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The following article by William Goldsmith M.D. proved his last printable medical precise. He contributed many articles to the Public Affairs office, thirty for the online medium of the California State Military Reserve Regional Support Command (South).

1. Picture of Psoriasis Image Source: Color Atlas of Pediatric Dermatology Samuel Weinberg, Neil S. Prose, Leonard Kristal

He will still project the many versions of evidence based medicine.

Psoriasis is one of many curses which afflict mankind. It is probably an auto-immune disorder affecting the body’s recognition of normal skin cells. The cells multiply in columns, disrupting skin physiology. It often begins in childhood, a few lesions which may spread to the rest of the body.

It is not curable but may be improved by the following medications:

Coal tar shampoo
adalimumab, Humira
etanercept, Enbrel
acitretin – oral, Soriatane
calcipotriene – topical, Dovonex, Sorilux
capsaicin – topical, Capsagel, Salonpas-Hot, Zostri
pimecrolimus, Elidel
clobetasol shampoo – topical, Clobex
clobetasol foam – topical, Olux
cyclosporine – oral, Sandimmune
Feverfew (Tanacetum parthenium, Chrysanthemum parthenium, Bachelor’s Buttons, Featherfew)
methoxsalen – topical, Oxsoralen
tazarotene (Tazorac)
etretinate-oral, Tegison
betamethasone/calcipotriene (calcipotriol) – topical, Taclonex
anthralin – topical
anthralin (for scalp only) – topical, Dritho-Scalp
salicylic acid/flex collodion combinations liquid – topical, Freezone, Gordofilm
betamethasone foam – topical, Luxiq
methoxsalen – oral

Back and arms of a person with psoriasisl

corticosteroids (Systemic, Oral and Injectable)
prednisolone (Flo-Pred, Pediapred, Orapred, Orapred ODT)
dexamethasone
methotrexate – oralTopical Corticosteroids
alefacept, Amevive
cyclosporine solution – oral, Sandimmune
efalizumab, Raptiva

The main meds are steroids which reduce the auto-immune process. There is no cure. Psoriasis may be mild, severe, chronic or intermittent. Often beginning in childhood, it may be associated with diabetes and heart disease. When suspected, blood glucose, EKG, and cardiac enzymes should be monitored. Ir is not a simple skin problem.

Only 3% of the population is affected, so don’t worry too much.

Col. (CA) William Goldsmith, M.D.

1/1/’15

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