I’ve probably mentioned my husband here before. He’s had psoriasis for many years, and was diagnosed with mild psoriatic arthritis a few years ago. That was after the first rheumatologist he saw, until I made him switch to mine. He’s not on any disease modifying meds.
A few months ago he went to urgent care with what he thought was an eye infection. Painful, red eye. He followed up with the eye doctor. He got multiple diagnoses with a big question of what was the correct one. Dry eye (but why only one?), infection, inflammation. He was treated with eye drops that were a combo of steroids and antibiotics. It happened again a few weeks later and he self treated. This time he went back to the eye doctor.
When he went in a week ago with a very red eye again, he was told that it looks like anterior uveitis, and it was dry. So he used steroid eye drops for a week and returned today. He received a definitive diagnosis of anterior uveitis and was told not to self treat, but to return next time it happened. And to wean off the drops over the next period of time.
When he goes to see the rheumy, I told him he’s got a lot to talk about with her. His psoriasis is harder and harder to control with topicals, this new diagnosis, and his continuing back pain and stiffness. He’s resistant to the idea of disease modifying meds, but I think that’s the next step for him.