Welcome to Atlantic Dermatology loed inWilmington, North Carolina. I'm Crane, I'm a board certified dermatologist, and I'mhere to talk about Pityriasis Rosea. Pityriasis Rosea is a condition that pops up usuallyjust onceyour life, so at least you don't have to deal with it on multiple occasionsand it's a rash. You might have a sore throat or a little bit of an infection, then threefourweeks later next thing you know you pop up with a spot that looks like a fungus or aringworm. And it will be first be noticed by a single circular area. It might be a circularred area on your chest, for example, or on your back, and that we call the Herald Patch.And the next thing you know, you got a lot
of smaller spots that sometimes will followyour skin lines around the belly, around your backshoulders, and it looks almost like lotsof little spots of fungus popping up on you. Sometimes it itches, sometimes it doesn't.Now lets say you have this rash that pops up on you; if you do nothing whatsoever aboutit, many a times it goes awaysix to eight weeks, butdark skinned patients it mayleave spots: dark spots, dark circular areas and you want to get rid of it because it mayitch or it may bother you or you just don't like the looks of it, then topical steroidcreams are often helpful. So you go, you see your dermatologist, often they'll prescribeyou something like Triamcinolone cream or
sometimes even Prednisone by mouth. And ifyou starton a topical steroid or the Prednisone by mouth, you'll often watch the rash disappearin a matter of three or four days or so, and it clears up, and that's the end of it. Soif you have Pityriasis Rosea, if you have what looks like fungus but doesn't seem tobe responding to antifungal cream, then see your dermatologist.
SECOND OPINION Psoriasis APT Full Episode
(ANNOUNCER)Major funding for Second Opinion is provided by The Blue Cross and Blue Shield Association. An association of independent, locally operatedand community based Blue Cross and Blue Shield companies supporting solutions that make safe,quality, affordable healthcare available to all Americans. Second Opinion is producedassociationwith the University of Rochester Medical Center, Rochester, NY. (MUSIC)
( Peter Salgo)Welcome to Second Opinion where you get to see first hand how some of the countries leadinghealthcare professionals tackle health issues important to you. Well each week our studio guests are put onthe spot with medical cases based on real life experiences and by the end of the programyou're going to learn the outcome of this week's case. And by the way, you'll be better able totake charge of your own healthcare too. I'm your host, Peter Salgo, and todayour panel includes our Second Opinion primary
care physician Lou Papa from the Universityof Rochester Medical Center, al psychologist Vickie Dowling, Christopher Ritchlinfrom the University of Rochester Medical Center and Alexa Kimball from Harvard MedicalSchool. All right folks, let's get right to work. I want to tell you about our case today, itbeginsthe pediatrician's office Lou with Sarah, she's 15 years old, a cheerleaderand the chart says she's also a soccer player and an honor student. At the age of 8 Sarah was diagnosed with guttatepsoriasis.
Okay, what's psoriasisé ( Lou Papa)Psoriasis is an autoimmune skin condition where the skin excessively grows, it can crack,it can bleed, it scales. It comesvarious different forms. ( Peter Salgo)And guttate is one of themé ( Lou Papa)One of those forms, yep. ( Peter Salgo)Why does psoriasis look the way it doesé ( Alexa Kimball)A number of different reasons, the first is
that the skin cells are turning over very,very quickly, overgrowing and so you get a lot of scale on the surface because, and thickness,because the skin can't shed ittime. ( Peter Salgo)A piling up from belowé ( Alexa Kimball)The other interesting thing is that you do get more blood vessels that grow to supportall of that growth and that gives it the very red, ugly look that people really don'tlike. ( Peter Salgo)Well, Sarah was diagnosed with psoriasis at the age of 8.
Isn't that unusual Vickieé ( Vickie Dowling)Many chilen have been diagnosed as youngsters. I myself actually was diagnosed as a youngsterbut it went into remission and didn't come back again until much later. ( Peter Salgo)So you have psoriasisé ( Vickie Dowling)I do have psoriasis. ( Peter Salgo)And how old were you when it first startedé ( Vickie Dowling)I was first diagnosed when I was 10.