I, too, and new to the forum. I have had P for at least 25 years (Guttate). I had a recent bout of Strep that flared me like never before. I never used any medication, just got lots of sunlight, but with this flare, the itching, burning, and overal body coverage is just too much. I am on MTX, steroid cream and tanning right now, and it's working good, but the doctor wants me to go on Enbrel, so that's the next step. I have already been approved, just waiting to do the TB test and lab work. I am also worried about the side-effects (as I'm sure most are). Kinda just hoping my immune system dies down and things can go back to normal, but only time will tell.