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Doctor insights on: Psoriasis Diagnosed

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Have been diagnosed with a skin disease callled prurigo nodularis. What is it?

Have been diagnosed with a skin disease callled prurigo nodularis. What is it?

"picker's nodules": These are inflamed bumps that are the result of a vicious cycle: they itch or burn and the patient scratches or picks at them and this causes more itching and burning. This goes around and around and the lesions get worse and worse. Rub cortisone cream into them twice a day and strictly keep your hands off at all other times and they will go away. Often, anxiety makes them harder to ignore. ...Read more

Dr. Thomas Namey
1,035 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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Treat psoriasis with cyclosporine?

Treat psoriasis with cyclosporine?

Last resort: Cyclosporine is an effective treatment for psoriasis - but it is usually used only when all else has failed, because it is toxic to the liver and kidneys, among other things, and weakens the immune system. It should never be taken without close monitoring by an expert in its use for that purpose (usually a dermatologist). ...Read more

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Just diagnosed with hashimoto's disease?

Just diagnosed with hashimoto's disease?

Hashimoto's: Hashimoto's disease is an autoimmune disease of the thyroid, the most common cause for low thyroid. Antibodies that diagnose it (thyroglobulin and thyroid peroxidase), are surrogate markers and are not resonsible for the damage that occurs in the thyroid. It is a lymphocyctic infiltrate that causes thyroid damage.You can have markers for this and not be hypothyroid now, or indefinite years. ...Read more

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Can menopause trigger autoimmune disorders? I was diagnosed with both psoriatic arthritis and celiac disease at 51.

Can menopause trigger autoimmune disorders? I was diagnosed with both psoriatic arthritis and celiac  disease at  51.

Maybe: There is more autoimmune (AI) disease in older women, but it is unclear if it is related to time or hormones. Time: an AI condition is a problem in the immune system. The longer we live, the more likely a problem will develop. Hormones: women have an immune system that tolerates foreign things, that is how they have a baby. If that tolerance goes away, then there can be an issue. But exact cause? ...Read more

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How is lupus diagnosed?

How is lupus diagnosed?

Multiple factors: The diagnosis of lupus is made based on a constellation of clinical and laboratory criteria. That is there are a number of pre-determined symptoms, physical signs (things a Dr. sees when examining you), and findings on bloodwork. A minimum number of these must be present in order for the diagnosis to be made. So, you would need to have a physical exam and have blood work drawn. ...Read more

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Could amyloidosis be wrongly diagnosed as alzheimer's disease?

Could amyloidosis be wrongly diagnosed as alzheimer's disease?

Possibly, not likely: Amyloidosis is a disease that occurs when abnormal substances called amyloid proteins build up in your organs. It is believed that a contributor to alzheimer's disease is the buildup of beta-amyloid. These would be 2 different situations --- amyloidosis effecting the brain & alzheimer's. Unfortunately you could still be dealing with a dementia in either case. ...Read more

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Can atopic dermatitis be cured with creams?

Can atopic dermatitis be cured with creams?

Not cured: Creams can treat the symptoms (itching, dryness and flaking) but not the cause. You should consider using a mild soap (dove), good moisturizer (aquaphor, eucerin) and limiting certain foods that can exacerbate the rash ( milk, nuts, cheese, tomatoes, wheat, yeast, soy, and corn). ...Read more

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How is sle diagnosed? 

How is sle diagnosed? 

History physical lab: It takes an involved evaluation. We do it with a complex consultation looking at history, physical, laboratory evaluation + imaging. It takes a lot of work. Of interest the government stopped paying for consultations with medicare patients. It has deemed that it is too confusing to use it but we as rheumatologists need it to evaluate complex rheumatology patients like those with lupus. Go figure. ...Read more

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Do all patients diagnosed with coeliacs disease have skin lesions?

Do all patients diagnosed with coeliacs disease have skin lesions?

Not all, but many: There are several ways that the basis of the condition expresses itself and a sensitive person may experience any combination of them. Skin symptoms are not rare. The good news is that as treatment is effective for one it usually is for others too. Are you well-treated? Is gluten an issue? There are more and more good diets w/out or with minimal gluten. Try one to see if it helps. ...Read more

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Can psoriasis be hereditary?

Can psoriasis be hereditary?

Yes: 70 per chet of patients with psoriasis have a family member with psoriasis. It can be a parent, sibling or grandparent. ...Read more

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What is wrong with my immune system? Diagnosed with hashimoto's 5 years ago, now diagnosed with autoimmune thrombocytopenia!

What is wrong with my immune system? Diagnosed with hashimoto's 5 years ago, now diagnosed with autoimmune thrombocytopenia!

No surprise: They actually tend to run together. Keep them both under control. There's even some articles. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1905072/ nobody knows why. ...Read more

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Gf diagnosed with IgA deficiency, now diagnosed with scid. Related?

Gf diagnosed with IgA deficiency, now diagnosed with scid. Related?

SCID: Scid stands for severe combined immunodeficiency. By definition, people with this disorder have no t cells, so they cannot fight any diseases or produce any antibodies. Iga is one type of antibody, so a deficiency of it would be expected as part of the scid disorder. This disorder is fatal in infancy without aggressive management, so not likely to be diagnosed in an adult. Cvid more likely. ...Read more

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O I treat seborrheic dermatitis ?

O I treat seborrheic dermatitis
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Seborrheic Dermatiti: Seborrheic Dermatitis of scalp. If OTC dandruff shampoo doesn't work, your dermatologist can discuss treatment options wi you. This may include options like Rx strength hydrocortisone, desonide or fluocinolone. Antifunfal shampoo or oral meds, metronidazole, photochemotherapy are some options. ...Read more

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Can pityriasis lichenoides chronica be cured?

Can pityriasis lichenoides chronica be cured?

It can't be : Cured but lesions can be controlled, suppressed and managed with uv radiation , steroids cream, sun exposure, antibiotics etc . The skin conditions is claimed to be due to hypersensitivity to eipstein-barr virus . Fruits, veggies and immune booster herbal meds may prevent its exacerbation ...Read more

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Autoimmune deseas hashimoto's thyroiditis can it be cured?

No: Treated not cured. Very easy to treat. This is an autoimmune disease of unknown cause. Body makes antibodies against the thyroid and kills it. Must generally take replacement hormone for life. ...Read more

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How is juvenile rheumatoid arthritis diagnosed?

How is juvenile rheumatoid arthritis diagnosed?

Clinical criteria: Ra (also called jia) for juvenille idiopathic arthritis is a disease of unknown etiology. There are many theories for why it happens, many believe there is a virus responsible. Pain and stiffness may limit activity. Appropriate treatment can vastly benefit the patient, and a rheumatologist can be your best friend. Labs to rule out other causes are undertaken. Clinical criteria make the diagnosis. ...Read more

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Is seborrheic dermatitis curable by Ayurveda ?

No: You can only manage it, and anyone telling you otherwise is deceiving themselves and/or you. It's prone to exacerbations and remissions. If you prefer "natural", a variety of remedies from coal tar to sulfur often work quite nicely. Best wishes. ...Read more

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Can someone diagnosed with juvenile rheumatoid arthritis grow out of it?

Can someone diagnosed with juvenile rheumatoid arthritis grow out of it?

No, not at all: There is no way to "outgrow" jra / jia. It can only be put into remission for periods of time from weeks to years, depending on what type of juvenile arthritis it is and how many joints were involved at the time of diagnosis. Kids with more active joints at diagnosis are more likely to flare more often when off meds. Until a cure is found, we work for remission with minimal flares of diease. ...Read more

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My brother has been diagnosed with henoch scholein purpura is it contagious?

My brother has been diagnosed with henoch scholein purpura is it contagious?

Vasculitis: That is not contagious. It can occur as a result of viral or bacterial illness that can be contagious but HSP vasculitis is not. ...Read more