My genes may cost me my career.

My mother has been severely afflicted with psoriasis for years. If she bangs her arm into a table the bruise will turn into a lesion. My grandmother had a minor case, with only occasional flareups. In spite of the fact that it had hit two generations it was long thought that my two sisters and I would get lucky and avoid having to deal with it. Well, two out of three ain’t bad, but it sucks when you’re on the short end.

A few years ago I noticed a little spot on my left temple. As I was getting the smallpox vaccine in preparation for deployment and any open sore is a vector I thought to have it checked. Lo and behold, it was psoriasis. At that point I was resigned to my fate, and I still am, but little did I know what was in store for me.

Two years later, it has spread to cover a good portion of my head. As it is visible when I get any kind of regulation haircut I generally choose to take it all the way down in order to maximize the available sunlight since UV helps. It also allows me to apply stuff directly to it, since hair just gets in the way.

Tonight I gave myself a haircut. When I looked in the mirror I was shocked at how much it has spread. It doesn’t look so bad with just a bit of cover, but when I cut it down it looked horrible, and indescribable without insulting someone with a much worse disease by comparison. Needless to say I get a lot of questions, and while most people are understanding there are others who are downright cruel. I’ve learned to live with it, but I’d be a liar if I said that my self image isn’t suffering a bit.

Anyway, my stepfather, a 35 year veteran of the Coast Guard in many capacities, has told me that this could affect my re-enlistment, because psoriasis is considered to be a serious risk factor for all kinds of stuff. Now, he may be talking out of his ass (and that would be nothing new), but dammit, I worked my ass off to make this happen for myself. It is what I am, and it is what I identify myself as: an Airman (the generic term) in the United States Air Force. This is threatening to take that away from me.

I wish I could blame someone for this, but I can’t. Nobody could know that this would happen, and moreover I have to be alive for it to happen, so I certainly can’t blame my parents for my plight. I could blame the doctors, but that’s disingenuous because it’s incurable anyway so it’s hardly their fault. So here I am, with nobody to blame and with nobody at fault for something that makes me look like a leper.

Ah, screw it. It could be worse. But even so, my genes are conspiring to take away what it is that makes me, well, me. In spite of my attempts at optimism, I just can’t get past that, and every time I look in the mirror I am reminded of that uncertainty. I’m haunted by it.

Anyway, tomorrow is a new day. And with a new day comes a new round of questions, most of them asking “What the fuck is wrong with you?” Such is what my life has become: a never ending series of questions about why I look the way I do.

I look forward to it. No, I really don’t but I figure that if I keep telling myself that I might one day believe it. What the hell. I still have Robin, I still have Aaron, and as of right now I’m still in the Air Force, so maybe I’m just borrowing trouble.

I really hope that’s all it is, too.

Sorry to hear about this, Doors. The psoriasis itself can’t be any fun. Gotta admit, though, this is the first time I’d heard about its being a risk factor for anything besides more psoriasis.

Good luck in dealing with the condition itself, and here’s hoping your stepfather was talking nonsense.

I assume this was diagnosed/is being treated at a military medical facility? Has anyone mentioned anything about a Med board to you? If not, that’s a hopeful sign. When you deployed, did you have this diagnosis and go anyway? Because if so, that’s another hopeful sign.

I’ll ask around at work today and see if anyone’s had any experience with psoriasis being a deal breaker.

Sorry to step into your thread, sweetie…

  1. Your stepfather talks out his ass so much, everything he says sounds like a fart. He knows the Coast Guard, not the ANG, and he’s been out of the active CG for so long, it’s debatable if he even knows that.

  2. You really, really, really need to get a referral to a dermatologist. There are all sorts of things for psoriasis these days, some of them as simple as a skin cream.

  3. As Lucretia said, don’t worry about unless someone tells you to worry about it. Don’t borrow trouble. :wink:

Love,

Robin

Yeah, sweetie, you’re a worrier by nature. Shake it off.

Go see a derm specialist and see where you stand. After that you can worry. Before that you should go forward with a happy and joyful heart.

I’m with your wife, guy, even though I don’t actually know your stepdad. The military is full of people who think they know what they’re talking about. And most of these ‘sea-lawyers’ (to use the Navy term) are full of shit. This is just more anecdotal evidence, but when I was in the Navy (in the '80s) I knew a career E-6 with psoriasis. It was a difficult thing for her to deal with, as you know, but there was no question of it interfering with her career. And there are surely much better meds for treating it than my friend had available in 1984. You definately need to get to a dermatologist and get some actual facts.

I find it hard to believe that any armed service would deny entry over Psoriasis.

Psoriasis sucks. I’ve had it for twenty years and its a daily battle to keep it under control.

Get thee to a dermatologist and take some time here to catch up on the latest.

My derm has kept me sane by alternating different topical products and authorizing my use of a UVB sunlamp. I could take some oral med that supposed to clear it completely but it has possible side effects and would prevent me from donating blood. So I work at it with the tools I have and deal.

One thing though, when I get tired of explaining to kids and strangers what the scars are on my arms and legs I just say, “motorcycle accident”. They buy it. And I don’t have to give the 10 minute lecture on the disease.

A search at www.af.mil turns up this so I think Airman will have to check out where he stands.

When my sister was young she had psoriasis that virtually covered her entire body. She had to apply a greasy ointment every night and sleep on plastic sheets. Today she is 45 years old and free of the disease. FWIW.

You have my sympathy. Hearing loss, which runs in my family, caused a premature end to my career in the Army. Like you, it was something I had worked for and that meant a lot to me. I really hope things turn out better for you.

For a minute here, I thought Eddy Curry was a Doper…

Ouch, my sympathy.

I’ve got sometime psoriasis and it’s a PITA – if I don’t keep after it every damned day when it flares up with the special shampoo, it’s pretty bothersome. Fortunately, I don’t need to keep my hair short, or I’d imagine that on a very bad day my head would look like a big scab.

Hie yourself to a dermatologist; mine was very treatable (though nagging and occassionally intractable), yours may be as well.

I hope everything’s going to work out for you. There are some effective treatments for psoriasis out there - see a dermatologist. I’ve had psoriasis since I was a baby, on my scalp. It still flares up now and then, but it was really bad when I was a kid. I remember scratching my head once when I was about 8 and my scalp just started bleeding. Back then the remedy was to wash your hair with tar shampoo, which did next to shit. Today’s treatments are much better.

Another vote for go see a dermatologist. I have scalp psoriasis and with the drugs they gave me, I’ve got it pretty well under control.

Some good information

Advances in Psoriasis Treatment

Community Forum Psoriasis Looks like you might be able to find your answer here.
Military Medical Standards for Enlistment & Appointment - Skin and cellular tissues

This pdf seems to address specifically what you are asking about
DERMATOLOGY WAIVERS - CONDITION: PSORIASIS (ICD9 696.1)

Dude, go to a dermatologist. I’ve got psoriasis of the scalp as well. I use this shit called Dovonex that clears it right up. I’m sure you can find something that works for you. On the downside, I’ve also got psoriatic arthritis now. I can’t wear my wedding ring anymore or play my guitar very easily but at least it doesn’t show.

My best friend has it in patches all over his body. Two years ago his Doctor injected him monthly with a hormone treatment of some kind. He looks great today.

Good luck.

Those cites to the list of disqualifying medical conditions are a bit deceptive in this case – there are things that keep you from entering military service that will not cause you to be separated from military service down the line. Such as amputation – you can’t get into the military with an artificial leg/foot, but there’s a lot of folks still on active duty with artificial limbs acquired during their service.

So to echo what everyone has said:

(1) Hie thee to a dermatologist post haste; and

(2) If you’re really concerned about it, talk to a military doctor about whether it could, either in its current state or in a more advanced state, cause you problems.

Until you do those, there’s not much point in borrowing trouble.

Why let them know? Don’t scratch, don’t tell.

It’s not like he can hide it, since it’s on his head.