Why do I feel extreme fatigue and joint pain with psoriasis?

Hello,

Welcome to icliniq.com.

I have gone through your reports. (attachment removed to protect patient identity). Considering the symptoms and medications you are taking, I would like to know a few more details. How is the sleep pattern? Do you get enough sleep or is it disturbed? Any early morning fatigue? Any dryness of eyes or mouth? Do you experience any joint swellings? Any recent history of irritability? Any forgetfulness which has developed recently? As per the investigations and ongoing treatment, my suggestion would be dsDNA has not much relevance in your case. It looks like a false positive value, mainly cause ANA is negative and ESR and CRP are normal. You are on too high a dose of Prednisolone which is not good for bones and psoriasis as well. We need to cut down on the dosing. Methotrexate may be a good option as psoriasis can cause a lot of joint pains itself which will get better with it. Also, it is a good drug for removing steroids.

Thank you.

Hello,

Welcome back to icliniq.com.

Well, as of now it does feel like you are having a disease overlap. Current symptoms do seem to be of fibromyalgia which may be overlapping your psoriasis. As for the sunlight exposure-induced rashes that is very common with people with vitiligo and psoriasis. It is a polymorphous light eruption. So that way we can do our best to use sunscreens. You can read about fibromyalgia once and see if your symptoms fit into it and then, we can take this discussion further. Secondly, cut down on your steroids. Try to make it 10 mg or 5 mg for alternate days, so at least you are lower on the dose. I hope this helps you.

Thank you.