My Introduction to the Real World of Dermatology

I was fortunate in the fact that I was able to get an appointment at the Baylor University College of Medicine Department of Dermatology within 2 days of calling. I figured that it would be a month at least before I could see a doctor there. Amazingly, while I was on the phone with the scheduler she sees a cancellation occur on the calendar at that moment. WOW talk about divine intervention. I am scheduled to see Dr. Sylvia Hsu on June 19th. I go to my appointment and have the examination and I am given my treatment options. Dr. Hsu tells me that I am "special" because this is such a rare condition that I have been endowed with. She says all you PRP folks are special and unique, and not one of you is the same to treat as another one. I ask her how rare it is and she says that she sees about 1 case a year, but there was one in to see her the day before. I also know of another person in the PRP Facebook group that sees her as well, so that is 3 in the course of a month. I find this very interesting. So my treatment options are acitretin 25 mg per day or methotrexate. Both can have nasty side effects but I choose the more conservative of the 2, the acitretin. I have no interest in suppressing my immune system. So it begins, I begin the medication the following week. I have to wait to start because the pharmacy has to order the pills.