Interviewer: Psoriasis, what is that?
Doctor: A genetic pre-disposition a hereditary tenses towards a metabolic disorder that causes the skin to behave abnormal. So there is an irritation in the skin. The blood vessels open up. Inflammation goes in and changes the dynamic of the skin that instead of taking 28 days to get through its normal cycle. It is something goes and it makes in three days.
So the approach on this has been poison, poison, poison, poison.
Interviewer: You mean this poison like what is for?
Doctor: I mean poison. I mean it is the older approach of some of my treatments because I have an inflammatory effect that really is the same this thing. Once you get away from that, you use topical cortisone, strong which where only temporarily by constricting the blood vessels.
Vitamin D topical was okay, it was no change. Then they use the topical vitamin A which is temporary suppressive. So then the approach became internal drugs, methotrexate, Cantrell drug, cyclosporin, immunosuppressive drugs, that raises your blood pressure against harmful.
Next drug is Soriatane which you cannot use in any women of the age of 50 because of birth defects.
Interviewer: What would be your approach?
Doctor: If it is localize, whites are still good. You are safe. They are not a big deal. If it is localized the laser is a strong like. The same laser works.
Interviewer: And sometimes the kids have a mild case and seem to get that up, what would you do in mild case?
Doctor: It would prescribe.
Interviewer: Like a 2-months-old.
Doctor: I look for strep.
Interviewer: Strep could be a trigger?
Doctor: Yes. Guide down in Tennessee years ago showed that strep was a trigger. I firmly believe there are lot of people who working around to strep.
Interviewer: So strep carrying your pain in.
Doctor: Trigger psoriasis. It is conditions called guttate psoriasis were they get little patches and psoriasis comes out after strep infection. If you try and treat that, you can do it.
Interviewer: Is that vital or via phone stop working on that?
Doctor: No. However, if you give a very tiny dose of antibiotics in a suppressive dose for about three months, really tiny dose a tetracycline 250 mg.
Interviewer: You are talking a baby.
Doctor: I am talking about 16-years-old.
Interviewer: We are talking about a baby.
Doctor: A baby then just treat a topically that is localized.
Interviewer: Which would be with?
Doctor: Topical steroid and vitamin D, top in that prescription.
Interviewer: And the older kids like 15-year-old.
Doctor: I would look first. I would look for strep. The other thing is you could—they are people who will turn his face of wheel, it is food allergy. That is the trigger.
Interviewer: It gets really bad, the ultimate treatment is what?
Doctor: I would look for the strep and I would look for food. I would look for easy things first although not a lot people get those things. And then there are now biologic drugs. You give this as shots every weeks and small substance that people would need that. Not so much in the adolescent, they get a really, really bad kid they going to biologics.
Interviewer: And they do work?
Doctor: Yes, but not forever. They work only ways. So now you committed a kid a shot to immunosuppressive drugs for three years.
Interviewer: You have a great concern about situation.
Doctor: Yes. I mean there are still several chances or increasing so much in getting cancer.
Interviewer: In particular, what kind of cancer?
Doctor: TB.
Interviewer: TB.
Doctor: You have to make sure that they do not have to eat meat because it is going to make the TB go crazy.
Interviewer: The roles you should be very careful.
Doctor: Biologic, in adults it should be careful right now.
Interviewer: It should be careful.
Doctor: It is very, very expensive. So I believe that this x number health care dollars and whenever person cause 20,000.00 bucks either for the pharmacy suitable agents, there is a chance to survive.
Interviewer: Okay, thank you very much.
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