Doctor insights on:
Lipo Dermal Sclerosis
If I have multiple sclerosis, can I still get radiesse (dermal fillers)? If I have ms, is it safe for me to get any kind of fillers such as radiesse (dermal fillers)? .
See no problem: The MS is not a contraindication.Get a more detailed answer ›
Liposuction surgery involves the use of hollow cannulas and suction devices used to remove adipose tissue; should not feel anything when the procedure is performed. Indicated for patients at their long-term stable weight, who present with diet and exercise resistant adipose tissue of localized areas with good quality overlying skin. Not substitute for diet and exercise or ...Read more
What other conditions could 'focal dermal sclerosis' with telangiectasia on a skin biopsy indicate besides scleroderma?
Biopsy said erosion with hemorrhagic scale crust, chronic dermal inflam deep dermal/subcutaneous sclerosis, dr said healing scar, is that right?
YES: Your doctor interprets what the lab reports. If you are still in doubt, repeat biopsy in six weeks. ...Read more
Can you have Restylane (dermal fillers) or collagen on your thigh to replace a very bad liposuction job?
Not really: Those ideas are temporary and formulated to use on smaller areas than thighs. Ongoing treatments of this will be very expensive. Your best solution may be fat grafting to replace needed fat, unless there was damage to muscles and tissue from the procedure. You may want to express your concerns with the surgeon that did your surgery. ...Read more
Why are "family doctors" answering multiple sclerosis questions?! I have spotted inaccurate info being given. Only a neuro answer? 's
Part of a team: Your family doctor is usually the doc who makes the referrals and is often the one who helps treat complications, such as urinary tract infections, fatigue, associated injuries, medication reactions, and he/she keeps open the communication lines between different specialties. Coordination of medical care is critcal these days. ...Read more
Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more
ABNORMAL THICKENING: Of the mitral valve with associated mitral valve prolapse. It's calcium buildup in the valve, stated simply. It might have been triggered by rheumatic fever or any other condition that would make the valve structurally abnormal. This condition is usually progressive and surgery may be necessary down the road. Close follow up is also important. ...Read more
Maybe significant: Several common presentations can include unilateral loss of vision, progressive weakness of legs, loss of coordination or balance, a band of tightness around the waist, double vision. More insidious issues include, bladder problems, cognitive challenges, fatigue, peculiar sensation losses. ...Read more
Not usually: Ms is a chronic neurological condition, characterized by episodes of neurological disability of variable severity and recovery. A minority of inidividuals can have a very aggressive course, and become so disabled that they are at risk of secondary medical complications which may be fatal. There are subtypes of MS which are so aggressive that a fatal outcome can happen. Fortunately these are rare. ...Read more
Genetic mutations: These people have a genetic mutation at one of two loci TSC1 or TSC2 (hamartin and tuberin). A second mutation in a particular cell results in creation of a tumor. No two TS patients are alike and the severity of the illness varies tremendously. It's not curable, but it's often manageable. Best wishes. ...Read more
No: Population studies have suggest that mononucleosis in adolescence, smoking, and possibly childhood obesity are risks for developing ms. However ms is a complex variable disease requiring genetic predisposition along with some environmental trigger (s), possibly influenced by hormones, immune system priming from certain infectious agents. ...Read more
Characteristic: Demyelination refers to damage to the coverings of the nerves in the brain and spinal cord, and is very characteristic of the inflammatory process that occurs in ms. This can also occur in children with hereditary leukodystrophies, and can be associated with acquired neurological disorders. The disease modifying drugs in MS are designed to control demyelination and many work well. ...Read more
Hopeful: Until we better understand the disease process, we will lack a cure. Control and treatment are available, and we do have newer medications which may even improve pts. We are tending to look at drugs such as tysabri (natalizumab) and gilenya, as maybe the best approaches, and with advent of bg-12, and lemtrada, we will have more tools. Vitamin d supplements seem quite valuable. ...Read more
Genetic mutations: Tuberous sclerosis complex is caused by mutations in the ts1 gene on chromosome 16 and the ts2 gene on chrosome 9.Only one of these has to be affected to have symptoms. Symptoms and their severity vary, even within a family. If a parent has tsc, each of his childen has a 50% chance of having it. Spontaneous mutations also occur. See http://www. Tsalliance. Org for comprehensive information. ...Read more
Much research, but: D-penicillamine might work, and there a number of studies suggesting this, but no long term double blind studies exist. A recent report suugest that a drug CellCept (mycophenolate mofetil) might be of value, and there are those that use mtx or tetracyclines. The major advances are ability to control BP and treat pulmonary hypertension. We can deal with esophgeal spasm and reflux. Nothing great at present for underlying dx. ...Read more
Biopsy, blood: In advanced stages, no test is required. It if the diagnosis is suspected early, a skin biopsy will usually prove the diagnosis. In the blood, the scl-70 and the anti-centromere antibody tests are the most helpful. Other tests may be positive. The above two blood tests often help differentiate the disease from other conditions. Other tests are used to evaluate but not diagnose the condition. ...Read more
Yes, it may.: Smoking has been associated with 1.5 times the risk of developing ms (association does not equal causation, but it is a risk factor). Studies dating back to 1960s have linked smoking with ms progression. Patients with a clinically isolated syndrome my convert to ms faster if they smoke, and smokers with established ms may convert to secondary progressive ms faster. ...Read more
Depends on severity:
It is more appropriately known as tuberous sclerosis complex because it is highly varied in presentations. From simple skin lesions to complex neurological (brain/spinal cord), hearing/vision involvements causing severe disabilties.
Complicated cases will require multispecialties care. ..Very complicated.. ...Read more
Prog. Disease: There is a variant form of MS that is very aggressive that can lead to coma or death. However most of the other forms do not have such a grave prognosis. If left untreated >30 % of patients will develop significant disability within 20->25 years after onset. Life expectancy is shortened only slightly, death usually results from secondary complications. ...Read more