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Doctor insights on: Rosacea Clinical Testing

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Dr. Joshua Fox
455 doctors shared insights

Rosacea (Definition)

A chronic skin condition that usually affects just the face, causing redness, pimples, nose swelling, and thin red ...Read more


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Can preimplantation genetic diagnosis testing work on diagnosising ataxia telangiectasia?

Can preimplantation genetic diagnosis testing work on diagnosising ataxia telangiectasia?

Perhaps: It is a genetic disorder with the parents acting as carriers. Atcp.Org might be a good starting place to investigate genetic counseling prior to conception and try to evaluate your risk. ...Read more

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DLE confirmed by ANA test and CBC at Dermatology symptoms 2013 Biopsy now cancelled. Only criteria to SLE Discoid Rash Photosensivity.SLE?

DLE confirmed by ANA test and CBC at Dermatology 
symptoms 2013 Biopsy now cancelled. Only criteria to SLE Discoid Rash Photosensivity.SLE?

Discoid lupus: Dx is confirmed by biopsy. Also review medications r ,as some medications can cause a lupus like syndrome. Lupus has multiple criteria and there is usually a battery of antibody tests done., tests may initially be negative and later turn positive. f/u w/ rheumatology for second opinion http://www.dermnetnz.org/topics/drug-induced-lupus-erythematosus/ ...Read more

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Given a positive RNP antibody test, what are the clinical diagnostic criteria for MCTD?

Given a positive RNP antibody test, what are the clinical diagnostic criteria for MCTD?

MCTD: Usually considered diagnostic if high RNP titer, and two or more of the following: Raynauds, myositis, synovitis and swollen fingers/hands. ...Read more

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Dermographism, are skin allergy testing not accurate?

Dermographism, are skin allergy testing not accurate?

Limited use: Skin testing for allergy is of limited usefulness even when a person does not have dermatographism. The history is the key; skin testing can be confirmatory. Especially, don't conclude that you must severely limit what you do and eat, and where you go, based on skin testing. It's just one piece of information that helps guide decisions. ...Read more

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I am an eczema patient should I go for ALLERGY ECZEMA COMPREHENSIVE PANEL, SERUM (FEIA) or ALLERGY COMPREHENSIVE PROFILE, SERUM (ImmunoCAP,FEIA).

I am an eczema patient should I go for ALLERGY ECZEMA COMPREHENSIVE PANEL, SERUM (FEIA) or ALLERGY COMPREHENSIVE PROFILE, SERUM
(ImmunoCAP,FEIA).

None of these: Eczema---atopic dermatitis----is NOT an allergy. Allergy tests are not useful, often harmful, for eczema. It is not related to foods. Not "stress" either. It is a genetic defect in the surface of the skin. We have very good technology to help eczema, but no cure. SEE A DERMATOLOGIST. Meanwhile use skin cleansers with pH 6 to 7. Apply a liberal amount of a ceramide cream after washing. A prescripti ...Read more

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ANA 250 -Indirect Immunofluoresence Assay with both speckled pattern, elevated ESR, rash with lesions on chest, neck,ears,face - LUPUS ?

ANA 250 -Indirect Immunofluoresence  Assay  with both speckled pattern, elevated ESR, rash with lesions on chest, neck,ears,face - LUPUS ?

Talk to doctor: Although these findings are not incompatible with lupus, the lack of joint symptoms points away from the diagnosis. The diagnosis of nearly all diseases should be made by a doctor and not by lab tests alone. ...Read more

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Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing? ,

Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing?
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Yes: Lyme can cause autonomic dysfunction including POTS- good idea to get tested for lyme and its coinfections such as bartonella, mycoplasma, erhlichia, anaplasma, babesia and rocky mountain spotted fever which are all tick borne infections ...Read more

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How would a clinical immunologist treat/diagnose suspected sle?

How would a clinical immunologist treat/diagnose suspected sle?

Labs and ROS: ANA is the first test. A very good screening test, yet to really see a case of ANA negative lupus! then go through the 11 ros - soapbrainmd - and lupus patients will have >4/11 criteria. ...Read more

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Positive diagnosis (scleroderma, polymyositis) with negative blood tests? Is that common?

Positive diagnosis (scleroderma, polymyositis) with negative blood tests?  Is that common?

PM/Scl: The paradox of rheumatologic diseases is that there are more lab tests in this area than any other, and they of relatively less value compared to the history and physical findings than in other fields. If your rheumatologist is comfortable with the diagnosis of "scleromyositis", which usually features anti-pm/scl, i'd accept it even with a single negative result, and proceed. ...Read more

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Would a Positive ANA Test CBC with a few other clinical criteria confirm DLE without need for Biopsy?

DLE Criteria: Studies show that up to 28 percent of people with DLE develop Systemic Lupus Erythematosus. If a person has SLE also the American College of Rheumatology and SLIIC criteria can be used to help determine the presence of disease. Studies have tried to validate the SLIIC criteria for DLE alone but DLE sometimes exists in a pathologically singular form. http://tinyurl.com/j6lvnv4 ...Read more

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
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Should I consider clinical genetic testing for dilated cardiomyopathy?

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
Should I consider clinical genetic testing for dilated cardiomyopathy?

Personal choice: Genetic testing in idiopathic cardiomyopathy is a personal choice to be made by each person considering that there is no treatment nor does the information other than genetic counseling does not impact treatment. The common form cause by mutation of genes of muscle proteins(sarcomeres ) is autosomal dominant 50/50 chance. The X linked only the male gets it .The mother is the carrier ...Read more

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Would a thyroid cancer clinical trial (research study) be appropriate for me?

Would a thyroid cancer clinical trial (research study) be appropriate for me?

Depends: It depends on your history: what kind of thyroid cancer, the extent of your thyroid cancer, what kind of treatments had been done...Each clinical trial has specific sets of criteria you will need to meet to be accepted as a research subject. Check with the coordinator of the trial to see if you are appropriate for the trial. ...Read more

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Is genetic testing necessary for CMT diagnosis?

Is genetic testing necessary for CMT diagnosis?

No: Diagnosis can be made by other means, though genetic testing will provide confirmation and pin point the defect. See this site for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001741/. ...Read more

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What Specific Lab tests would be ordered by A Neurologist To Diagnose a dramatic Chemical & Electrical Dysfunction ' . ?

What Specific Lab tests would be ordered by A Neurologist To Diagnose a dramatic Chemical & Electrical Dysfunction ' . ?

Clarify: What are you referring to? Have never heard of a "dramatic Chemical & Electrical Dysfunction"! Do you think you have some special unique disease? Suggest you handle this through our Concierge Service. ...Read more

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Are there any biochemical tests to confirm breast carcinoma apart from clinical examination..

Are there any biochemical tests to confirm breast carcinoma apart from clinical examination..

Only way: To confirm breast cancer is by biopsy only , examination is for clinical diagnosis only , confirmation is by tissue examination ( pathology ) , biochemical tests , tumor markers is for monitoring purposes only. ...Read more

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What is rosacea?

What is rosacea?

Acne rosacea vs acne: Acne rosacea is not the same as acne because the former primarily effects the facial ski vessels whereas the latter effects the sebaceous glands. However acne rosacea is associated with overgrowth of the oil glands effecting the nose and is known as rhinophyma. ...Read more

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How is rosacea treated?

How is rosacea treated?

Rosacea: There are many treatment choices for rosacea depending on the severity and extent of symptoms. Available medical treatments include antibacterial washes, topical creams, antibiotic pills, lasers, pulsed-light therapies, photodynamic therapy, and isotretinoin. ...Read more

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How to help my rosacea?

How to help my rosacea?

Rosacea: There are many treatment choices for rosacea depending on the severity and extent of symptoms. Available medical treatments include antibacterial washes, topical creams, antibiotic pills, lasers, pulsed-light therapies, photodynamic therapy, and isotretinoin. ...Read more

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What helps with rosacea?

What helps with rosacea?

Avoid precipitating: Factors or agents that may cause your symptoms. Control rather than eradication may be a more realistic approach. Other meds may carry undesirable side effects. ...Read more

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Can children get rosacea?

Can children get rosacea?

Rosacea in children: Although the incidence of rosacea in adolescents and children is infrequent, such cases have been documented in the medical literature. Eyelid styes may be one form. Rosacea often runs in families, and rosacea sufferers would be wise to be on the lookout for early signs in children in order to seek diagnosis and treatment before the condition worsens. ...Read more

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Dr. Karen Han Dr. Han
2 doctors agreed:
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What exacerbates rosacea?

Dr. Karen Han Dr. Han
2 doctors agreed:

5 common triggers: Rosacea is a proinflammatory condition. A stimulus at a low threshold will cause flushing. Repeated flushing causes the skin changes we see in rosacea such as dilated vessels, enlarging sebaceous glands, and red papules. Common triggers to avoid are caffeine (coffee, teas, chocolates, etc), alcohol (wines, beers), increase in core temperature (hot tub, sauna, etc.), hot spicy food, and sun. ...Read more

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What to do about rosacea?

Rosacea: Rosacea is often due to combination of following: genetic predisposition, sun exposure, possible demodex. Avoiding certain triggers may help (ie, spicy foods, hot drinks, and alcohol may cause flushing and should be avoided. avoid smoking, sunlight and to extreme hot and cold temperatures, Red wine and chocolate). Rx of antibiotic creams or pills also help. See eyedoc2020@blogspot.com for more. ...Read more

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How do you treat rosacea?

IPL: The best treatment for rosacea is ilp treatments from an experienced doctor, not a spa or aesthetician. ...Read more

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How do you handle rosacea?

Rosacea: There are many treatment choices for rosacea depending on the severity and extent of symptoms. Available medical treatments include antibacterial washes, topical creams, antibiotic pills, lasers, pulsed-light therapies, photodynamic therapy, and isotretinoin. ...Read more

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Does dairy affect rosacea?

Not usually.: Unless you have a lactose intolerance or other allergy to milk or one of its components, this is not a common cofactor with rosacea. Eat cheese and drink milk with abandon! ...Read more

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How long does rosacea last?

How long does rosacea last?

Lifelong : Rosacea is a lifelong condition. Management will keep the symptoms minimized. Many topical treatments and laser treatments can assist many with rosacea to manage these symptoms. As hormonal changes occur, the skin also reacts which can cause these symptoms to change throughout ones life. ...Read more

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How do you diagnose rosacea?

How do you diagnose rosacea?

Clinically: A dermatologist just needs a glance, and an experienced generalist can usually make the call. Occasionally it's questionable and the real decision in any case is, "Do we treat it, and if so, how?" Best wishes. ...Read more

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How do you identify rosacea?

Rosacea Diagnosis: Rosacea is a clinical diagnosis which is simply made by a medical professional. There is no specific diagnostic test. It can range from mild facial redness or progress to pimples or icreased redness including the nose which can deveop a rhinopyma ("WC Fields nose). Treatment can slow this process down ...Read more

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What are causes of "rosacea"?

Rosacea causes: The etiology of rosacea is unknown but related to climatic exposures, vasculature, chemical and ingested agents, and inflammation. There appears to be an exaggerated vasldilatory response to increased temperature and hot drinks. ...Read more

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Does zenmed work for rosacea?

Does zenmed work for rosacea?

Perhaps: The standard for rosacea includes avoiding any known "triggers" - that may include sun, foods, topical agents, etc. Beyond that, using sun protection and occasionally antibiotic therapy will help in some individuals. Trying "natural" products is prob fine, but results (as with any skincare) will vary - particularly with non-prescription agents. Hope this helps! ...Read more

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