Doctor insights on:
How To Treat Subacute Cutaneous Lupus Quickly
Hard to cure: Vasculitis or arteritis can be associated with many conditions. If collagen vascular, like lupus, medication may control, if giant cell arteritis, such as temporal arteritis, steroids might totally reverse. In most other cases, chronic treatment with medication over years is necessary. Since most of these disorders are autoimmune, success may be on the horizon in some cases. ...Read more
Skin is the largest and one of most complex organs of body. 3 layers: epidermis (outer), dermis (main part) and subcutaneous layers covers entire body, contains many specialized cells, maintains body temp, gathers sensory info from the outer world, has extremely important immune functions. It can give crucial clues as to what is internal. Dermatology and plastic surgery are ...Read more
How can we differentiate Henoch schonlein purpura with other skin diseases such as chickenpox, and how it can be treated?
Recognizing pattern: Someone who is well trained can distinguish these by history and exam. Since neither requires treatment, the management of potential secondary problems is where training also provides proper direction. ...Read more
Biopsy & blood tests: Syphilis can generally be diagnosed with a blood test. Guttate psoriasis would require a biopsy and examination of the tissue by a pathologist for certain diagnosis. Presence of one does not exclude the other. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read moreSee 1 more doctor answer
Most often we don't: But in cases where the sarcoid causes symptoms that don't go away on their own, or when organ damage is severe, or imminent, then steroids are the first step. Long term we try to get off steroids and use other drugs like methotrexate, Hydroxychloroquine ("plaquenil") and several others that are used less commonly. ...Read moreSee 1 more doctor answer
Multiple fashions: It varies by stage (spread). It can be treated via chemotherapy or radiation therapy. Some use total skin radiation in some cases. In my practice, even when widespread and felt to be "incurable" focal radiation a small number of worst problemsites (say 2 or 3) can make it a long term issue when other methods of treatment fail. It is best to find a team of local md's who treat it often. ...Read more
Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?
Seemingly overnight: Skin breakdown from auto immune problems like vasculitis can appear very rapidly. It starts with congestion in the capillaries that nourish the skin and then not enough blood supply is available to keep the skin together and an ulcer occurs. The treatment of the ulcer is most effective when there is effective treatment of the vasculitis. ...Read moreSee 1 more doctor answer
Where are ulcers?: Stomach ulcers are treated differently from pressure ulcers. Former can be fixed w/antacids etc & by getting rid of h pylori infection. Shifting weight regularly to remove pressure is best way to allow pressure ulcer to heal. Plus eat enough calories & protein. If ulcers due to infection, need antibiotics. If due to autoimmune condition, need to provide supportive care & possibly immunosuppressant. ...Read more
How does multiple sclerosis cause depression? How and what is to the best way to treat depression in a patient with multiple sclerosis?
NMS but...: You need to find out whether your physical limitation from the MS vs coexisting depression is the basic issue. It has been noted that regular exercise reduces MS problem (also depression ) as well as lower salt intake, cooler weather, and vitamin D3 supplement. You will need to work with your neurologist and mental health professional to sort this out. ...Read moreSee 2 more doctor answers
May be yes: I strongly believe that acupuncture can influence the course of the disease. The question is rather to be extra care full not to cause bleeding . In general acupuncture is considered ok to do with bleeding disorders or even use of Coumadin (warfarin) (blood thinner ). Still i would be cautious. I would probably suggest first to try therapeutic touch ...Read more
This is an autoimmune disease which is exacerbated by sun exposure. It includes a rash on sun exposed areas such as the face, chest, and arms. It may be seen in Inc. his and in adults. It is often associated with abnormal immunology studies such as an SSA and SSB autoantibodies. The treatment differs versus on the severity of the skin lesions and includes both ...Read more
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