Jerry Bagel, MD of Windsor Dermatology Home of the Psoriasis Treatment Center of Central New Jersey
|
|
- Cory Greer
- 8 years ago
- Views:
Transcription
1 JULY 2012 Jerry Bagel, MD of Windsor Dermatology Home of the Psoriasis Treatment Center of Central New Jersey Restoring Quality of Life for Psoriatic Patients Throughout NJ and Beyond
2 Jerry Bagel, MD of Windsor Dermatology Home of the Psoriasis Treatment Center of Central New Jersey Restoring Quality of Life for Psoriatic Patients Throughout NJ and Beyond By Iris Goldberg To say that psoriasis is a challenge to treat is an understatement. An immunemediated disease that affects the skin, psoriasis is typically a lifelong condition. The disorder is chronic, recurring and varies in severity from minor localized patches to complete body coverage. Plaque psoriasis is the most common form, affecting 80 to 90 percent of all patients with psoriasis. In plaque psoriasis skin rapidly accumulates and typically appears as raised areas of inflamed skin covered with silvery white scales. These plaques frequently occur on the skin of the elbows and knees but can appear on any area including the scalp, palms of hands, soles of the feet and genitals. Fig. 1 Dr. Bagel Serves As: Associate Medical Editor of the Psoriasis Forum Medical Editor of Practical Dermatology Peer Review of: British Journal of Dermatology Journal of the American Academy of Dermatology Psoriasis can be associated with significant physical discomfort of itching and pain as well as some disability. Approximately 25 percent of psoriatic patients develop inflammation in their joints, known as psoriatic arthritis. Psychological distress caused by feelings of self-consciousness and embarrassment may lead to significant depression and even selfimposed social isolation. Fortunately for psoriatic patients in New Jersey and surrounding areas, Jerry Bagel, MD, who is the founder of and director of the Psoriasis Treatment Center of Central New Jersey (PTCCNJ) at Windsor Dermatology, has spent almost 25 years investigating promising treatments in a continuing mission to improve the quality of daily life for those who are afflicted with psoriasis. Honored by the National Psoriasis Foundation (NPF) as the nation s leading recruiter of psoriasis patients, Dr. Bagel has been an investigator on more than 75 clinical trials to find innovative treatments for psoriasis and other skin conditions. Additionally, he has been appointed to four three-year terms as a member of the NPF Medical Advisory Board. Dr. Bagel is renowned as an expert on psoriasis, who contributes to several prominent peer review journals (see Fig. 1) and often speaks at dermatology conferences worldwide to share current developments. Dr. Bagel examines the elbow of a patient who is a candidate for an upcoming clinical trial. photography by Michael Goldberg For every FDA-approved drug for the treatment of psoriasis ENBREL, HUMIRA, STELARA and those that came before, we have been involved, Dr. Bagel strongly states. Dr. Bagel, who is no less than passionate about finding new and more effective treatments for psoriasis, shares that the involvement of PTCCNJ is ongoing. We have more people in registries than anywhere in the country, he reports, adding that the FDA requires patients who are enrolled in trials to be followed for at least five years. Furthermore, Dr. Bagel explains that PTCCNJ s role in fighting the disease carries over to the creation and organization of support groups to help psoriatic patients cope with the many issues associated with their condition. To understand how Dr. Bagel came to choose improving psoriasis treatment as the centerpiece of his work within the field of dermatology, it is important to go back 30 years to the early 1980s, when he was a dermatology resident at Columbia University. The program required that he spend six months on an in-patient service following patients who needed hospitalization for up to a month in order to clear their psoriasis. They would be in tar baths for an hour or two a day, get moisturizing treatments every day and be exposed to increasing amounts of light because light decreases the proliferation of the epidermis. And so after about a month of this, they would go home, stay clear for eight or nine months and then would eventually have to come back to the hospital, relates Dr. Bagel. When he began his own practice, Dr. Bagel located his office just a few miles from where he was raised because he knew there was not an adequate dermatology practice or psoriasis treatment facility in the area. He acquired the necessary
3 Patient is receiving phototherapy. There are numerous lightboxes on-site at PTCCNJ. equipment to treat patients with moderate to severe psoriasis in his office in order to spare them a hospital stay. I wanted psoriasis treatment to be one of the mainstays of my practice. I brought in light boxes and we started doing psoriasis day care here in the office and back then people actually would stay for six hours a day, five days a week to get phototherapy, tar baths and moisturizing creams, he recalls. In 1982, Dr. Bagel did extensive research and published his findings on phototherapy, which involves exposing the skin to ultraviolet light on a regular basis under medical supervision. Phototherapy has been and continues to be an integral part of psoriasis treatment, often inducing a remission of psoriasis symptoms. Ultraviolet light A (UVA) and ultraviolet light B (UVB) are found in sunlight. UVA is relatively ineffective unless used in combination with psoralen, a light-sensitizing medication. This process, called PUVA, slows down excessive skin cell growth and can clear psoriasis symptoms for expansive periods of time. Severe plaque psoriasis and psoriasis of the palms and soles are most responsive to PUVA therapy. UVB is also an extremely effective treatment for appropriate patients and does not require light-sensitizing medication. UVB phototherapy penetrates the skin and slows the growth of affected skin cells by exposing the skin to an artificial UVB light source for specific intervals of time on a regular schedule. Narrowband UVB maximizes efficacy and safety. At PTCCNJ both PUVA and narrowband UVB phototherapy, supervised by on-site photo-therapists, are used depending upon the individual needs of each patient. Unfortunately, when Dr. Bagel first began treating psoriatic patients, the time required for effective treatment was significantly longer and many patients did not have enough time to devote to coming in on a daily basis. Also, most insurance companies were unwilling to cover the treatments. In 1990 things changed significantly when Dr. Bagel had the opportunity to collaborate with Merck Pharmaceuticals researching cyclosporine, an antirejection medication originally used in the 1980s for those undergoing kidney transplant. It was found that in kidney transplant patients who also happened to have psoriasis, taking cyclosporine caused the psoriasis to clear. It was then they realized that psoriasis was an immunologic disease, Dr. Bagel explains. For some reason, in a genetically pre-disposed individual, the white blood cells are producing chemicals that make the epidermis grow too quickly, he elaborates. After first researching cyclosporine as a medication for psoriasis, in the early1990s, Dr. Bagel became involved in clinical trials researching other biologic agents that might hopefully diminish the immune system s ability to produce the chemicals that speed up epidermis growth. Although these did not come to fruition, in 1997 he began clinical trials with a medication called AMEVIVE. This was the first of the biologic agents to show real promise in treating psoriasis. Biologics are protein-based drugs derived from living cells cultured in a laboratory. Used mostly for patients with moderate to severe psoriasis, Dr. Bagel explains that instead of impacting the entire immune system as is the case with traditional systemic drugs, biologics target specific parts of the immune system by blocking the action of immune cells called T cells or by blocking proteins in the immune system, such as tumor necrosis factor-alpha (TNF-alpha) or interleukins 12, 17 and 23. It is these cells and proteins that are majorly involved in the development of psoriasis and psoriatic arthritis. Dr. Bagel is pleased to report that as a result of clinical trials with pharmaceutical companies over the years, there are now medications that can significantly improve the quality of life for psoriatic patients. For example, he points to STELARA by Janssen Pharmaceuticals. With one injection every three months - that s only four times a year 75 percent of psoriasis patients can walk around almost clear, he happily states. This is a real breakthrough compared to what was available ten years ago, Dr. Bagel adds. At PTCCNJ trials to investigate promising immunosuppressant medications are continuously ongoing to determine their effectiveness on manipulating the immune system. Dr. Bagel discusses the significant benefits derived by appropriate patients who participate in Here a patient uses special light boxes designed to treat psoriasis of the palms of the hands and soles of the feet.
4 The dramatic results that can be achieved with biologic agents is evident in before and after photos of a patient who has undergone treatment at the Psoriasis Treatment Center of Central New Jersey. clinical trials. In some cases, they get five years of medical care and medication for free. They don t have to deal with their insurance companies to get drugs approved. They don t have to deal with copays, Dr. Bagel points out. Now we re developing newer IL-17 (interleukin 17) drugs where we ve seen people with a significant percent of their bodies covered with psoriasis become clear in a few weeks. So the scientific research and the impetus from pharmaceutical companies and clinical trial development for psoriasis over the last ten years have been phenomenal and the improvement in the quality of life has been significant, relates Dr. Bagel. For Dr. Bagel it s all about bringing a better quality of life to those who suffer the physical and psychological trauma Dr. Bagel uses an excimer laser to treat the elbow of a psoriatic patient. of living with psoriasis. He offers a hypothetical scenario involving a young girl with psoriasis: Imagine being a 16 year old girl with psoriasis on your elbows and forehead on a beautiful summer day. You re meeting your best friend at a public pool. You both approach the water and you re told you cannot go in because you might have something contagious. You cry and you go home. Now imagine how this affects your self-esteem and increases your depression, Dr. Bagel asks. In fact, as Dr. Bagel states, psoriatics have a significantly higher incidence of depression compared to the normal population and use anti-anxiety medications with significantly more frequency. So you have depression, which is severe, increased frequency of suicidal ideation and in fact, there is an increased frequency of suicide, he informs. In addition to the overwhelming psychological problems that detract from their quality of life, psoriatic patients suffer much physical discomfort. Psoriasis is very itchy and patients lose sleep at night, Dr. Bagel reports. There s also pain and bleeding from the excessive scratching. So there s itching and pain and times when psoriatics have go to work tired from lack of sleep, he states. Dr. Bagel goes on to share the results of a Harvard study which he collaborated on, that was reported this month at the American Academy of Dermatology meeting, held in New York City. It revealed that when asked, the average psoriatic patient would agree to relinquish five years of his or her life to have normal skin. Ironically, as Dr. Bagel further reports, the average psoriatic actually lives five years less than the normal lifespan because of underlying risk factors associated with psoriasis. It has been found out over the past six or seven years that psoriasis is not just a disease of the skin, reveals Dr. Bagel. First of all, 25 percent of all people with psoriasis also have psoriatic arthritis. The same inflammation that appears on the skin is present within the joints. When left untreated, that destruction of the joints becomes irreversible, he explains. Since the initial presentation of psoriasis usually precedes the development of psoriatic arthritis by ten years, Dr. Bagel emphasizes the importance of early diagnosis and intervention by the dermatologist. Besides the risk of developing psoriatic
5 arthritis, as Dr. Bagel discusses in great detail, recent studies have confirmed that young people with psoriasis have increased risk for developing a heart attack or stroke. This is primarily due to the fact that people with psoriasis tend to have a greater incidence of those conditions that put one at increased risk. People with psoriasis have an increased frequency of obesity, have an increased frequency of diabetes, have an increased frequency of metabolic syndrome and in addition, have an increased frequency of depression, Dr. Bagel specifies. I think we have to look at psoriasis much like we look at diabetes. When an ophthalmologist looks at the retina of the eye and discovers vasculopathy, he or she tells the patient to see an endocrinologist to be evaluated for diabetes, he states. When you, as a dermatologist, see a patient with psoriasis, you need to tell that person to consult with a cardiologist or at the very least, an internist to be evaluated for lipids and possible cardiovascular problems, Dr. Bagel strongly advises. On the brighter side, Dr. Bagel reports on some preliminary data which suggests that when psoriatics are treated with the newer biologic agents, especially TNF inhibitors, the incidence of heart attacks and strokes decreases. Not only does the psoriasis go away but you re decreasing the entire inflammatory load, explains Dr. Bagel. By decreasing the body s inflammation, you re decreasing the amount of psoriasis, you re decreasing the amount of atherosclerosis in the blood vessels and you re decreasing the incidence of heart attacks and stroke, he reiterates. Dr. Bagel makes a point of emphasizing that for patients with mild psoriasis affecting less than 10 percent of the body, going to a traditional dermatology office and receiving a prescription for a topical ointment is probably sufficient most of the time. However for those patients with moderate to severe cases of psoriasis, the resources of a dedicated psoriasis treatment center are crucial for the ability to provide the most optimal level of care in each case. If you re not involved with all the bells and whistles of a psoriasis treatment center, it s hard to make a go of psoriasis if you re just writing prescriptions for biologic agents or topicals, asserts Dr. Bagel. You need to be doing other things like phototherapy 25% of people with psoriasis also have psoriatic arthritis as can be seen on the hand of this patient. This patient is a participant in a clinical trial investigating one of the newer biologic agents. His psoriasis has cleared significantly after only a few weeks of treatment. Dr. Bagel and the clinical trials team at PTCCNJ meet regularly to discuss each patient s progress. and clinical trials in order to have that infrastructure which allows you to really provide optimal care to psoriatic patients, he strongly believes. Without the success of Windsor Dermatology, Dr. Bagel acknowledges that the Psoriasis Treatment Center of Central New Jersey would not have been able to thrive and evolve into the haven for psoriatics that it is today. He built Windsor Dermatology on the foundation of providing the highest level of care for a myriad of medical skin conditions in addition to psoriasis, including skin cancer. Today, Windsor Dermatology also offers the most innovative cosmetic and laser procedures. Here is an overview of the medical and cosmetic treatment services available:
6 MEDICAL DERMATOLOGY Annual skin cancer check-up Eczema Hair loss Hives Hyperhidrosis (excessive sweating) Moles Molluscum Port wine stains Rosacea Skin allergy/contact dermatitis Skin cancer/mohs surgery Skin tags Sun-damaged skin Warts Besides Dr. Bagel, five board-certified dermatologists comprise Windsor Dermatology s staff of expertly-trained physicians (see below). Most recently, Windsor Dermatology has added a licensed and accredited aesthetician to recommend personal skincare treatment customized for each patient s needs. The Physicians of Windsor Dermatology Jerry Bagel, MD Judit Stenn, MD David Nieves, MD Wendy Meyers, MD Brian Keegan, MD, PhD Matthew Halpern, MD Theresa Zwada, Windsor Dermatology s aesthetician, performs a facial treatment.. COSMETIC and LASER Botox and Juvederm for wrinkle correction Skin rejuvenation lasers to treat skin laxity, blotchiness, sun spots, scars and superficial blood vessels Hair removal laser to treat unwanted hair Sclerotherapy to eliminate unsightly leg veins Skin tag removal Dr. Bagel makes a point of mentioning the priority placed on making sure that patients treated at Windsor Dermatology have a positive experience. First and foremost, he cites the impressive qualifications of the physicians. We really try to maintain a high level of expertise, says Dr. Bagel. We have smart people who went to excellent schools. Additionally, patient surveys are undertaken often to identify problems and correct them. We ve gotten to the point where we are very patient-friendly and service-oriented, Dr. Bagel shares. It s taken some time but this is something we have really tried to develop with no nonsense, he emphasizes. Certainly, for anyone within New Jersey or surrounding areas who is suffering with moderate to severe psoriasis, Dr. Bagel and the staff at the Psoriasis Treatment Center of Central New Jersey offer real hope for a dramatically improved quality of life. For other medical and/or cosmetic dermatology patients treated at Windsor Dermatology, the results will be no less exceptional. Dr. Bagel wouldn t have it any other way. Windsor Dermatology and the Psoriasis Treatment Center of Central New Jersey are located at 59 One Mile Road Ext, Suite G. For more information or to schedule an appointment, please call (609) or visit
X-Plain Psoriasis Reference Summary
X-Plain Psoriasis Reference Summary Introduction Psoriasis is a long-lasting skin disease that causes the skin to become inflamed. Patches of thick, red skin are covered with silvery scales. It affects
More informationPATIENT RESOURCES: PSORIASIS
PATIENT RESOURCES: PSORIASIS Psoriasis is a persistent skin disorder in which there are red, thickened areas with silvery scales, most often on the scalp, elbows, knees, and lower back. Some cases, of
More informationPsoriasis. Student's Name. Institution. Date of Submission
Running head: PSORIASIS Psoriasis Student's Name Institution Date of Submission PSORIASIS 1 Abstract Psoriasis is a non-contagious chronic skin disease that is characterized by inflammatory and multiplying
More informationPsoriasis Co-morbidities: Changing Clinical Practice. Theresa Schroeder Devere, MD Assistant Professor, OHSU Dermatology. Psoriatic Arthritis
Psoriasis Co-morbidities: Changing Clinical Practice Theresa Schroeder Devere, MD Assistant Professor, OHSU Dermatology Psoriatic Arthritis Psoriatic Arthritis! 11-31% of patients with psoriasis have psoriatic
More informationFastTest. You ve read the book... ... now test yourself
FastTest You ve read the book...... now test yourself To ensure you have learned the key points that will improve your patient care, read the authors questions below. Please refer back to relevant sections
More informationFor more information, please contact the National Psoriasis Foundation at 800-723-9166 or
For more information, please contact the National Psoriasis Foundation at 800-723-9166 or www.psoriasis.org. PSORIASIS 101: LEARNING TO LIVE IN THE SKIN YOU RE IN is part of an awareness program to educate
More informationIs Monotherapy Treatment of Etanercept Effective Against Plaque Psoriasis?
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2011 Is Monotherapy Treatment of Etanercept
More informationLaser and Cosmetic Center
Laser and Cosmetic Center A Patient s Guide to Cosmetic Dermatology WELCOME Experts You Can Trust The Massachusetts General Hospital Dermatology Laser and Cosmetic Center s depth of experience is unmatched.
More informationPSORIASIS AND ITS. Learn how vitamin D medications play an important role in managing plaque psoriasis
PLAQUE PSORIASIS AND ITS TREATMENTS Learn how vitamin D medications play an important role in managing plaque psoriasis 2 Understanding Plaque Psoriasis WHAT CAUSES PLAQUE PSORIASIS? No one knows exactly
More informationYour psoriasis story. Print this out, answer the questions, then share it with your doctor
Your psoriasis story Print this out, answer the questions, then share it with your doctor 1 SYMPTOMS Surface Area Your doctor will use a variety of different factors to measure the severity of your disease,
More informationPsoriasis: Controlled YOUR GUIDE TO BIOLOGICAL TREATMENTS FOR PLAQUE PSORIASIS
Psoriasis: Controlled YOUR GUIDE TO BIOLOGICAL TREATMENTS FOR PLAQUE PSORIASIS 2 Proudly supported by Disclaimer: Some photographs and models used in this booklet are for illustrative purposes only and
More informationbiologics for the treatment of psoriasis
How to contact us The Psoriasis Association Dick Coles House 2 Queensbridge Northampton NN4 7BF tel: 08456 760 076 (01604) 251 620 fax: (01604) 251 621 email: mail@psoriasis-association.org.uk www.psoriasis-association.org.uk
More informationTreatment options a simple guide
Guide Treatment options a simple guide To decide which treatment is right for you, a good starting point is to know what options you have and to understand the pros and cons of each one. People respond
More informationMEDICAL BREAKTHROUGHS RESEARCH SUMMARY
MEDICAL BREAKTHROUGHS RESEARCH SUMMARY TOPIC: Training the Body to Fight Melanoma REPORT: 3823 BACKGROUND: Melanoma is the most dangerous form of skin cancer that can be hard to treat and fatal if not
More informationPsoriatic arthritis FACTSHEET
1 What is psoriatic arthritis? Psoriatic arthritis (PsA) is a disease where joints around the body become inflamed and sore. It can make moving about difficult and painful. People who have PsA also have
More informationBiologic Treatments for Rheumatoid Arthritis
Biologic Treatments Rheumatoid Arthritis (also known as cytokine inhibitors, TNF inhibitors, IL 1 inhibitor, or Biologic Response Modifiers) Description Biologics are new class of drugs that have been
More informationWhere World-Class Expertise and Genuine Compassion Come Together. AT THE FOREFRONT OF TRANSPLANT CARE Kidney Combined Kidney-Pancreas Pancreas Islets
Where World-Class Expertise and Genuine Compassion Come Together 0011000110100111100110111100000101010011000101100010111000010010000100010000100001011110101010101111000 000010111000101110011000110100111100110111100000101010011000101100010111000010010000100010000100
More informationTREATMENTS FOR MODERATE OR SEVERE PSORIASIS
TREATMENTS FOR MODERATE OR SEVERE PSORIASIS What are the aims of this leaflet? Patients with psoriasis are usually treated with creams and ointments, which are applied to the skin. These are discussed
More informationPsoriasis Field Tests
Psoriasis Field Tests Human Test Results Phillips Company www.phillipscompany.4t.com For more information, please see http://psoriasisplus.yolasite.com Page 1 Contents Foreward... 2 A discovery -- Dermoneen
More informationMEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES `I. Requirements for Prior Authorization of Cytokine and CAM Antagonists
MEDICAL ASSISTANCE HBOOK `I. Requirements for Prior Authorization of Cytokine and CAM Antagonists A. Prescriptions That Require Prior Authorization All prescriptions for Cytokine and CAM Antagonists must
More informationHow To Lose Weight With Diabetes
1 of 5 1/9/2014 9:22 AM Published: Summer 2013 Margaret Stevens was diagnosed with Type 2 diabetes nearly three decades ago. A Type 2 diabetic, Margaret Stevens has lost over 100 pounds and has her glucose
More informationVITILIGO Charles Camisa, MD 1/24/12. Vitiligo is a common autoimmune skin disease that causes gradual loss of the natural
VITILIGO Charles Camisa, MD 1/24/12 What is vitiligo? Vitiligo is a common autoimmune skin disease that causes gradual loss of the natural brown pigment in the skin called melanin. It affects about 1%
More informationPsoriasis Treatment Transition Pathway
Psoriasis Treatment Transition Pathway A Treatment Support Tool Adapted from Circle Nottingham NHS Treatment Centre Psoriasis Pathway (under consultation) with support from Abbvie Ltd Treatment Pathways
More informationRheumatoid Arthritis
Rheumatoid Arthritis While rheumatoid arthritis (RA) has long been feared as one of the most disabling types of arthritis, the outlook has dramatically improved for many newly diagnosed patients. Certainly
More informationPRACTICAL HELP FROM THE ARTHRITIS FOUNDATION. www.arthritis.org 800-283-7800. Psoriatic Arthritis
Psoriatic Arthritis WHAT IS PSORIATIC ARTHRITIS? Psoriatic (sore-ee-aah-tick) arthritis is a condition that causes pain and swelling in joints and scaly patches on the skin. Psoriatic arthritis occurs
More informationPsoriatic Arthritis www.arthritis.org.nz
Psoriatic Arthritis www.arthritis.org.nz Did you know? Arthritis affects one in six New Zealanders over the age of 15 years. Psoriatic arthritis usually appears in people between the ages of 30 to 50.
More informationPublic Forum on Psoriasis. 2011 National Series
Public Forum on Psoriasis 2011 National Series Jerry Tan MD FRCPC Schulich School of Medicine and Dentistry, University of Western Ontario Windsor, Ontario, Canada Presented at Caboto Club, Windsor, April
More informationPsoriasis. Psoriasis. Mark A. Bechtel, M.D. Director of Dermatology The Ohio State University College of Medicine
Psoriasis Mark A. Bechtel, M.D. Director of Dermatology The Ohio State University College of Medicine Psoriasis Psoriasis is a chronic skin disorder resulting from a polygenic predisposition combined with
More informationDo I need a physician referral? Yes, we see patients on referral from a health care provider.
FAQS FOR OFFICE POLICIES How do I get an appointment? New appointments are made by physician referral only. Your referring health care provided will call for the appointment for you. What do I need to
More informationAdditional information >>> HERE <<< How To scalp psoriasis treatment philippines Scam or Work?
Additional information >>> HERE http://urlzz.org/psoriasis7/pdx/fph1
More informationMEDICATION GUIDE REMICADE (Rem-eh-kaid) (infliximab) Read the Medication Guide that comes with REMICADE before you receive the first treatment, and
MEDICATION GUIDE REMICADE (Rem-eh-kaid) (infliximab) Read the Medication Guide that comes with REMICADE before you receive the first treatment, and before each time you get a treatment of REMICADE. This
More informationOnce the immune system is triggered, cells migrate from the blood into the joints and produce substances that cause inflammation.
HealthExchange Points For Your Joints An Arthritis Talk Howard Epstein, MD Orthopaedic & Rheumatologic Institute Rheumatic & Immunologic Disease Cleveland Clinic Beachwood Family Health & Surgery Center
More informationBaskets of Care Diabetes Subcommittee
Baskets of Care Diabetes Subcommittee Disclaimer: This background information is not intended to be a comprehensive scientific discussion of the topic, but rather an attempt to provide a baseline level
More informationSERVICES. Cosmetic and Laser Surgery
SERVICES Cosmetic and Laser Surgery Cosmetic and Laser Surgery at Lahey Outpatient Center, Lexington, uses the most advanced anti-aging treatments and technologies to restore the younger, more vibrant
More informationAn overview of. PSORIASIS and PSORIATIC ARTHRITIS.» Diagnosis» Symptoms» Triggers» Treatments
An overview of PSORIASIS and PSORIATIC ARTHRITIS» Diagnosis» Symptoms» Triggers» Treatments WHAT IS PSORIASIS? PSORIASIS is pronounced sore-eye-ah-sis. It is an autoimmune disease, meaning that certain
More informationPsoriasis Can be Cured with Homoeopathy
Homoeopathy Clinic http://www.homoeopathyclinic.com Psoriasis Can be Cured with Homoeopathy Case Report / General Information What you should Know about Psoriasis? It is not a contagious disease. Psoriasis
More informationUnderstanding Rheumatoid Arthritis
Understanding Rheumatoid Arthritis Understanding Rheumatoid Arthritis What Is Rheumatoid Arthritis? 1,2 Rheumatoid arthritis (RA) is a chronic autoimmune disease. It causes joints to swell and can result
More informationDepartment of Dermatology, Churchill Hospital PUVA Treatment
Oxford University Hospitals NHS Trust Department of Dermatology, Churchill Hospital PUVA Treatment information for patients CONTENTS What is PUVA 3 What conditions are treated with PUVA? 3 How is PUVA
More informationRheumatic Diseases, Psoriasis, and Crohn s Disease
Rheumatic Diseases, Psoriasis, and Crohn s Disease What does this handout cover? This handout has information about rheumatic disease, psoriasis, and Crohn s disease. It also has information on how these
More informationCutaneous Lymphoma FAST FACTS
Cutaneous Lymphoma FAST FACTS What is Cutaneous Lymphoma? Cutaneous lymphomas are types of non-hodgkin s lymphomas (NHL) that originate in the lymphocytes (white blood cells). Unlike most other types of
More informationDepression in Older Persons
Depression in Older Persons How common is depression in later life? Depression affects more than 6.5 million of the 35 million Americans aged 65 or older. Most people in this stage of life with depression
More informationMedical personnel are growing more aware of the extent of an esthetician s
Chapter 1 Defining Roles Medical personnel are growing more aware of the extent of an esthetician s training and realizing the potential value in bringing an esthetician into the medical environment. Working
More informationWhat is Psoriasis? Common Areas Affected. Type Who Does it Affect Characteristics
What is? is a term derived from the Greek word psōra which means itch and is a common, long lasting, inflammatory skin condition which affects 1-3% of the UK population and about 80 million people worldwide.
More informationWhat are spider veins? What is the best treatment for spider veins?
Laser Spider/Leg Vein Q & A What are spider veins? Millions of women and men are bothered by unsightly spider veins on their faces and legs. Spider veins or telangiectasias are those small red, blue and
More informationMEDICATION GUIDE STELARA
MEDICATION GUIDE STELARA (stel ar a) (ustekinumab) Injection What is the most important information I should know about STELARA? STELARA is a medicine that affects your immune system. STELARA can increase
More informationCLINICAL BRIEFS. Considerations for the Clinical Assessment of the Patient With Plaque Psoriasis. By Amy Krajacic
CLINICAL BRIEFS Considerations for the Clinical Assessment of the Patient With Plaque Psoriasis By Amy Krajacic Senior Medical Editor, Custom Publications MediMedia USA, Yardley, Pa. A review of recently
More informationVARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital
VARICOSE VEINS Information Leaflet Your Health. Our Priority. Page 2 of 7 Varicose Veins There are no accurate figures for the number of people with varicose veins. Some studies suggest that 3 in 100 people
More informationWhat is Rheumatoid Arthritis?
Name: A Case Study in Pharmaceutical Research Date: Class Work: Part I Aim: How do Biologists Select their Projects? What is Rheumatoid Arthritis? Rheumatoid arthritis (rue-ma-toyd arth-write-tis) is a
More informationSkin cancer Patient information
Skin cancer Patient information What is cancer? The human body is made up of billions of cells. In healthy people, cells grow, divide and die. New cells constantly replace old ones in an orderly way. This
More informationMale New Patient Package
Male New Patient Package The contents of this package are your first step to restore your vitality. Please take time to read this carefully and answer all the questions as completely as possible. Thank
More informationSummary of the risk management plan (RMP) for Otezla (apremilast)
EMA/741412/2014 Summary of the risk management plan (RMP) for Otezla (apremilast) This is a summary of the risk management plan (RMP) for Otezla, which details the measures to be taken in order to ensure
More informationTreating Psoriasis Naturally. Dr. Deborah Ardolf, ND
Treating Psoriasis Naturally by Dr. Deborah Ardolf, ND Psoriasis is an extremely common, noncontagious skin disorder affecting between 2% to 4% of the United States population. Psoriasis affects men and
More informationDisease Modifying Therapies for MS
Disease Modifying Therapies for MS The term disease-modifying therapy means a drug that can modify or change the course of a disease. In other words a DMT should be able to reduce the number of attacks
More informationOther Noninfectious Diseases. Chapter 31 Lesson 3
Other Noninfectious Diseases Chapter 31 Lesson 3 Diabetes Diabetes- a chronic disease that affects the way body cells convert food into energy. Diabetes is the seventh leading cause of death by disease
More informationAdditional information >>> HERE <<< How To scalp psoriasis treatment philippines Scam or Work?
Additional information >>> HERE http://urlzz.org/psoriasis7/pdx/fph1
More informationNail Psoriasis. A positive approach. to psoriasis and. psoriatic arthritis
Nail Psoriasis A positive approach to psoriasis and psoriatic arthritis What is psoriasis? Psoriasis (Ps) is a long-term (chronic) scaling disease of the skin, which affects 2% 3% of the UK population.
More informationTOPICAL TREATMENTS FOR PSORIASIS
TOPICAL TREATMENTS FOR PSORIASIS What are the aims of this leaflet? Patients with psoriasis are usually treated with preparations that are applied to the skin. This leaflet has been written to help you
More informationPsoriasis is a skin condition that causes scaly red patches on your skin. There's no cure for psoriasis, but there are treatments that can help.
Patient information from the BMJ Group Psoriasis What is it? What are the symptoms? How is it diagnosed? How common is it? What treatments work? What will happen? Questions to ask Psoriasis If you get
More informationA Genetic Analysis of Rheumatoid Arthritis
A Genetic Analysis of Rheumatoid Arthritis Introduction to Rheumatoid Arthritis: Classification and Diagnosis Rheumatoid arthritis is a chronic inflammatory disorder that affects mainly synovial joints.
More informationRESEARCH FUNDING HITS NEW HEIGHTS
THE MAGAZINE OF TULANE UNIVERSITY SCHOOL OF MEDICINE SUMMER 2011 RESEARCH FUNDING HITS NEW HEIGHTS A CHANGING ENVIRONMENT IN MEDICAL EDUCATION MORE THAN SKIN DEEP CAPTION HEAD TK Text here and more text
More informationDisease Modifying Therapies for MS
Disease Modifying Therapies for MS The term disease-modifying therapy (DMT) means a drug that can modify or change the course of a disease. In other words a DMT should be able to reduce the number of attacks
More informationX-Plain Rheumatoid Arthritis Reference Summary
X-Plain Rheumatoid Arthritis Reference Summary Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating
More informationPsoriatic Arthritis. having psoriatic arthritis.
Psoriatic Arthritis having psoriatic arthritis. Psoriatic arthritis is a chronic disease characterized by a form of inflammation of the skin (psoriasis) and joints (inflammatory arthritis). Psoriasis is
More informationDrug Therapy Guidelines: Humira (adalimumab)
Drug Therapy Guidelines: Humira (adalimumab) Effective Date: 5/1/08 Committee Review Date: 1/6/01, 9/18/01, 1/15/02, 1/7/03, 1/20/04, 1/18/05, 12/7/05, 10/15/06, 7/2/07, 11/5/07, 3/25/08 Policy Statements:
More informationTHE ROLE. Testimony United. of the. University. practicing. primary care. of care.
THE ROLE OF VALUE BASED INSURANCE DESIGN IN HEALTH CARE DELIVERY INNOVATION Testimony United States Senate Committee on Health, Education, Labor and Pensions A. Mark Fendrick, MD Professor of Internal
More informationLearn about Diabetes. Your Guide to Diabetes: Type 1 and Type 2. You can learn how to take care of your diabetes.
Learn about Diabetes You can learn how to take care of your diabetes and prevent some of the serious problems diabetes can cause. The more you know, the better you can manage your diabetes. Share this
More informationDIABETES A chronic, debilitating and often deadly disease A global epidemic Diabetes in Africa
DIABETES A chronic, debilitating and often deadly disease Diabetes is a chronic condition that arises when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin
More informationAgnes Ju Chang, M.D., F.A.A.D.
Agnes Ju Chang, M.D., F.A.A.D. Dear Valued Patient: Thank you for choosing Integrated Dermatology of K Street, the office of board certified dermatologists, Dr. Agnes Ju Chang, Dr. David A. Lee, Allison
More informationMedicines for Psoriatic Arthritis. A Review of the Research for Adults
Medicines for Psoriatic Arthritis A Review of the Research for Adults Is This Information Right for Me? Yes, this information is right for you if: Your doctor* has told you that you have psoriatic (pronounced
More informationICON PRE AND POST OP INSTRUCTIONS. MAXG or 1540 (XD/XF)
ICON PRE AND POST OP INSTRUCTIONS MAXG or 1540 (XD/XF) Pre-Op Instructions 1. Please arrive to appointment 15 minutes before your scheduled time. Please be advised, running late may result in less than
More informationNurse Practitioner, Dermatology
Melissa O Neill, O MS, APRN Nurse Practitioner, Dermatology Three Types of Skin Cancer > Basal Cell Carcinoma > Squamous Cell Carcinoma > Malignant Melanoma Basal Cell Carcinoma > Most common skin cancer
More informationBOWEN S DISEASE (SQUAMOUS CELL CARCINOMA IN SITU)
BOWEN S DISEASE (SQUAMOUS CELL CARCINOMA IN SITU) What are the aims of this leaflet? This leaflet has been written to help you understand more about squamous cell carcinoma in situ (Bowen s disease). It
More informationX-Plain Alopecia Reference Summary
X-Plain Alopecia Reference Summary Introduction Hair loss is very common in both men and women. You or someone you love may be experiencing hair loss. Hair follicle Learning about normal hair growth is
More informationAcknowledgement of Receipt of Notice of Privacy Practices
Acknowledgement of Receipt of Notice of Privacy Practices **You May Refuse to Sign This Acknowledgement** I,, have received a copy of this office s Notice of Privacy Practices. Signature For Office Use
More informationwww.healthoracle.org 1
How does hair grow and should it recycle? A single hair follicle grows its hair strand over a period of four to six years (the anagen phase). It then rests for two to four months (the telogen phase), after
More informationExploring the Role of Vitamins in Achieving a Healthy Heart
Exploring the Role of Vitamins in Achieving a Healthy Heart There are many avenues you can take to keep your heart healthy. The first step you should take is to have a medical professional evaluate the
More informationMedicines To Treat Alcohol Use Disorder A Review of the Research for Adults
Medicines To Treat Alcohol Use Disorder A Review of the Research for Adults Is This Information Right for Me? Yes, this information is right for you if: Your doctor* said you have alcohol use disorder
More informationStatistics of Type 2 Diabetes
Statistics of Type 2 Diabetes Of the 17 million Americans with diabetes, 90 percent to 95 percent have type 2 diabetes. Of these, half are unaware they have the disease. People with type 2 diabetes often
More informationInfl ectra for rheumatoid arthritis
Infl ectra for rheumatoid arthritis Some important information to get you started with your treatment This booklet is intended only for use by patients who have been prescribed Inflectra. Introduction
More informationPopulation Health Management Program
Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care
More informationTREATMENT OF VARICOSE AND SPIDER VEINS Patient Info
TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more
More informationFDA approves Lucentis (ranibizumab injection) for treatment of diabetic macular edema
Media Release Basel, 13 August 2012 FDA approves Lucentis (ranibizumab injection) for treatment of diabetic macular edema First major treatment advance in more than 25 years for sight-threatening condition
More informationCancer Treatment Moringa Oleifera for Cancer Prevention or Treatment
Cancer Treatment Moringa Oleifera for Cancer Prevention or Treatment As we learn more about cancer, we are empowered to use more of the tools which nature has created for us to help battle this terrible
More informationRheumatoid Arthritis Information
Rheumatoid Arthritis Information Definition Rheumatoid arthritis (RA) is a long-term disease that leads to inflammation of the joints and surrounding tissues. It can also affect other organs. Alternative
More informationCLINICAL BRIEFS. Unmet Needs in the Management of Plaque Psoriasis
CLINICAL BRIEFS Unmet Needs in the Management of Plaque Psoriasis A review of recently published data with an analysis for managed care decision makers Supplement to Volume 18, No. 1 Supplement 1 January
More informationIs Insulin Effecting Your Weight Loss and Your Health?
Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults
More informationMultiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.
Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help
More informationHow To Choose A Biologic Drug
North Carolina Rheumatology Association Position Statements I. Biologic Agents A. Appropriate delivery, handling, storage and administration of biologic agents B. Indications for biologic agents II. III.
More informationTreating your skin condition with narrowband ultraviolet B radiation (NB-UVB)
Treating your skin condition with narrowband ultraviolet B radiation (NB-UVB) Your doctor has referred you to the Dowling Day Treatment Centre for a course of narrow band ultraviolet treatment for your
More informationInformation on Rheumatoid Arthritis
Information on Rheumatoid Arthritis Table of Contents About Rheumatoid Arthritis 1 Definition 1 Signs and symptoms 1 Causes 1 Risk factors 1 Test and diagnosis 2 Treatment options 2 Lifestyle 3 References
More informationWhat Is Medically. Supervised Detoxification? Chapter 13
Chapter 13 What Is Medically Supervised Detoxification? T I have been a heroin addict for three years and am desperately trying to stop. As the withdrawal symptoms are very severe, the muscle cramps, shakes,
More informationSeniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc.
Seniors and Depression What You Need to Know Behavioral Healthcare Options, Inc. Depression More Than Just The Blues ou may not know exactly what is wrong with you, but you do know that you just don t
More informationTired, Aching Legs? Swollen Ankles? Varicose Veins?
Tired, Aching Legs? Swollen Ankles? Varicose Veins? Healthy Legs 2006 http://healthylegs.com Page 1 Venous disorders are widespread Leg problems are widespread throughout the world, but what most people
More informationStepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU
FOR MS RELAPSES Stepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU As a person with multiple sclerosis (MS), you know firsthand the profound impact MS relapses can have on your
More informationLove the Skin You re In. Emily Lambert, MD Sara Drew, ANP
Love the Skin You re In Emily Lambert, MD Sara Drew, ANP Conditions Treated Unwanted Hair Sun Spots Wrinkles Redness Blood Vessels Spider Veins Scarring Aging Skin Melasma pregnancy mask Sun-damage Pre-cancers
More informationQuestions to Ask My Doctor About My Cancer
Questions to Ask My Doctor Being told you have cancer can be scary and stressful. You probably have a lot of questions and concerns. Learning about the disease, how it s treated, and how this information
More informationWhat You Need to Know About LEMTRADA (alemtuzumab) Treatment: A Patient Guide
For Patients What You Need to Know About LEMTRADA (alemtuzumab) Treatment: A Patient Guide Patients: Your doctor or nurse will go over this patient guide with you. It is important to ask any questions
More informationBlepharoplasty - Eyelid Surgery
Blepharoplasty - Eyelid Surgery Introduction Eyelid surgery repairs sagging or drooping eyelids. The surgery is also known as blepharoplasty, or an eyelid lift. Sagging or drooping eyelids happen naturally
More information