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My son has been battling Inverse Psoriasis since birth. He has reptile feet, chapped toes, peeling, raw skin in his groin and underarms. We have tried Tar products, and all sorts of prescription creams, we eliminated sodium Lauryl Sulfate Soap Products, changed to all white cotton.
We have also tried eliminating Gluten and Dairy. All this with no success: the symptoms never went away.
Two years ago, I accidentally purchased Balmex Adult Care (cost ~ $11). Et Voila, symptoms started to fade and he had almost instant relief on his feet, groin and underarms areas.
I urge you to start using this cream if you suffer from Inverse Psoriasis. This may also be of value for other dermatitis-relaied problems in the groin, under the breasts and in the arm pits.
This is one person's perioral dermatitis story. It may be of help to some DHC readers.
I have been suffering from Perioral Dermatitis for the last 20+ years. Yeast definitely contributes to my flareups, so wine and bread don’t help. So Sorry….
But I have found some tricks to keep the rash at bay, and I would like to share these.
I have eliminated all Sodium Lauryl Sulfate products from my regime. I use a shampoo and conditioner without this, as well as a facial wash made by a company called CALIFORNIA BABY. It’s called, Calming Shampoo and Body wash with calendula. I wash my face 2x daily, then I use a thin layer of Neutrogena on-the-spot around the mouth and then apply California Baby Calendula Cream.
Et Voila. Rash Free for years…
(The standard treatment for P.O.D. is usually doxycycline or minocycline by mouth. If you prefer to try a more gentle approach first, this patient's protocol ooworth trying.)
Recently, we found a tick on the shoulder of an 84 yo man who was being seen for an unrelated problem. A picture was taken through a dermatoscope.
It is clear to me that tick identification is complicated.
There is a helpful video on Tick Identification produced by the University of Maine. It may be helpful to send the tick to a state lab for definitive identification. This 30 second video (also from the State of Maine) describes tick removal and where to send the bugger for identification.
With regards to the tick pictured above, I am not certain if this is a deer tick or a dog tick. I will follow patient and share his office visit with his primary care physician.
A landmark study reported in the New England Journal of Medicine highlights the efficacy of a new biologic drug, Dupilumab, for the treatment of atopic dermatitis. This may be heralding a new era for patients with moderate to severe atopic eczema.
This is likely to be a great breakthough for many who suffer moderate to severe atopic dermatitis, but the drug company that makes is will likely play hardball with the pricing. Most biologics today run ~ $50,000 a year. Since Dupilumab may only be taken for four months, the price will be determined by a drug maker keen to maximize its profits. The drug will only be affordable to patients with good insurance. It will not be available to the uninsured or poorly insured.
Promotional photo in NY Times of an ecstatic patient
Abstract: Rarely, human aging can dramatically speed up or slow down, resulting in devastating clinical consequences for patients. Two case histories are presented to illustrate this “relativity” of the human aging process. One patient suffered from progeria and aged rapidly, dying prematurely at 17 years-old. The second patient suffered from syndrome X and seemed not to age at all, remaining a toddler till her death at age 20. Despite their many handicaps, both patients lived inspiring lives that brought much love to their families and friends.
It's normal to feel anxious from time to time, especially if your life is stressful. However, excessive, ongoing anxiety and worry that interfere with day-to-day activities may be a sign of generalized anxiety disorder.
In July 2016, the U. S. Prevention Services Force stated that there is no good evidence for the efficacy of skin cancer screening to prevent death or significant disability. This means that the benefits do not outweigh the potential harm of skin cancer screening.
Nonmelanoma skin cancer comprises 98% of skin cancer's and account for only about .1% of all cancer deaths. Melanoma accounts for about 10,000 cancer deaths a year.
If you have a personal or family history of melanoma, and if you have more than 100 moles you should probably consider being screened. But if not, you could safely pass. A large study in Germany found that skin cancer screening can potentially save one life per hundred thousand individuals screened. It is likely that much more harm could be done from over diagnosis and over treatment in a large screen and population.
Screening picks up small very slow growing or not even growing melanomas that are not destined to harm a patient. However, once they are discovered usually aggressive therapy is recommended and the patient is then labeled as a cancer survivor.
Most dermatologists recommend skin screening. In spite of the lack of evidence for its efficacy, it's good business practice for skin doctors. A skillful dermatologist can find something to treat with cryotherapy or a biopsy on most older caucasians, and this provides a good living for these doctors. It's a low risk screening and a high-value return for dermatologists.
The smart patient should avoid skin cancer screenings if they are not at risk. They should specifically avoid the free skin cancer screenings offered by many hospitals and aggressively promoted by the American Academy of Dermatology. They can just say no. If they have risk factors for skin cancer or are worried about specific lesions they can request a complete skin examination. This may be a good way of alleviating anxiety related to specific skin lesions.
The article in July 26, 2016 New York Times is a good overview. It can be accessed at: http://nyti.ms/2albmU/
"Something strange is going on in medicine. Major diseases, like colon cancer, dementia and heart disease, are waning in wealthy countries, and improved diagnosis and treatment cannot fully explain it.
Scientists marvel at this good news, a medical mystery of the best sort. Many are puzzled as to why." This is a fine introduction to this topic by the science writer, Gina Koilata. Major Diseases are in Decline.