My journey started 20 years ago. I had RAI for Graves Disease and developed a horrible rash on the palms of my hands. I wore fingerless gloves 24/7 to hide the oozing postules, peeling skin and dark pink coloring. Many docs said eczema and gave me steroid creams. They didn't work.
A PA finally diagnosed me with PsA and sent me to a rheumatologist. I started low-dose prednisone daily and methotrexate, coupled with Otezla, and the rash went away.
Five years later, Im' taking prednisone/rasuvo/skyrizi and havent had the rash at all.
However, now I've got little bumps and patches in random places. Doc said its not bad enough to increase doses.