Business InsightPsoriasis versus EczemaVery often, I see patients referred to myclinic by their general doctors who have a hardtime treating some chronic skin conditions.Using common topical medication, especiallyfor a large body area, becomes hardship andprescription price gets too costly to handleMany of those patients come with complaintsof eczemaEczema is a common name for any lesionson skin that look like pateches or allergicreactions. The name of eczema is certainlyoverused and the actual diagnosis may varyfrom what was originally consideredA large part of eczemas are truly psoriasis,many are atopic dermatitis, some others aretrue allergic reactions or contact dermatitis.Each of the above conditions has a differentorigin and mechanism of skin reactionPsoriasis has a very deep immune systemcorrelation and so does atopic dermatitisAllergic reaction and contact dermatitis areusually associated with a body reaction to aspecifie agent, chemical, detergent, or evenjewelryAs the origins of these diseases are different.Recent years brought a number of newlydeveloped biologic medications, targetingpsoriasis and atopic dermatitis. Even morebiologics are being developed. Patientshave more choices and, with their doctors.they can determine the optimal solutionsLike any other product, biologie medicinehas its pros and cons: price is definitely acon, effectiveness of treatment and quickimprovement are a big pro. And like any otherproduct, biologics are not for every patient.Patients with already established immunesystem problems, like lupus, cannot beexposed to any psoriasis biologic as the riskof taking it would overcome the benefitsso are their treatments. Contact dermatitiscan be easily treated with topical therapyand elimination of the reactive agent. Often,cleaning supplies or additives to water in theshower cause our body to react by developingrashes or redness, sometimes accompaniedby severe itching. Scratching the areascomplicates the proper and quick diagnosisas skin becomes inflamed by irritation. Stillmild topical steroids and avoiding itchingwil bring a quick relief. Identification of theagents causing reactions will be crucial infurther treatmentsDecisions of diagnosis and optimaltreatments of any skin disorder should bedone by an experienced dermatologist. OnlyTreatments are much more complicated withchronic skin problems coming from immune then, patients can be positive to actually learnsystem disorders. First, the treatments are about their choices and make an educatedusually long-term, chronic' like the diseasesthemselves. Stopping the treatment usuallymeans relapse and flare of a disease, back tothe original stage. Secondly, depending onseverity and the body area affected, topicaltreatments might not be helpful. Realisticallywe cannot cover 75% of our body in topicalsteroid every night. In such cases, systemictreatment is more practical and recommended targeting your skin problems.for long-term use.decision, with their doctor, on how to get thebest possible assistance.If you want to learn more about youroptions in treatment of psoriasis and atopicdermatitis, please, call us. We not only offerexperience in standard of care but also canintroduce you to most novel methods ofMichael Bukhalo, MDArlington Dermatology5301 Keystone CourtTel. 847 392 5440 www.arlingtondermatology.netRolling Meadows, IL 60008 Business Insight Psoriasis versus Eczema Very often, I see patients referred to my clinic by their general doctors who have a hard time treating some chronic skin conditions. Using common topical medication, especially for a large body area, becomes hardship and prescription price gets too costly to handle Many of those patients come with complaints of eczema Eczema is a common name for any lesions on skin that look like pateches or allergic reactions. The name of eczema is certainly overused and the actual diagnosis may vary from what was originally considered A large part of eczemas are truly psoriasis, many are atopic dermatitis, some others are true allergic reactions or contact dermatitis. Each of the above conditions has a different origin and mechanism of skin reaction Psoriasis has a very deep immune system correlation and so does atopic dermatitis Allergic reaction and contact dermatitis are usually associated with a body reaction to a specifie agent, chemical, detergent, or even jewelry As the origins of these diseases are different. Recent years brought a number of newly developed biologic medications, targeting psoriasis and atopic dermatitis. Even more biologics are being developed. Patients have more choices and, with their doctors. they can determine the optimal solutions Like any other product, biologie medicine has its pros and cons: price is definitely a con, effectiveness of treatment and quick improvement are a big pro. And like any other product, biologics are not for every patient. Patients with already established immune system problems, like lupus, cannot be exposed to any psoriasis biologic as the risk of taking it would overcome the benefits so are their treatments. Contact dermatitis can be easily treated with topical therapy and elimination of the reactive agent. Often, cleaning supplies or additives to water in the shower cause our body to react by developing rashes or redness, sometimes accompanied by severe itching. Scratching the areas complicates the proper and quick diagnosis as skin becomes inflamed by irritation. Still mild topical steroids and avoiding itching wil bring a quick relief. Identification of the agents causing reactions will be crucial in further treatments Decisions of diagnosis and optimal treatments of any skin disorder should be done by an experienced dermatologist. Only Treatments are much more complicated with chronic skin problems coming from immune then, patients can be positive to actually learn system disorders. First, the treatments are about their choices and make an educated usually long-term, chronic' like the diseases themselves. Stopping the treatment usually means relapse and flare of a disease, back to the original stage. Secondly, depending on severity and the body area affected, topical treatments might not be helpful. Realistically we cannot cover 75% of our body in topical steroid every night. In such cases, systemic treatment is more practical and recommended targeting your skin problems. for long-term use. decision, with their doctor, on how to get the best possible assistance. If you want to learn more about your options in treatment of psoriasis and atopic dermatitis, please, call us. We not only offer experience in standard of care but also can introduce you to most novel methods of Michael Bukhalo, MD Arlington Dermatology 5301 Keystone Court Tel. 847 392 5440 www.arlingtondermatology.net Rolling Meadows, IL 60008

Date: September 20, 2019

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Business Insight Psoriasis versus Eczema Very often, I see patients referred to my clinic by their general doctors who have a hard time treating some chronic skin conditions. Using common topical medication, especially for a large body area, becomes hardship and prescription price gets too costly to handle Many of those patients come with complaints of eczema Eczema is a common name for any lesions on skin that look like pateches or allergic reactions. The name of eczema is certainly overused and the actual diagnosis may vary from what was originally considered A large part of eczemas are truly psoriasis, many are atopic dermatitis, some others are true allergic reactions or contact dermatitis. Each of the above conditions has a different origin and mechanism of skin reaction Psoriasis has a very deep immune system correlation and so does atopic dermatitis Allergic reaction and contact dermatitis are usually associated with a body reaction to a specifie agent, chemical, detergent, or even jewelry As the origins of these diseases are different. Recent years brought a number of newly developed biologic medications, targeting psoriasis and atopic dermatitis. Even more biologics are being developed. Patients have more choices and, with their doctors. they can determine the optimal solutions Like any other product, biologie medicine has its pros and cons: price is definitely a con, effectiveness of treatment and quick improvement are a big pro. And like any other product, biologics are not for every patient. Patients with already established immune system problems, like lupus, cannot be exposed to any psoriasis biologic as the risk of taking it would overcome the benefits so are their treatments. Contact dermatitis can be easily treated with topical therapy and elimination of the reactive agent. Often, cleaning supplies or additives to water in the shower cause our body to react by developing rashes or redness, sometimes accompanied by severe itching. Scratching the areas complicates the proper and quick diagnosis as skin becomes inflamed by irritation. Still mild topical steroids and avoiding itching wil bring a quick relief. Identification of the agents causing reactions will be crucial in further treatments Decisions of diagnosis and optimal treatments of any skin disorder should be done by an experienced dermatologist. Only Treatments are much more complicated with chronic skin problems coming from immune then, patients can be positive to actually learn system disorders. First, the treatments are about their choices and make an educated usually long-term, chronic' like the diseases themselves. Stopping the treatment usually means relapse and flare of a disease, back to the original stage. Secondly, depending on severity and the body area affected, topical treatments might not be helpful. Realistically we cannot cover 75% of our body in topical steroid every night. In such cases, systemic treatment is more practical and recommended targeting your skin problems. for long-term use. decision, with their doctor, on how to get the best possible assistance. If you want to learn more about your options in treatment of psoriasis and atopic dermatitis, please, call us. We not only offer experience in standard of care but also can introduce you to most novel methods of Michael Bukhalo, MD Arlington Dermatology 5301 Keystone Court Tel. 847 392 5440 www.arlingtondermatology.net Rolling Meadows, IL 60008 Business Insight Psoriasis versus Eczema Very often, I see patients referred to my clinic by their general doctors who have a hard time treating some chronic skin conditions. Using common topical medication, especially for a large body area, becomes hardship and prescription price gets too costly to handle Many of those patients come with complaints of eczema Eczema is a common name for any lesions on skin that look like pateches or allergic reactions. The name of eczema is certainly overused and the actual diagnosis may vary from what was originally considered A large part of eczemas are truly psoriasis, many are atopic dermatitis, some others are true allergic reactions or contact dermatitis. Each of the above conditions has a different origin and mechanism of skin reaction Psoriasis has a very deep immune system correlation and so does atopic dermatitis Allergic reaction and contact dermatitis are usually associated with a body reaction to a specifie agent, chemical, detergent, or even jewelry As the origins of these diseases are different. Recent years brought a number of newly developed biologic medications, targeting psoriasis and atopic dermatitis. Even more biologics are being developed. Patients have more choices and, with their doctors. they can determine the optimal solutions Like any other product, biologie medicine has its pros and cons: price is definitely a con, effectiveness of treatment and quick improvement are a big pro. And like any other product, biologics are not for every patient. Patients with already established immune system problems, like lupus, cannot be exposed to any psoriasis biologic as the risk of taking it would overcome the benefits so are their treatments. Contact dermatitis can be easily treated with topical therapy and elimination of the reactive agent. Often, cleaning supplies or additives to water in the shower cause our body to react by developing rashes or redness, sometimes accompanied by severe itching. Scratching the areas complicates the proper and quick diagnosis as skin becomes inflamed by irritation. Still mild topical steroids and avoiding itching wil bring a quick relief. Identification of the agents causing reactions will be crucial in further treatments Decisions of diagnosis and optimal treatments of any skin disorder should be done by an experienced dermatologist. Only Treatments are much more complicated with chronic skin problems coming from immune then, patients can be positive to actually learn system disorders. First, the treatments are about their choices and make an educated usually long-term, chronic' like the diseases themselves. Stopping the treatment usually means relapse and flare of a disease, back to the original stage. Secondly, depending on severity and the body area affected, topical treatments might not be helpful. Realistically we cannot cover 75% of our body in topical steroid every night. In such cases, systemic treatment is more practical and recommended targeting your skin problems. for long-term use. decision, with their doctor, on how to get the best possible assistance. If you want to learn more about your options in treatment of psoriasis and atopic dermatitis, please, call us. We not only offer experience in standard of care but also can introduce you to most novel methods of Michael Bukhalo, MD Arlington Dermatology 5301 Keystone Court Tel. 847 392 5440 www.arlingtondermatology.net Rolling Meadows, IL 60008

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