who underwent surgery on June 25, and I initially believed that my recovery was progressing well. However, I began to notice a persistent bloody and cloudy discharge, which later transformed into a more yellowish-green mucus. Although I attempted to perform saline rinses regularly, I realized I hadn't been diligent enough. I also used a cotton swab multiple times to check inside my nostril and felt that the outer bone of my nose and the septum seemed to be uncovered. I assumed this was acceptable since my ENT surgeon probably assessed the same condition when removing the packing. My situation took a turn when, on Sunday, I expelled a large, foul-smelling piece of material from my nose. I decided it was necessary to contact my ENT, but by Monday, the discharge had ceased due to swelling, while the odor transformed into a very unpleasant smell. My ENT is currently on vacation and left me a message indicating that he could prescribe antibiotics; however, he suggested a medication I cannot take due to my pregnancy. Consequently, I visited urgent care where I was prescribed Augmentin. I have already been on it for a day without any noticeable improvement in the odor or swelling, but I understand that healing can take time. Throughout this ordeal, I have not experienced any fever and have been able to breathe relatively well. Just as I prepare for a long-awaited trip to a remote location, I find myself questioning whether this probable sinusitis presents any additional infection risks. Also, is the fact that my bone or cartilage is exposed a cause for concern? I have tried to schedule an appointment with another ENT but have faced difficulties, and I'm uncertain if this is necessary at this stage. I certainly want to avoid an ER visit if at all possible.
Navigating Chronic Pain After Multiple Fractures: A Father's Struggle
My father, aged 49, has faced significant challenges following a severe leg injury that resulted in a broken fibula on three separate occasions. After the initial fracture, doctors implanted metal rods to stabilize the bone. Unfortunately, he suffered two additional breaks, the most devastating occurring four years ago when the bone was nearly shattered. Over a decade has passed since the rods were inserted, yet he continues to experience persistent pain, particularly at night. While he can manage his daily life, including work and exercise, there are nights when discomfort hampers his ability to sleep, leading him to rely on pain medication for relief. He describes a consistent sense of pain in the area of the injury and often finds that applying warmth brings him some comfort. A physiotherapist has advised against seeking further help from an orthopedic specialist, suggesting that they won't provide additional interventions since he possesses a full range of motion. Despite this, my father insists he can sense changes in the weather with more accuracy than the forecasts. Additionally, he’s experiencing numbness around the surgery site, with the sensation of pain and temperature being the only feelings present. We find ourselves questioning whether removing the rods could be a viable solution to alleviate his ongoing discomfort.
Seeking Guidance on Parasitic Infestation
At 56 years of age, I encountered a troubling situation two years ago when I noticed unusual white blobs in my stool. This coincided with my ferret being treated for tapeworms. Concerned, I reached out to my physician, who prescribed praziquantel. To my shock, after taking the medication, these organisms began to emerge from multiple points of my body, including my scalp, arms, and legs. I found myself spending an entire day in my bathroom, desperate to prevent these particles from spreading throughout my home. Since then, the problem has persisted. These entities have infiltrated my gums, tongue, and throat, and they're present in my nasal passages, often advancing to the back of my nose and throat. I've even noticed them in the conjunctiva of my eyes and beneath my eyelids, occasionally surfacing through the skin on my scalp. My ear lobes and ear canals are also affected. Despite consulting several medical professionals, I have yet to find anyone knowledgeable about parasitic infections. I have a strong suspicion that I might be suffering from hydatid disease, as I can visibly detect a fluid-filled bump beneath one of my eyelids. Throughout this ordeal, I've undergone nine stool examinations, and in at least four instances, the parasites were visible, yet Quest Diagnostics reported all negative results. A CT scan of my sinuses revealed sizable cysts in my maxillary sinuses, but they were merely labeled as mucosal cysts by the radiologist, prompting no further action from my doctors. Unfortunately, I've been treated poorly by many healthcare providers, some of whom are attempting to persuade me that I am imagining this entire episode, which infuriates me! I have collected numerous specimens from my mouth and nose, and I frequently find hard, rice-like particles in my bed and undergarments each morning. This experience is driving me to the brink of insanity, and the disbelief from my doctors exacerbates my distress. I've recently sent stool samples to a parasite testing facility in Arizona but have yet to receive results. In addition, I purchased a microscope and discovered numerous rectangular objects that taper to a pointed end and feature a circular opening on the other end, along with round specimens resembling eggs. I am consumed by the fear that these creatures might be lethal. I've explored every herbal treatment I could find and ordered Albendazole from India, though I suspect the quality may not be genuine. For the past month, I have been taking 15,000 mg of garlic daily, which seems to provide some relief. I've amassed a collection of photographs and videos, yet my doctors refuse to examine them. I attempted to seek help from the infectious disease clinic at Johns Hopkins, but due to my doctors labeling me as delusional, I was denied an appointment. I am utterly exhausted by this ongoing struggle and feel lost. If anyone has recommendations for a physician in the DC/Baltimore area who specializes in parasitic diseases, I would greatly appreciate your input. I tried to upload images, but it was unsuccessful.
Increased Kappa to Lambda Light Chain Ratio
A 24-year-old female from the UK, weighing 147 lbs, has been experiencing notable health concerns since the start of 2024. She has received a clinical diagnosis of Hypermobile Ehlers-Danlos Syndrome, alongside pelvic organ prolapse affecting both the small bowel and rectum, as well as bowel dyssynergia and hypertonic pelvic floor dysfunction. Her current medication regimen includes Linaclotide, Tramadol, and Baclofen. Earlier this year, her IgG levels decreased to 5.4 and then to 5.1, but recent laboratory tests show that these levels have returned to 5.4. The haematology department has requested a serum protein electrophoresis and an assessment of light chain levels. Notably, she does not use steroids or immunosuppressive medications and has not experienced any known infections this year, despite feeling unwell for an extended period. She reports no kidney problems and autoimmune panels conducted last year did not indicate any inflammation. Her recent lab results show: - Serum lambda light chain level at 9.1 mg/L - Serum kappa light chain level at 28.4 mg/L - The kappa to lambda light chain ratio stands at 3.12, which exceeds the normal reference range of 0.26 to 1.65. It's important to interpret these free light chain (FLC) results alongside other relevant laboratory tests and clinical history. - Renal impairment can lead to decreased clearance of FLC. Furthermore, the reference range for the FLC ratio specifically for renal function is between 0.37 and 3.10. - Additionally, very elevated levels of antigens could potentially lead to artificially low readings for FLC. - The serum protein electrophoresis indicates a reduction in gamma globulins as seen in the electrophoretic profile. A urine specimen has been requested for further investigation regarding Bence Jones Protein. What could be the underlying issues here, and what should she be concerned about?
Seeking Insights on My Nephew's ERF Gene Mutation and Its Implications
Hello esteemed medical professionals, I am reaching out concerning my 10-year-old nephew, who has recently had an ExomePlus genetic test conducted. The test results indicated the presence of a heterozygous pathogenic variant in the ERF gene (specifically chr19:42753062_42753063delTT, c.1201_1202delAA, p.Lys401GlufsTer10). This mutation is associated with Chitayat Syndrome and interstitial lung disease (ILD). Important Details: - Patient Age: 10 years, Male - Clinical Observations: Experiences breathlessness during physical activities, exhibits failure to thrive, has a reduced appetite, and has been diagnosed with interstitial lung disease (ILD) confirmed by CT imaging. - Genetic Mutation: Detected in the ERF gene, categorized as heterozygous, pathogenic, and inherited in a dominant fashion. - Family Medical History: No comparable incidents in relatives. - Additional Genetic Findings: No other significant anomalies were detected in mitochondrial DNA or copy number variations (CNVs). - Test Quality: The test exhibited a high level of reliability and sequencing precision. In light of this information, I have several inquiries: 1. Are there established treatments or interventions for disorders related to the ERF mutation, specifically Chitayat Syndrome? 2. Is it possible to manage or slow down the progression of ILD in pediatric patients using medications such as corticosteroids or immunosuppressants? 3. What does the long-term outlook look like for children with ERF mutations who currently exhibit mild symptoms? 4. Are there any research institutions or experts globally that are investigating this particular gene or associated syndrome? 5. What routine care or ongoing monitoring should be recommended for patients identified with such genetic variations? We have initiated consultations with specialists in the field; however, any guidance or expert opinions regarding the next steps would be immensely appreciated. Thank you for your attention and assistance. 🙏