scalp dermatitis connected ?: hi. The PMR seems to... - PMRGCAuk

PMRGCAuk

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scalp dermatitis connected ?

Buttonshutton profile image
27 Replies

hi. The PMR seems to have been under control slowly getting to 9.5mg of pred

This week tho had painful scalp tender to the touch. Not in GCA typical areas. More like the back of head and behind one ear. No jaw pain etc. I’ve just found couple of raised sore patches. Been to the chemist and he suggested was dermatitis. I have had this in my younger days years ago. Given me some shampoo.

because I’m of a paranoid nature and ever aware of GCA I’m wondering how can I get this when on steroids which treat skin conditions although maybe they have to be topical so could it be a more unusual symptom of gca. I have a vague headache all over not enough to properly know about if. But put thst down to my irritated scalp.

be grateful for any thoughts. My behind ear pain has gone today though. Thinking all connected to these horrible bumps on my head. He said quite inflamed looking. Sorry for the euwww info !

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Buttonshutton
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27 Replies
PMRpro profile image
PMRproAmbassador

Having watched a programme last night where a pharmacist couldn't recognise early chicken pox and said the mother should call an ambulance as it might be meningitis - I think I might try to get a practice appointment even if it is with a nurse since they do ask the duty doctor when unsure.

Buttonshutton profile image
Buttonshutton in reply toPMRpro

wow ! Good point !

piglette profile image
piglette in reply toPMRpro

I suppose it was better than the other way round on the other hand!!

PMRpro profile image
PMRproAmbassador in reply topiglette

True but even so - I took one look at the child and suspected CP. She'd had the rash for a couple of days, only one round spot was non-blanching and she didn't look particularly ill. A blue light ambo was sent ...

piglette profile image
piglette in reply toPMRpro

You are like me. I watch GPs Behind Closed Doors and diagnose the patients. It is amazing how bad some of the GPs are.

PMRpro profile image
PMRproAmbassador in reply topiglette

Have you ever had a UK GP who hugs patients? I did have a German one once!

Longtimer profile image
Longtimer in reply toPMRpro

Couldn't agree more, amazed when I saw that...or is it for the camera??

piglette profile image
piglette in reply toPMRpro

I had a rheumatologist who kept hugging me. I think the name for him was ‘a dirty old man’. I told my then female GP, who said ‘I have never heard of that happening before’!

Flivoless profile image
Flivoless in reply toPMRpro

These days in the UK, hugging would result in a 5 year investigation by a 30 or so strong committee with nothing better to do.

herdysheep profile image
herdysheep in reply toFlivoless

🤣

Grannymiaow profile image
Grannymiaow in reply toPMRpro

I did once, back in the day.

I think he'd be struck off now, for "inappropriate touching". At the time it was exactly what was needed!

PMRpro profile image
PMRproAmbassador in reply toGrannymiaow

It often is.

tempusfugi profile image
tempusfugi in reply toPMRpro

I know we had a German doctor at a surgery I used to go to. He had a rather difficult name, that sounded rude in English, so he was known as Dr Marcus to us English plebs...he always shook hands with one, when one entered his room (trying to sound less pleb-like)😊

PMRpro profile image
PMRproAmbassador in reply totempusfugi

They all struggled a bit during Covid, no handshake! Back to normal at my appointment this week!

Miserere profile image
Miserere

PMRpro is probably right - worth getting it checked. I've had an itchy scalp since I was a teenager, on and off. Now that I have reduced to 8mg it has come back with a vengeance - so that could account for it if it is, indeed, dermatitis.

Buttonshutton profile image
Buttonshutton in reply toMiserere

yeah I’ve had it on and off too. This isn’t itchy though. Thanks for replying. I’ok see what the shampoo does and if nothing go to the doctors if can get in

Miserere profile image
Miserere in reply toButtonshutton

In that case follow PMRpro's advice!

Menno1525 profile image
Menno1525

See your GP and or contact your Rheumy and ask for a referral to dermatology if necessary to rule out shingles and check for infected Psoriasis that might need antibios. Also ask them to provide Synalar gel - a topical steroid applied to the scalp from a tube with a long nozzle that goes through the hair - worked wonders with my scalp psoriasis but it's only available on prescription.

Buttonshutton profile image
Buttonshutton in reply toMenno1525

thank you. No longer have a rheumy. She said nothing else can do for me think she had the face on cos my pet scan proved her wrong that it was PMR and I refused methotrexate 😂 but yes the gp will be called. I’ve got headache today. Was just surprised that inflammation can occur like this when on pred

PMRpro profile image
PMRproAmbassador in reply toButtonshutton

Bet she did!!!! Hope she has learnt for the next poor patient!

Buttonshutton profile image
Buttonshutton in reply toPMRpro

doubtful. She didn’t take kindly to my examples from here think she dismissed it as a Facebook group. Rude !

PMRpro profile image
PMRproAmbassador in reply toButtonshutton

Which is why I back up as much as possible using publications from reasonably renowned groups. I can read a medical paper too ...

Buttonshutton profile image
Buttonshutton in reply toMenno1525

it was folliculitis. Euww. On antibiotics. God knows why got that.

PMRpro profile image
PMRproAmbassador in reply toButtonshutton

An infected hair follicle, on pred reduces your resitance to the bugs all over your skin ...

Buttonshutton profile image
Buttonshutton in reply toPMRpro

thank you !

Missus835 profile image
Missus835

I don't have scalp dermatitis per se, but I do have tiny, little bumps all through my scalp. They are neither itchy or sore, but just there. I have these pretty much all over and never did have them prior to Pred. My hair has darkened slightly from silver to low-lighted silver, but knock on wood, is remaining on my head (so not losing hair and in fact it's quite thick).

Were I you, I would get it checked out.

Buttonshutton profile image
Buttonshutton in reply toMissus835

thank you. I will do.

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