I read your article with interest. As I read and reflected on the contents of your posted article and the reference to Dr. Mrowietz article, critically important aspects in the treatment of psoriasis were conspicuously absent, the role of diet , food allergies (ie. gluten, dairy, egg, tree nuts, soy, fructose, etc. sensitivities), and bowel dysfunction and dysbiosis in the pathogenesis of psoriasis. Dealing with this triad is critical.
Being that the preponderance of our immune system is centered in our gut, with good reason, this should also be the focus and center of the treatment of psoriasis and other skin disorders including Eczema or Atopic Dermatitis, and many other chronic diseases as a reflection of what may be occurring in the gut. There is a good reason why psoriasis is not present in children whereas Atopic Dermatitis is. It has to do with the sensitization that occurs over time culminating in a cutaneous manifestation of an inflammatory disorder centered elsewhere. All psoriasis is not the same.
Much attention and resources are spent on finding the cure through the use of newer expensive biologic agents. Although the biologics can be effective very quickly, by their very nature they will ultimately fail and be the cause of serious side-effects. That which causes the psoriasis to flare is neither addressed or identified. Our immune system is amazing. It will create an antibody to the antibody that is being used as basis for treatment. And, although we know much about the genetics of psoriasis, we also know that any one gene is also affected by and functions in concert with others.
Perhaps, if you have access and are able to consult with some of the dermatology experts on the EmpowHER panel, you can expand on a more integrative approach to the treatment of psoriasis and other skin conditions to inform your readers. Please continue your good work.
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Hi Dr. Fugate:
I read your article with interest. As I read and reflected on the contents of your posted article and the reference to Dr. Mrowietz article, critically important aspects in the treatment of psoriasis were conspicuously absent, the role of diet , food allergies (ie. gluten, dairy, egg, tree nuts, soy, fructose, etc. sensitivities), and bowel dysfunction and dysbiosis in the pathogenesis of psoriasis. Dealing with this triad is critical.
Being that the preponderance of our immune system is centered in our gut, with good reason, this should also be the focus and center of the treatment of psoriasis and other skin disorders including Eczema or Atopic Dermatitis, and many other chronic diseases as a reflection of what may be occurring in the gut. There is a good reason why psoriasis is not present in children whereas Atopic Dermatitis is. It has to do with the sensitization that occurs over time culminating in a cutaneous manifestation of an inflammatory disorder centered elsewhere. All psoriasis is not the same.
Much attention and resources are spent on finding the cure through the use of newer expensive biologic agents. Although the biologics can be effective very quickly, by their very nature they will ultimately fail and be the cause of serious side-effects. That which causes the psoriasis to flare is neither addressed or identified. Our immune system is amazing. It will create an antibody to the antibody that is being used as basis for treatment. And, although we know much about the genetics of psoriasis, we also know that any one gene is also affected by and functions in concert with others.
Perhaps, if you have access and are able to consult with some of the dermatology experts on the EmpowHER panel, you can expand on a more integrative approach to the treatment of psoriasis and other skin conditions to inform your readers. Please continue your good work.
Best regards,
May 13, 2010 - 1:09pmCésar A. Maúrtua M.D.
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