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Doctor insights on: Is All Psoriasis Alike

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Is all psoriasis alike?

Is all psoriasis alike?

Psoriasis alike: Psoriasis can be mild or severe; it can affect only one part of the skin; it can affect the nails; it can aggect the genital; it can affect the mucous membranes. It can affect the scalp. It can itch; it can burn. It truly id a heartbreak. ...Read more

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Dr. Thomas Namey
1,033 doctors shared insights

Psoriasis (Definition)

An autoimmune disease that causes itchy, thickened, skin lesions on the skin, nail changes, and occasionally joint arthritis. ...Read more


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"Hand Eczema" and "Atopic Eczema" are NOT interchangeable terms, meaning they are COMPLETELY DIFFERENT conditions, correct?

"Hand Eczema" and "Atopic Eczema" are NOT interchangeable terms, meaning they are  COMPLETELY DIFFERENT conditions, correct?

What are you asking?: Most often, atopic eczema affects the creases of the elbows and knees. Several varieties of eczema involve the hands primarily; for these, look for what you might be allergic / sensitive to. Management may be similar, and a cause may or may not be identified. Most things share similarities and differences. ...Read more

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What is lupus? So confused by all the lupus terms.

What is lupus? So confused by all the lupus terms.

Autoimmune disease: Lupus erythematosus is a chronic inflammatory disease of unknown cause. The immune system attacks the patient's own body (autoimmunity) and can inflame the skin, joints, kidneys, nervous system, lungs, mucous membranes, and other internal organs. A red rash is often but not always present hence the term lupus erythematosus meaning "red wolf.". ...Read more

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When healthtap doctor says, allergy shots could work for eczema, is that mean atopic dermatitis is also treatable? Are they similar terms?

When healthtap doctor says, allergy shots could work for eczema, is that mean atopic dermatitis is also treatable? Are they similar terms?

ATOPIC DERMATITIS: Atopic dermatitis is allergic in origin manifested by eczema or other itchy rashes located in the cubital and popliteal areas, recurrent in nature unless allergen is discovered. The allergy shots are given to desensitized the patient. ...Read more

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How are sclap psoriasis and seborrhoeic eczema different?

How are sclap psoriasis and seborrhoeic eczema different?

Sometimes overlap: Seborrheic dermatitis of the scalp can often overlap with scalp psoriasis in a disease termed sebopsoriasis. Both conditions are from scalp inflammation. The treatments are often quite similar using topical steroid solutions/shampoos/foams and keratolytic (scale removing) shampoos and topicals. See a dermatologist to see if you have one or the other or the combined form (sebopsoriasis). ...Read more

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What are the main differences between psoriasis of the scalp and seborrheic dermatitis? Is there a cure for s. Dermatitis? Why does it happen? Ty dr

What are the main differences between psoriasis of the scalp and seborrheic dermatitis? Is there a cure for s. Dermatitis? Why does it happen?  Ty dr

Seborrheic dermatiti: Seborrheic dermatitis is a common skin disorder that mainly affects your scalp, causing scaly, itchy, red skin and stubborn dandruff. The cause is unknown.Seborrheic dermatitis tends to be chronic, and there's usually no strategy that stops it permanently. But treatments, including many you can try at home, may control your signs and symptoms during a flare-up.See a dermatologist so they can help u. ...Read more

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Can someone please advise on conditions/diseases that have multiple skin involvement (psoriasis, dermatitis, eczema all at the same time)?

Can someone please advise on conditions/diseases that have multiple skin involvement (psoriasis, dermatitis, eczema all at the same time)?

Unclear question.: Do you mean whether one can have (atopic) eczema, dermatitis, and psoriasis at the same time? Since eczema is used loosely, it may mean a skin rash including allergic contact or irritant dermatitis, then the answer is that it can exist with psoriasis or atopic dermatitis (the latter actually increases the risk in developing contact dermatitis). Psoriasis does not co-exist with atopic eczema. ...Read more

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Is dandruff the same thing as psoriasis?

No: While both conditions can present with pink-red flaky skin, they are quite different diseases. Dandruff is a common benign skin condition thought to be caused by oil over-production and irritation from yeast. Psoriasis is an inflammatory condition that can run in families, and can affect more than just the skin (e.g. Joints/arthritis). ...Read more

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Are there any strains of scabies that don't die with scabicide? Also is there any skin condition that presents as scabies but is something else??

Are there any strains of scabies that don't die with scabicide?  Also is there any skin condition that presents as scabies but is something else??

Scabies: Even after treatment, scabies can itch for up to a week. You shouldn't be seeing any new spots. The itch is intense and more pronounced in the evening. I've seen insect bites and eczema that can look similar. It can sometimes need re treatment, but you should consult your physician, since the medicine can be toxic. Also, occasionally the OTC medicines don't work. ...Read more

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Flexural psoriasis between the legs, in female nothing helps very itchy then burns, no more atopical creams as they have caused osteoporosis , what ei?

Flexural psoriasis between the legs, in female nothing helps very itchy then burns, no more atopical creams as they have caused osteoporosis , what ei?

2 weeks only: All topical cortisone creams should be limited to 2 weeks with a 1 week break before starting again. Protopic ointment is a non-cortisone product that works great for inverse psoriasis in the groin and sensitive skin areas. Thinning of the skin is a result of ling term cortisone cream use, not osteoporosis. Oral cortisone yes that's true. ...Read more

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Is there a relationship between plaque psoriasis and malignant melanoma? How often do they appear together?

Is there a relationship between plaque psoriasis and malignant melanoma? How often do they appear together?

Very rare.: There is a higher incidence of non-melaoma skin cancer in patients with psoriasis but melanoma has only occasionally been seen in psoriatic plaques. Though, if you have concerns about any areas, arrange an appointment with your dermatologist for an evaluation and possible biopsy of the site. ...Read more

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What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more

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Are there different kinds of melasma? Are there sub-categories of melasma or is it all considered the same no matter what? .

Are there different kinds of melasma? Are there sub-categories of melasma or is it all considered the same no matter what?

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Melasma types: Melasma is sometimes classified into 3 types. Epidermal (superficial), dermal (deep) and mixed. Epidermal melanoma responds readily to treatment, whereas dermal melanoma responds poorly. Mixed melanoma responds partially to treatment. Melasma is very challenging to treat. Combination treatment is often needed for best improvement. Daily sunscreen is a must. Maintenance treatment is needed for most. ...Read more

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How to cure psoriasis?

How to cure psoriasis?

Psoriasis: There is no cure for psoriasis only control. There are prescription topical steroids. There are intralesional steroid injections. The biologics like Humira, Enbrel, Remicade, (infliximab) and Otezla are very effective at treating psoriatic arthritis and also the skin lesions of psoriasis. Patients with psoriasis are also prone to cardiovascular disease but the biologics help reduce this. ...Read more

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Are there different kinds of melasma? Are there sub-categories of melasma or is it all considered the same no matter what? .

Are there different kinds of melasma? Are there sub-categories of melasma or is it all considered the same no matter what?

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All melasma: Melasma is the inclusive diagnosis, but the areas of the face and body which are affected may be different between people. ...Read more

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Are there treatments for granuloma anulari other than photo therapy and prednisone? Mine is spreading all over &turning purple

Are there treatments for granuloma anulari other than photo therapy  and prednisone? Mine is spreading all over &turning purple

Granuloma annulare: High potency topical or intralesional corticosteroids are the most common treatments prescribed for localized ga. Many systemic drugs have been used in the treatment of generalized ga, such as hydroxychloroquine, isotretinoin, or dapsone. Cyclosporine is reserved for severe, refractory cases. Topical calcineurin inhibitors such as tacrolimus or pimecrolimus can be tried as well. ...Read more