treatment for psoriasis in ears

I would be grateful for any effective treatment of psoriasis in the ears.
I get agressive flares a few times a year and finally I cannot even hear, because the ear is full of lesions and stuff. I have tried mineral oil and it helps a bit, but not when it is at its worst.

Monica

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First I would say you should show your doctor. My eye doctor prescribed Elidil for my eyelids when they flare up and it has worked in my ears and belly button.

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You are right Cokie. I have a dermatologist appointment in March and hope to get some help then. On the other hand I look so much forward to get the Witch Hazel/(50%)Glycerin(50%) mix and see if it works for my scalp as for so many others.
Perhaps the mix would work for my ears also. ..
Do you have P inversa, as you belly button is affected?

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Glycerin alone applied gently with a swab helped my ear canals.
But, my condition is mild.

Have switched primarily to Elta Tar as it is more beneficial for me.

And, it takes time. For me when the crusts occur because I've stopped application, it takes about three weeks to mostly clear.

Good Luck!
Bob

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Hi Mocca! I had the same problem, it was frustrating because the psoriasis scales would slough off inside of my ear canal, blocking my hearing completely & requiring lavage by a nurse every few weeks or so.

The only thing that worked for me was treatment by the Photomedex XTRAC UVB laser. The wand is so precise that the tech was able to focus the laser beam inside of my ear canal during treatment. I've not had a bit of problem in months, although the outer ear is starting to get a bit crusty again....I need to go back for maintenance treatment.

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Mocca I had never thought about P inversa before. I looked it up and you are probably right. I also get bright red areas underneath my breast area. I never remember to tell the rheumotogist when I go because I have more urgent things on my mind. I will have to make a note and ask at my next appointment. I hope your ears get better soon!!!

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Thanks a million Chuck_DrPH, the Photomedex XTRAC UVB laser treatment sounds really interesting. I have not heard about it and a quick search on google, did not bring out any places here in Finland, providing this treatment. I certainly will continue searching.

I have tried lavage at a doctor and a nurse, but it does usually not work. If I wait too long, the ear get infected and I have to take antibiotics.
I will let you know if I find a place here giving the treatment.

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i also had a psoriasis in the ear outside the canal, but rarely on the inner ear, and when i did had an inner ear psoriasis
my derma scheduled me to an ear expert, the Dr clean my ear and give medication for it.

the best way for this is to go to an ear Doctor ...

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Yes Cokie, sounds exactly like the P inversa I have. The red areas uner my breasts get wet at times. My favourite, and also most effective treatment for the inversa is a cream called Protobic. If it gets really difficuIt, I alter with a cortisone cream. I am not sure if the brand name is the same all over the world. The main ingredient is Tacrolimus monohydrate.
Hope your inversa is not too bad Cokie!

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Thanks Bob, Elta Tar is new to me. It seems to be avlaible online, so I sure will get it a try. At least that is one thing I have learned with the psoriasis, you have to try everything and see what works for you. And even when you find something that works well, you will never get rid of the P permanently.

Monica

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Psoriasis sure is a pain, isn't it?? We all go through the same general experiences, I'm glad we have this forum!

I tried to use Halobetasol ointment applied with Q-Tip swab in my inner ear, but the petroleum jelly carrier seems to build up & block my hearing at least as badly as the sloughed plaque scales do. If you apply a steroid inside the ear canal, a liquid would seem best. Not sure which one that would be.

Infection of the ear canal is also a concern, I've had doctors yell at me to not be aggressive using Q-tips in there! It is a hard region to reach, and the advice to see an ear doctor is excellent. Dermatologists just don't seem to go into places like that. I was delighted that the XTRAC laser could reach into that space.

Mocca, there may be other manufacturers of the technology, and it is becoming widespread, so keep asking! Best, Chuck

Be well, everyone!

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Mocca
I hope you see an ENT specialist.......ASAP.
One of the members of this site had the same and waited TOO long to see an ENT.
At that point her ears became infected and had to be drained.
ENT can safely remove any debris resulting from the lesions
and prescribe what you need.

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Hi there iv just had the same problem with psoriasis on my ears. Iv just had intensive treatment in hospital in the UK and the dermatologist used Eumovate ( clobetasone butyrate ) which has worked fantastic. You will need to use the ointment because it's moisturising and lifts the scales, and apply quite a bit. I use it at night as it gets on your hair and I can wash it in the morning. My ears are looking good. I used it day and night for a week when I was in hospital. Hope it works for you.
Take care
Sindy

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As you all,I too suffer with P in the ear canal. I tried a lot of suggestions, from ilive oil with garlic on down.
I finally was perscxribed a topial steroidal antibiotic. It's not a perfect5 solution just because of the nature of the beast, but it seems to be the best solution so far that I have come across.
The brand name is "Garasone"
I use to put the drops direectly in my ear but II've found soaking a Q-tip and applying thaway much more effective and you get to have a nice scratch at the same time :)

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I have had very good luck applying a little Triamcinolone Acetonide cream (0.1%) into my ear canal when the psoriasis there starts to bother me. I have been doing it for years with no problems. I do not believe that the cream is harmful to such areas if used sparingly. I have also used it in other sensitive areas with no sign of any adverse reactions. Just do not apply it to such areas on a daily basis.

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Chuck, I called the dermalogist nurse, working at the Psoriasis patient organisation here in Finland. She knew about the laser treatment but said that we do not have the equipment here yet, at least not for common use.

Sometimes I get so fed up with this P. On the other hand I am happy that I got it as an adult. I really admire all the young people here who are staying positive!

Monica

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As per your advice brgy and Julia, I made an appoitment with my ENT doctor. She treated my ears 2 years ago when I had majors problems and infection. It then took 3 weeks of antibiotics and 4 or 5 appointments of treatment. The situation is not that bad yet, so I better hurry. February 28th is the date.

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I 've used a product called ear ring it helps its a oil substance , but you have to keep using it when you know your ears are starting to ring from the P .I know it help because I had scales work there way out after using it.they sell it at Wallgreens in the U.S.

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Correction Ring Relief is the name on the box

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because of the ointments and creams do tend to add to the blockage with the waxy base, I avoided the use of these types of medication. I have had great success with Olux foam applied liberally inside the ear canals twice a day. it only takes a few days to clear up and I switch to maintenance schedule of once every two days or as necessary. good luck and hope it helps!

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Great Mocca
I am so glad to know.

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