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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What to for the fungal infection which is very itchy?

Good day Doctor, I was diagnosed with Rheumatoid Arthritis back in 2010 which started from joints of middle finger of my left hand and then spread to other parts of my body. I was being treated with Arava, Methotrexate, Folic Acid, Prednisolone and Calcichew. Later on, my doctor stopped my medicines as it was not that much effective and started giving me a dose of Actemra 600mg with Solu Cortef 100mg given every month. I was recovering but I started developing fungal infection on parts of my body including scalp. My doctor referred me to a dermatologist who upon conducting biopsy told me that I had Psoriasis. My treatment was changed and now as of date, I am being given Cimzia 200mg every 2 weeks. Inflammation of joints disappear while i am taking the dose but once I skip (even for 2 days), I feel stiffness. Moreover, fungal infection is getting worse day by day followed by severe itching. I am unsure if I am getting the right treatment or not. Kindly advise. Thanks for your kind courtesies.
Wed, 3 Dec 2014
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General & Family Physician 's  Response
Hello,
Since you have been already diagnosed with Psoriasis by biopsy then may be you are confusing with diagnosis of fungal infection but actualy the patches you have be getting would be psoriatic patches.
Like Rheumatoid arthritis ,Psoriasis also is a autoimmune disease.Someone can be prone to autoimmunity because of some particular HLA system in the blood.Psoriasis is considered incureable chronic skin condition which needs contineous medical care to avoid further detoriation.It may need topical medications include corticosteroids,vitamin D analogue creams like calcitrol,moisturizers,topical immunomodulators E.g..tacrolimus.And coal tar can also be used in treatment.
I would suggest you to get checked by Rheumatologist so it can be treated according to the stage of Psoriasis and Rheumatoid arthritis.
Hope my answer is helpfull,
Regards,
Dr.Maheshwari

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