I am a female 45 years old, from the USA and living in Saudi Arabia for work. The medical community here is notorious for mistakes. About 8 months ago I became very sick with what I am sure was strep. After one round of antibiotics it came back with a vengeance, and I had a terrible fever, chills and could barely walk up a flight of stairs due to body aching. More antibiotics, but no tests (of course). At that time I acquired a cat, quit smoking after 25 years, and spent a lot of time on the sofa healing. I began getting very dry, sore spots on my legs. Nothing unusual. I've had that happen to me quite often - I've had eczema on my hands for years - I just put dermovate on it. This country is terribly dry and it wreaks havoc on my fair, sensitive skin. But for some reason I got a bunch of these super red, flat dry spots, on the sides of my thighs and back of calves. I saw a doctor and she diagnosed me with guttate psoriasis. There isn't very much scale on these, they are not itchy. They feel sore, and burn with a kind of hot/cold sensation sometimes. They are a little bit bigger than guttate, flatter, and a whole lot fewer and far between. They look more like nummular eczema.
Steroid cream works great on it, but there are just too many, and it causes a rebound affect. This doctor could not tell me how to use it properly. She actually made me walk right into a bad rebound affect and never even wanted to follow up with me. That's how it is here.
I now have it on my arms, elbows and buttocks.
The second doctor assumed it was psoriasis as well. That is because that is his area of expertise. All his patients are psoriasis patients. To complicate matters, I also have onchylosis of the nail - but that nail was hurt/injured, and the rest are OK. Also, I had a sore elbow - it seemed like psoriatic arthritis, but that has since gone away. It had to do with a very heavy, badly functioning vacuum cleaner.
I understand that they just keep assuming it is psoriasis due to the nail, elbow and joint pain involvement, all of which are suspect. But it's a problem that it's very taboo to look at women here or to show anyone your skin. No one wants to look at me, even the female doctor. They don't check on whether it could be ringworm from the cat. They don't care that I have a history of eczema and dry patches from the desert, or that it seems to come from rubbing against the rough fabric of the couch. The steroid might have worked but it was prescribed all wrong. The second doctor tried to put me on methotrexate, and I am not nearly bad enough for that. He then put me on UV, salicylic ointment and petroleum jelly. I'm not much better, and I got folliculitis from the petroleum jelly where I shave.
Since I can't really trust the medical community here what can I do on my own? Is there a rotational technique I might try with steroid ointment that is conservative and safe? Should I insist on testing? Thanks.