Posts for: April, 2014

April 13, 2014
Category: Psoriasis
Tags: triglycerides   liver disease   diabetes   obesity   smoking  


                         A recent study implicates  psoriasis with a 70 % increased likelihood of developing non-alcoholic

fatty liver disease (NAFLD) which is the most common form of chronic liver disease in Western countries.

                        In addition,psoriasis patients with NAFLD were also 60 % more likely to have the severe form


                       The most distinguishing feature of NAFLD is tha accumulation of triglycerides (a type of lipid

or fat) in the liver cells called hepatocytes.

                      Risk factors for NAFLD besides psoriasis include diabetes mellitus,hypertension,obesity,

a sedentary lifestyle,smoking and a pure diet.

                      Besides advising my patients with psoriasis about the increased cardiovascular risks

(see my earlier post on the "heartbreak"of psoriasis), I shall now inform them of the non-alcoholic

fatty liver disease risk and again recommend  regular checkups with their healthcare practitioner.



April 13, 2014
Tags: carcinoma   blood tests   metastasis  


                                 In the 50 % of  patients who produce antibodies to the MCC polyomavirus oncoprotein at

diagnosis,there is now a blood test to measure these antibodies upon follow-up visits.

                                Since about 40 % of MCC's recur,this blood test can be an early way to detect

metastasis(spreading internally)in otherwise asymptomatic patients who have these antibodies-

long before these "mets" show up on diagnostic testing.

                               The patient with MCC would have to ask his or her health care practitioner about

the availability of these tests which are done by specialized labs.



April 13, 2014
Category: Psoriasis


                                  Years ago we often commented about the psychological pain of psoriasis and called it 

the "heartbreak"of psoriasis.  Well, today  I make it a point to tell my patients with psoriasis that recent research

shows an increase of cardiovascular problems including coronary artery disease,high blood pressure,and diabetes

especially in those with moderate to severe psoriasis.

                                  And,I urge them to get regular checkups with their health care practitioner to monitor for

these problems.



                             Merkel Cell carcinoma(MCC) is a relatively uncommon but highly aggressive skin cancer.

                             Many cases have been tied to infection with a virus called "polyomavirus."

                            The good news about MCC is that it is rare.The bad news is that unlike other skin cancers

including maligant melanoma  it can be very difficult to diagnose on physical examination. Although it can

be a red or blue bump,(almost like a pimple),it can also present as a small flesh-colored elevation. And,it

can range in size from one-quarter inch(the size of a pencil eraser) to more than two inches.

                             About one- half of MCC's originate on the sun-exposed head and neck,about one- third

on the legs and about one-sixth on the arms. Sometimes no anatomical or primary site can be identified.

                            As with any  cancer,whether internal or skin,early detection and treatment before it has

a chance to spread markedly increases the survival rate.

                          Again,report and changes in size,shape,color or evolution of your skin and body areas  to

your health care practitioner and get regular skin and physical examinations.


April 10, 2014
Category: Uncategorized
Tags: Untagged



                      visit  my blog here/