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Alternative Treatments For Juvenile Dermatomyositis
I think I have a rare auto immune disease called juvenile dermatomyositis. Can someone tell me what this is?
Different in adults: Dermatomyositis can be a very severe disease causing muscle damage and chronic rashes (months to years). However, in adults there is a risk for more serious disease. If you think you may have dermatomyositis, please discuss this with your doctor. Some simple tests and a good physical exam should help decide. ...Read moreSee 1 more doctor answer
Autoimmune likely...: Juvenile dermatomyositis (jdm) is an idiopathic inflammatory myopathy (imm) of presumed autoimmune dysfunction resulting in muscle weakness among other complications. It manifests itself in children; it is the pediatric counterpart of dermatomyositis. In jdm, the body's immune system attacks blood vessels throughout the body, causing inflammation called vasculitis. ...Read more
Several: Traditionally higher dose oral steroid regimens have been use, looking for a reduction in cpk, a muscle enzyme and maker for disease activity. Methotreaxate is used quite frequently, and so are azothiprine and cyclophosphamde. My frence is to inject high dose steroids intravenously for three days and to start s.C. Methotrexate. No one regimen works for all. ...Read more
Prednisone: Systemic corticosteroids (prednisone) form the basic therapy for dermatomyositis. Other medications can be added if the disease cannot be controlled on Prednisone alone. Both Methotrexate and azathioprine have been used in this situation. There are also some newer meds which are showing promise in the treatment of steroid resistent myositis. ...Read more
A variety: There can be many depending on the manifestations: corticosteriods are the most common, methotrexate, other cytotoxic drugs, biologics, intravenous gammaglobulin and most recently acthargel (acth) injections. These are used in concert with physical therapy, assistive devices like canes and walkers. Specific therapy will depend on your type of dermatomyositis and your manifestations. ...Read more
See below: There's no cure for dermatomyositis, but treatment can improve your skin and your muscle strength and function. The earlier treatment is started in the course of dermatomyositis, the more effective it is, leading to fewer complications. Corticosteroids additional immunosuppressive therapies biological therapies other treatment approaches see below link for more details. ...Read more
With having amyopathic dermatomyositis and acne rosacea at the same time, can I have laser therapy for the acne scars or what treatment would work?
Lasers for scars: Your question is a little unclear as in rosacea there is not usually acne scars. Perhaps you meant acne vulgaris rather than acne rosacea. Anyway, you would be able in most circumstances to be able to receive laser for the redness of rosacea or laser for acne scars. ...Read moreSee 1 more doctor answer
My 12 year old daughter was diagnosed with dermatomyositis. She's on steroid therapy. What can we do to treat this problem?
Continue: Taking her to her rheumatologist regularly.Get a more detailed answer ›
Where?: Cystic change in the breasts is very common. Of course if you have a dominant breast mass, it needs to be seen as a possible cancer. Mainstream medicine has little to offer. I've had colleagues tell me that evening primrose oil is the first herbal to try for painful / lumpy breasts. An evidence-based holist in your community may be able to offer more. ...Read more
IPL for Rosacea: Intense pulsed light (ipl), or "photofacial", is an appropriate treatment for the redness of rosacea. A few treatments spaced approx. A month apart will be needed. A topical antibiotic like Metronidazole may be used in between sessions. Also, avoidance of triggers such as sun, heat, cold, spicy foods, and alcohol may help reduce redness. http://www.dranthonycorrado.com/procedures/non-invasive. ...Read more
Yes: Surgery is usually the last resort for most back problems except major trauma. Therapy, postural exercises, yoga, weight loss and/or exercise, gait training, job retraining, as well as meditatation (to relieve stress) are helpful adjucts. Note: not all back pain is created equal to please get check by a specialist. Note: beware of fad or gimmicky advertisements for back relief. Feel better. ...Read more
Alternative tx?: I don't know what you mean by "alternative treatments for schizophrenia". It you can tell me what they are - i will try to comment on each. Schizophrenia requires life-long treatment with use of atypical antipsychotics as the mainstay. Conventional neuroleptics are an option. Psychosocial treatments that go hand in hand with meds include: family therapy, social skills training & voc rehab. ...Read more
NO: Sorry, but there are absolutely no alternative treatments that have ever made even trivial benefits to pts with als, and there seems to be no future alternative rx that seems to make any sense. The medicine approach involves mainly riluzole, and palliation, with some consideration for using glutamate blockers. These approaches are not cures, but can possibly slow somewhat. ...Read more
No: Pseudotumor cerebri can occasionally result in visual loss and blindness in addition to severe headaches. Pseudotumor needs to be carefully followed by an eye doctor and sometimes a neurologist as well. 90% of people with pseudotumor are obese females and weight loss, sometimes modest amounts, can be a highly effective treatment. ...Read moreSee 1 more doctor answer
Nummular derm: Topical steroids are effective. Less erythematous, less pruritic lesions may be treated with low-potency (class iii-vi) steroids. Severely inflamed lesions with intense erythema, vesicles, and pruritus require high-potency (class i-ii) preparations. Penetration of the medication is enhanced by occlusion or presoaking in a tub of plain water followed immediately (without drying) by application. ...Read more
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