One of the more unusual places which we psoriasis sufferers can get psoriasis is the inside of the ear. I find it doesn’t actually get itchy, but one needs to be careful that you don’t absentmindedly pull out a big chunk of skin in a public place…. or when talking to a beautiful babe…. or both! It certainly isn’t the most endearing thing to see.
However it can be tempting when you do scratch the inside of your ear and suddenly discover all these “lips” of skin flakes waiting to be pulled. One of my early dermatologists advised me against using topical steriodal creams or ointments on the inside of the ear as the skin there is so thin it could easily be damaged. Instead she advised me to use Daivonex (also known as Dovonex or calcipotriol) which is not steriodal, but a vitamin D analogue. I see on a Google search that the actual English name is Dovonex, and Spanish name is Daivonex. I guess in Asia all the supplies of Daivonex must come from Spanish speaking countries!
When I had a lot of psoriasis (i.e. before I went onto a biologic) I used Daivonex a lot, and would alternate it with Dermovate, and later Elomet. At the time Daivonex only came in ointment form:I found that using this inside my ears did the trick. It would control the psoriasis there quite well, with the only downside being a greasy inside ear. You are probably thinking that no other person would ever stick their fingers in your ear, so there is nothing to worry about, and I admit I had that thought too. However Murphy’s Law always prevails. Did you know that in many massage places in China, after they give you a foot massage they then have you sit on a stool and give you a (usually very nice) shoulder massage and brief head massage? It is very nice. However for some reason part of their protocol involves them sticking their fingers in your ears and sort of “popping” them out. I must admit that the first time the masseuse did this and encountered a “whole lotta greasy feeling going on” inside she seemed to pull her fingers out pretty quick. Or maybe I was just paranoid. Anyway, at least I didn’t get carried away and wonder if I had AIDS from the experience.
I would use the Daivonex on other parts of my body too, and even on those parts of my scalp that I could access easily without making my hair too greasy. I did wish they came out with a scalp application though. I guess they were listening, as about 2 years after using the ointment they did come out with a scalp application:
I found that I couldn’t use the Daivonex ointment for more than about 3 or 4 days in a row. My skin would get quite red and tender. So I’d let it settle down before using it again. If my skin got really bad I’d pull out the “big gun”, Dermovate ointment:
or Betnovate if I didn’t need something so strong.When I switched from Enbrel to Remicade my psoriasis totally cleared up and I didn’t have to use any creams, scalp applications or ointments. However in the last 6 months some scalp psoriasis has slowly returned. I got a lot on the top of my scalp (towards the front), which I mainly treated with Dermovate scalp application – mainly because that is all I had in the cupboard! I also then began to develop a lot along the hairline behind my right ear (left side is fine!).
Now the top is much better, and I’ve switched to just hitting the small spots with Dermovate cream – which I also use for the psoriasis along my hairline behind my right ear.
I’m hoping that this is the limit of psoriasis that will return! I’m treating my elbow once a day with Dermovate cream – if I remember (at night).
So that’s my psoriasis status. I had another great sleep last night – woke up once for a toilet stop and then straight back to sleep. I can’t recall the last time I had so many good days of sleeping!