Rainbow City woman struggles with sarcoidosis - Gadsden Times (subscription)

20 Aug 2008 at 6:15am 

Rainbow City woman struggles with sarcoidosis Gadsden Times (subscription), AL - Aug 20, 2008 ... and got a series of diagnoses: lupus, fibromyalgia, chronic fatigue syndrome, clinical depression, bacterial infection and fungal infection among them. ...

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Q&A: Sarcoidosis - Jackson Clarion Ledger

13 Aug 2008 at 7:35am 

Q&A: Sarcoidosis Jackson Clarion Ledger, MS - Aug 13, 2008 Prednisone is probably the corticosteroid most often prescribed today. There is no treatment at present to reverse the lung scarring (fibrosis) that might ...

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FDA Safety Changes: Asmanex Twisthaler, Advair HFA, Avelox - Medscape (subscr...

24 Jul 2008 at 5:12pm 

FDA Safety Changes: Asmanex Twisthaler, Advair HFA, Avelox Medscape (subscription) - Jul 24, 2008 The FDA also warned of the risk for impaired adrenal function when switching from oral steroids (eg, prednisone tablets) to inhaled corticosteroids such as ...

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Skin cancer, eczema, pink eye, ear infection and Medicine.

24 Aug 2007 at 8:13pm  Skin cancer, eczema, pink eye, ear infection and Medicine.
LuisLomeliMD
7 min - Aug 25, 2007

Lomeli Clinical Images 82407 In clinical Medicine, so much remains undefined. The data in most textbooks are derived from various sources and written by authors who may not see patients. Looking back, I have been studying medicine, especially psychiatry, since I was just a boy. There are great medical students who are unable to get the information I own. They write to me from other countries asking me to post more of my works. Had I committed myself to a publishing contract, I would not be able to do what I do today for the benefit of Medicine and Humanity. There are many topics in the video. The first one is of an infant with widespread Seborrheic Dermatitis. This case was probably due to a hypersensitivity reaction to a fungus. He was well at 12 months of age. Actinic Keratosis (AK) is simple to treat with liquid nitrogen. The clinician must make sure that the patient is not prone to Keloid formation. AK is a low-grade precancerous condition that might lead to a Basal Cell Carcinoma. These cancers are locally invasive and readily treatable. Squamous carcinoma of the face and neck are infrequent but are significantly more serious. Melanomas are relatively rare, and I am always looking for dysplastic lesions. I suspect that billions of dollars are spent yearly in biopsing moles that most often are benign, not melanoma. Victoriano is my patient with the big tongue. He was born at the Los Angeles Children's Hospital and his Lymphangioma and Hemangioma were more extensive at birth and extended into his lungs. His tongue becomes swollen and infected when he accidentally bites it. The best treatment I developed was a mixture of Amoxicillin, Metronidazole and a short course of Prednisone. He is now 9 and the lesion is about 85% resolved. My son was a mouth breather, and I never used over-the-counter drugs for his congestion. Mouth breathing may be useful in preventing the allergen from reaching the lungs and thus activating bronchial asthma in a susceptible patient. I have often seen pollen in the stools of children with hay fever. Parents worry that mouth breathing might cause harm or a lack of oxygen to the brain. It is not so. Allergic rhinitis is the most common cause of middle ear infections. Why is this important? A year ago I saw a 23-pound, 1-year-old child with continuous otitis media for a month. He had been receiving toxic amounts of antibiotics (adult doses), but he had failed to respond. He developed diarrhea with yeast buds as seen in this video. Parents can help the doctor by simply observing that the child with recurrent middle ear infections is always rubbing his nose, is congested and often breaths through his mouth. My approach to middle ear infections has eliminated the need for "ear tubes" in 99% of my patients. Dermatology, for the most part, is really psychiatry. In my medical career, I rarely needed to consult a dermatologist. The child with hand dermatitis (suctioning of area when stressed with secondary salivary/traumatic dermatitis) turned out to be highly complex psychologically. The skin part was the easiest part to treat. The man with the ear malformation was wearing a band-aid. His wife had been making comments about his "ugly ear." The young woman with eczema over arms with secondary infection required counseling which took me an hour. She has been my patient since, though she has insurance that I do not accept (it doesn't cover my costs). Erythema annulare centificum is also spelled centrifigum according to another source. The patient in the view was 8-months pregnant and was otherwise healthy. I suspect that she developed a hypersensitivity reaction to a skin fungus (dermatophytes). The lady with the Erythema Nodosum was well a month later after a short course of Prednisone. In Medicine, one must be cautious regarding cause and effect. In other words, if I had attributed her Erythema Nodosum to a positive skin test, I could have missed an alternative diagnosis. The Jerusalem Cricket is of concern since many Latinos are horrified of it, though it causes no harm. Halitosis, or bad breath, is often attributed to liver disease, as is Melasma or Chloasma. Nickel is a ubiquitous metal and is used in metal utensils, jewelry and is mixed with Gold in order to harden it. Regarding your eyes, before using Restasis®, you should consider the possible consequences. Shingles over the ear/eye can be serious. The patient in the video recovered. Giardiasis may be difficult to diagnose and stool studies are often reported as falsely negative (not present). The clinical history is of utmost importance. Luis Lomeli MD/Beta

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Dermatitis, Eczema, Impetigo, Jock Itch, Pityriasis...

17 May 2007 at 9:34pm  Dermatitis, Eczema, Impetigo, Jock Itch, Pityriasis...
LuisLomeliMD
7 min - May 18, 2007

The French statement su pays des aveugles les borgnes sont rois is true in healthcare. That is, in the land of the blind, the one-eyed are kings. It is my intent to teach Medicine to consumers so that they can get the best care possible at minimal time and cost. Herein, I cover topics that include Eczema (Atopic Dermatitis), Pytiriasis alba, Diaper dermatitis, Poison ivy/oak/sumac dermatitis, Impetigo, Tinea Cruris (Jock Itch), Tinea corporis (ringworm), Scabies, Psoriasis and Chemical ("Alley") dermatitis. For skin care and various kinds of dermatitides, students of medicine can choose to learn many different brands but the task of memorizing such products becomes overwhelming and relatively impossible. For the benefit of the student and patient, only a few products need to be known (all generics) to care for patients with most types of skin conditions. I only prescribe the following topical corticosteroids. Hydrocortisone 1% cream, ointment or lotion and it is not fluorinated and can be used on the face. Hydrocortisone is a low potency corticosteroid and is available over the counter. Triamcinolone cream 0.1% is relatively potent corticosteroids that I use on patients with Psoriasis. Clinicians must avoid specific areas of the body so as to avoid the development of striae. Triamcinolone is a fluorinated corticosteroid and should never be used on the face. If properly used, corticosteroids infrequently cause skin atrophy or suppression of the hypothalamic-pituitary-adrenal axis. At times, if the skin dermatitis is severe as in Poison Ivy/Oak, I may prescribe a short course of an inexpensive generic corticosteroid like Prednisone, which I taper over l3 days so as to avoid a rebound of the Poison Ivy/Oak dermatitis. Clinicians must avoid prescribing TACROLIMUS (Protopic®/Astellas) and PIMECROLIMUS (Elidel®/Novartis) since they are expensive and associated with serious side effects that include cancer (e.g., lymphoma). We have better options. Some children are born with a triad of Eczema, Allergy Rhinitis (Hay Fever) and Bronchial Asthma. Parents of such children often become exasperated and want a rapid but perilous rapid cure. With time, these conditions resolve on their own as our bodies mount specific immune-mediated (adaptive) responses. For Atopic Dermatitis (Eczema), skin testing and immunotherapy is not useful, and it is expensive. For skin fungal infection, Tinea, Jock Itch, I exclusively prescribe Clotrimazole cream 1% which is readily available over the counter. This anti-fungal covers vaginal yeast, athlete's feet, jock itch, and ringworm. I usually mix the cream with hydrocortisone .5% or 1% if there is a lot of inflammation. Hydrocortisone by itself will exacerbate topical fungal infections. For Tinea Capitis, patients usually require a four to six week course of oral Griseofulvin. For oral thrush, Nystatin is the drug of choice and should, by now, be inexpensive. Vaseline® ointment can also be useful for dry skin, especially in the winter, mixed with hydrocortisone cream. For itching, I usually prescribe oral Diphenhydramine (Benadryl®) or prescription Hydroxyzine. An itchy skin can be a challenging cognitive clinical case as is it often is with Lichen Simplex Chronicus (LSC). Recently, I saw a man with an itchy area over the outer part of the right leg. Over the last seven years, he had made bad financial investments, and he was about to declare bankruptcy. This man required over an hour of my time in order to help him resolve his personal crisis. The skin itching was the least of his problems. My data will help insure that the consumers are no longer blind and the one-eyed king is put out of business. Luis Lomeli MD The information is for properly licensed physicians. It is not to be used to self-diagnose.

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