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Doctor insights on: Traumatic Spur Psoriasis Spell

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Could traumatic events spur a psoriasis spell?

Could traumatic events spur a psoriasis spell?

Yes: There are no good research studies that prove a relationship between stress and psoriasis flares. However both patients and psoriasis experts have noted that there is likely a connection. Many of my patients have noticed psoriasis flares with increasing stress. The flares only serve to add to their stress. Stress reduction is always a good thing so in many ways it is a moot question. ...Read more

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Dr. Thomas Namey
1,031 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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Can't figure out these symptoms Non-exertional chest pain, cold hands, unilateral swollen interphalangeal thumb joint w/o trauma, dyspnea on awakening?

Can't figure out these symptoms Non-exertional chest pain, cold hands, unilateral swollen interphalangeal thumb joint w/o trauma, dyspnea on awakening?

Think rheumatic dz: Definitely confusing! Nontraumatic IP joint swelling, especially in the thumb, brings to mind rheumatoid arthritis (RA). A common complication of RA is costochondritis which affects the rib joints (chest pain) & a variant called Caplan's Syndrome leads to lung nodules. Other autoimmune diseases may mimic RA (lupus?) but testing by a Rheumatologist may sort things out for u. Good Luck! Thanx 4 ur Q ...Read more

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Seen in er- inflammation/red rash of (l)foot. Dx: inflammation was related back issue- (herniated l3/4/5) ankylosing spondylis. Is this plausible?

Seen in er- inflammation/red rash of (l)foot.  Dx: inflammation was related  back issue- (herniated l3/4/5) ankylosing spondylis.  Is this plausible?

No/yes: Herniated discs would not be related be related to inflammation of the foot nor ankylosing spondylitis. On the other hand, if you had a spine disease called ankylosing spondylitis, that is associated with peripheral joint inflammation. Ankylosing spondylitis is a diagnosis that needs to be made by a rheumatologist only. ...Read more

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Biopsy petechiae right arm: spongiotic psoriasiform dermatitis w/purpura. Drug eruption in a pt. W/underlying psoriasis or eruptive psoriasis exacerbated by a drug. What does this mean? Drug allergy?

Biopsy petechiae right arm: spongiotic psoriasiform dermatitis w/purpura. Drug eruption in a pt. W/underlying psoriasis or eruptive psoriasis exacerbated by a drug. What does this mean? Drug allergy?

See your doctor: This is what is called a "descriptive" path report. In these cases we construct a list of conditions that can produce this type of reaction pattern then try to narrow it down if possible. In these cases a good solid history needs to be taken to identify any possible cause (drug or other). I am afraid this can be a challenging process and sometimes we do not find the actual diagnosis. Good luck. ...Read more

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Pincered t-spine at t-9 in 1988. Incessant buckling led to paraspinal swelling; cumulative trauma disorder. What treatment modalities are available?

Pincered t-spine at t-9 in 1988. Incessant buckling led to paraspinal swelling; cumulative trauma disorder. What treatment modalities are available?

multiple: The treatment of chronic thoracic pain can range from the conservative, to the much more aggressive. Conservative options, which presumably yo have done can include medications, activity restrictions, and non -invasive treatments such as therapy. More aggressive options usually fall under either interventional pain management or surgical approaches. Sitting down with a spine specialist can help. ...Read more

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Does degenerative arthritis look different from post-traumatic arthritis on an x-ray?

Does degenerative arthritis look different from post-traumatic arthritis on an x-ray?

Depends: If post-traumatic arthritis results from a fracture, perhaps you would see sequela from the fracture. Otherwise, the 2 causes could look similar. In other words, the end result of arthritis usually looks the same. The other piece on info that makes one consider "post-traumatic" is a history of remote injury. ...Read more

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Ulnar sided pain since june after injury. Mri -type 2 lunarte, effusion, and bony exotosis. Neither sounds acute, can something else mimic an exotosis

Ulnar sided pain since june after injury. Mri -type 2 lunarte, effusion, and bony exotosis. Neither sounds acute, can something else mimic an exotosis

Not typically: An exostosis is the formation of new bone protruding from the surface of existing bone. A dislocation of the lunate could "appear" to be an exostosis and mimic some of the symptoms. But typically, an exostosis identified on an imaging study is just that. ...Read more

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Pincered t-spine in 1988. Incessant buckling led to paraspinal swelling (cumulative trauma disorder). Did not show in 1.5-t mri. What about 3.0-t?

Pincered t-spine in 1988. Incessant buckling led to paraspinal swelling (cumulative trauma disorder). Did not show in 1.5-t mri. What about 3.0-t?

Probably not: Hi bruce - not sure but 3t isn't really that much better then 1.5t - there are other variable that are more important. A good quality 1.5t scan is definitely sufficient. Best regards - dr. G from metismd.Com. ...Read more

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I had an old calcanea stress fracture with swelling. Can long-term foot instability, plantar fasciitis, sural neuropathy cause back problems?

I had an old calcanea stress fracture with swelling.  Can long-term foot instability, plantar fasciitis, sural neuropathy cause back problems?

Heel fracture: The answer is simply yes. Long term instability, plantar faciitis, and sural neuropathy...All cause pain. And, trying to ambulate through it, will cause you to limp. This limping will effect your back.. See a specialist, and get help. ...Read more

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Can trauma (boxing) induced calcification of my elbows be cured without surgery?

Doubtful: Calcification of this nature is a response to chronic inflammation, and reabsorbing this calcium is not a reasonable hope. Concretions of this nature can be at least partially removed with surgery that is relatively minor. ...Read more

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Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Shoulder MRI: What does this mean? Focal bony proliferation w/focal chondral labral separation suspected @ posterior labrum at the 8 o'clock position?

Labral tear: See an experienced shoulder arthroscopist to assess clinical correlation w/ this MRI report.Basically it means you MAY have a labral( cartilage) tear of your shoulder in the 'back' portion ( posterior)of your glenoid( shoulder socket).the possible 'bony proliferation' may be a response to a long- standing labral tear.Clinical Correlation needed! Best of Luck! ...Read more

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Body reject hernia mesh with multiple neuroma/granuloma/pain. now have severe joint knee hand pain. can rejection trigger autoimmune issues..i read it?

Body reject hernia mesh with multiple neuroma/granuloma/pain. now have severe joint knee hand pain. can rejection trigger autoimmune issues..i read it?

Probably not: Surgical mesh can cause local reactions and very rarely allergic reactions including allergic contact dermatitis. Autoimmune reactions have not been reported. ...Read more

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Post traumatic stress disorder..Is this a serious condition?

Post traumatic stress disorder..Is this a serious condition?

Yes, it can be: Post traumatic stress disorder causes a huge amount of suffering and loss of function in children and adults. It can lead to severe anxiety, insomnia, depression, and suicide. It can stem from an almost infinite variety of frightening experiences. Yet, it can be treated. ...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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Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What criteria relates it to injury

Can morton's neuroma (absence of tight fitting shoes history) develop as result of a trimaleolar ankle fracture? What  criteria  relates it  to injury

Morton's neuroma: Unlikely, but a trimalleolar fracture can cause a change in one's gait and since a neuroma is an inflammatory problem of the nerve due to irriation (could be b/c of shoes, or an altered gait pattern) there may be a link, again it's very unlikely. ...Read more

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Dr. Andrew Ho Dr. Ho
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Could a traumatic event trigger a nervous breakdown , psychosis or schizophrenia?

Dr. Andrew Ho Dr. Ho
2 doctors agreed:
Could a traumatic event trigger a nervous breakdown , psychosis or schizophrenia?

Yes: Psychotic symptoms can manifest after a traumatic event. Read more: http://focus.Psychiatryonline.Org/data/journals/focus/4332/foc00311000278.Pdf. ...Read more

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Generalised OA (x-Ray hands feet knees hip clavicle, MRI spine) dry eyes/mouth, history hypermobility, lumbar/cervical stenosis radiculopathy TMJD diverticulitis prolapses FUO - but seronegative and comprehensive blood tests always normal. Any ideas?

Generalised OA (x-Ray hands feet knees hip clavicle, MRI spine) dry eyes/mouth, history hypermobility, lumbar/cervical stenosis radiculopathy TMJD diverticulitis prolapses FUO - but seronegative and comprehensive blood tests always normal. Any ideas?

Explanation: My suggestion that you generalized OA mostly degenerative disease, not the inflammation. And blood work so far remains normal. History of hyper mobility could be reason of early degenerative changes in multiple joins. ...Read more