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The disease is marked by alternating episodes of hypoglycemia and hyperglycemia. Frequent adjustments of dietary intake and insulin dosage are required. Etiology. Diabetes may be brittle when insulin is not well absorbed; insulin requirements vary rapidly; insulin is improperly prepared or administered; the Somogyi phenomenon is present; the patient has coexisting anorexia or bulimia; the patient's daily exercise routine, diet, or medication schedule varies; or physiological or psychological stress is persistent. Synonym: brittle diabetes mellitusbrittle diabetes mellitus. Brittle diabetes. Hemochromatosis. chemical diabetes. Asymptomatic DM, a stage in which no obvious clinical signs and symptoms of the disease are present but blood glucose measurements are abnormal. Army Medical Standards 40-501, Chapter 2. Army Medical Standards for Enlistment, Appointment, and Induction. As Revised -- 1 February 2005. When examining a patient's eyes, PERRLA is an acronym used to describe how doctors check your pupil reflexes, like how they respond to light. All Disorders. NINDS Binswanger's Disease Information Page; NINDS Brachial Plexus Injuries Information Page; NINDS Brown-Sequard Syndrome Information Page. Small (constricted) pupils and Unequal pupils (size) WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms small. ![]() What are possible causes of anisocoria? Besides occurring naturally in a low percentage of the popuation, anisocoria can be caused by structural or neurological. Abducens nerve (cranial nerve VI) motor nerve innervating the lateral rectus muscle, which abducts the eye; lesions of the nucleus, which is located in the dorsal. My neighbor is taking sam-E for mild depression and thinks it's great. I don't have depression but have very low blood-levels of serotonin; also extreme. ![]() Type 2 DM occurring in an obese child or adolescent. The syndrome is sometimes referred to as “mature onset diabetes of youth” (MODY). It is the most common complication of CF other than those conditions that affect the lungs. It is caused by destruction of islet cells (the cells in the pancreas that make insulin) as well as a decrease in sensitivity of the liver and muscles to the actions of insulin. The disease usually first becomes clinically obvious in young adults. Patient Care. Although CFRD can be diagnosed with fasting glucose blood tests or hemoglobin A1c levels, many experts recommend using an oral glucose tolerance test. Fifteen to thirty percent of patients with CF are affected by their 2. CFRD is associated with more severe lung disease than is experienced by patients with CF and normal glucose tolerance. Oral hypoglycemic agents, insulin, and exercise are the primary methods of treatment. Caloric restriction, a cornerstone of treatment for other forms of diabetes, is relatively contraindicated because of the need for aggressive nutritional supplementation in CF patients. A colloquial term for hybrid diabetes, also called type 3 diabetes or type 1 and a half diabetes. DM caused by diseases of the ovaries, pituitary, thyroid, or adrenal glands. A rare form of DM caused by chronic tropical pancreatitis and destruction of insulin- producing islet cells. Abbreviation: GDMDM that begins during pregnancy owing to changes in glucose metabolism and insulin resistance. GDM affects a large percentage of pregnant American women, ranging from about 1. Although gestational diabetes usually subsides after delivery, women with GDM have a 4. Diagnosis. Although many diabetic specialists recommend universal screening for GDM, it is agreed by all diabetologists that women at risk for GDM (women over age 2. DM) should undergo oral glucose tolerance testing as soon as possible to assess blood glucose levels while fasting and after meals. Testing should be repeated at 2. Treatment. A calorically restricted diet, regular exercise, and metformin or insulin are used to treat GDM. Patient care. Blood glucose self- monitoring is essential to management, and patients should be taught to monitor glucose levels four times each day, obtaining a fasting level in the morning, followed by three postprandial levels (1 hr after the start of each meal). Blood glucose levels at 1 hr after beginning a meal are considered the best predictor for subsequent fetal macrosomia. Target blood glucose levels are 9. L or less (fasting) and 1. L postprandially. The patient and her partner should be instructed that food, stress, inactivity, and hormones elevate blood glucose levels and that exercise and insulin lower them. They will need to learn about both pharmacological (measuring and injecting insulin) and nonpharmacological (menu management and physical activity) interventions to maintain a normal glycemic state (euglycemia) throughout the pregnancy, while ensuring adequate caloric intake for fetal growth and preventing maternal ketosis. Women who have no medical or obstetrical contraindicting factors should be encouraged to participate in an approved exercise program, because physical activity increases insulin receptor sensitivity. Even performing 1. If euglycemia is not achieved by nutrition therapy and exercise within 1. Pregnant women require three to four times the amount of insulin needed by a nonpregnant woman. Human minimally antigenic insulin should be prescribed. Often one dose of long- acting insulin at bedtime is sufficient, with rapid- acting insulins, i. Novolog), or insulin lispro recombinant (Humalog) used to aid optimal glycemic control. Insulin glargine (Lantus), once used for gestational diabetes, is no longer recommended for pregnant women. Because stress can significantly raise blood glucose levels, stress management is a vital part of therapy. The woman’s feelings about her pregnancy and diabetes as well as her support system should be carefully assessed. Coping strategies should be explored. The patient is taught about deep breathing and relaxation exercises and encouraged to engage in activities that she enjoys and finds relaxing. She and her partner should learn to recognize interaction tensions and ways to deal with these to limit stress in their environment. Maternal complications associated with GDM include pregnancy- induced hypertension, eclampsia, and the need for cesarean section delivery. A form of DM that has characteristics of both types 1 and 2. The patient may have episodes of diabetic ketoacidosis but marked insulin resistance and an obese body type. Urinary output is often massive, e. L/day, which may result in dehydration in patients who cannot drink enough liquid to replace urinary losses, e. The urine is dilute (specific gravity is often below 1. If water deficits are not matched or the urinary losses are not prevented, death will result from dehydration. Etiology. DI usually results from hypothalamic injury (such as brain trauma or neurosurgery) or from the effects of certain drugs (such as lithium or demeclocycline) on the renal resorption of water. Other representative causes include sickle cell anemia (in which renal infarcts damage the kidney's ability to retain water), hypothyroidism, adrenal insufficiency, inherited disorders of antidiuretic hormone production, and sarcoidosis. Symptoms. The primary symptoms are urinary frequency, thirst, and dehydration. Treatment. When DI is a side effect of drug therapy, the offending drug is withheld. DI caused by failure of the posterior pituitary gland to secrete antidiuretic hormone is treated with synthetic vasopressin. Patient care. Fluid balance is monitored. Fluid intake and output, urine specific gravity, and weight are assessed for evidence of dehydration and hypovolemic hypotension. Serum electrolyte and blood urea nitrogen levels are monitored. The patient is instructed in nasal insufflation of vasopressin (desmopressin acetate, effective for 8 to 2. The length of the therapy and the importance of taking medications as prescribed and not discontinuing them without consulting the prescriber are stressed. Hydrochlorothiazide can be prescribed for nephrogenic DI not caused by drug therapy; amiloride may be used in nephrogenic DI caused by lithium administration. Meticulous skin and oral care are provided; use of a soft toothbrush is recommended; and petroleum jelly is applied to the lips and an emollient lotion to the skin to reduce dryness and prevent skin breakdown. Adequate fluid intake should be maintained. Both the patient and family are taught to identify signs of dehydration and to report signs of severe dehydration and impending hypovolemia. The patient is taught to measure intake and output, to monitor weight daily, and to use a hydrometer to measure urine specific gravity. Weight gain should be reported because this may signify that the medication dosage is too high. Recurrence of polyuria may indicate dosing that is too low. The patient should wear or carry a medical ID tag and have prescribed medications with him or her at all times. Both patient and family need to know that chronic DI will not shorten the lifespan, but lifelong medications may be required to control the signs, symptoms, and complications of the disease. Counseling may be helpful in dealing with this chronic illness. Abbreviation: IDDMType 1 diabetes. A dated term for type 1 diabetes. Before the stress, no clinical or laboratory findings of diabetes are present. There is a very strong chance that affected people will eventually develop overt type 2 DM. Most patients affected by LADA eventually require insulin therapy, like patients with type 1 DM. Children with this form of DM are not prone to diabetic ketoacidosis. DM results either from failure of the pancreas to produce insulin (type 1 DM) or from insulin resistance, with inadequate insulin secretion to sustain normal metabolism (type 2 DM). Either type of DM may damage blood vessels, nerves, kidneys, the retina, and the developing fetus and the placenta during pregnancy. Type 1 or insulin- dependent DM has a prevalence of just 0. Type 2 DM (formerly called adult- onset DM) has a prevalence in the general population of 6. In some populations (such as older persons, Native Americans, African Americans, Pacific Islanders, Mexican Americans), it is present in nearly 2. Type 2 DM primarily affects obese middle- aged people with sedentary lifestyles, whereas type 1 DM usually occurs in children, most of whom are active and thin, although extremely obese children are now being diagnosed with type 2 diabetes as well. See: table; dawn phenomenon; insulin; insulin pump; insulin resistance; diabetic polyneuropathy; Somogyi phenomenon. Type 1 DM usually presents as an acute illness with dehydration and often diabetic ketoacidosis. Type 2 DM is often asymptomatic in its early years. The American Diabetes Association (1- 8. DIABETES) estimates that more than 5 million Americans have type 2 DM without knowing it. Etiology. Type 1 DM is caused by autoimmune destruction of the insulin- secreting beta cells of the pancreas. The loss of these cells results in nearly complete insulin deficiency; without exogenous insulin, type 1 DM is rapidly fatal. The Cycle Diet - Nutrition therapy for PMS & PMDDYou've come to the right place if you suffer from cyclical symptoms of Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD) or a possible hormone imbalance. The Cycle Diet is nutrition therapy for any woman looking to improve her well- being while living with the natural fluctuations of the female hormones. The Cycle Diet was developed by Debra Hope- Riedesel, a licensed registered dietitian (RD) specializing in women's health. The diet is based on the latest nutrition and medical research available on PMS, PMDD, and reproductive health. The original PMS diet plan has been followed by thousands of women with very safe and satisfying results. Due to the increasing numbers of women with gluten sensitivity, Celiac disease and PMDD a Gluten- Free Cycle Diet plan, is now available. Our customized diet plans are based on the foods you like to eat! Choose from thousands of delicious Cooking Light recipes, as well as the option to mix and match. Please contact the Cycle Diet Dietitian for more information and recommendations. Individually tailored plans addressing unique nutritional needs are also available with confidential consultations. For more information on private consultations please follow the links to RD Services, Products, or by contacting the Cycle Diet dietitian. The Original Cycle Diet Workbook is available as a single purchase item to help you with the details of the diet plan as well as charting and tracking symptoms. It contains all of the original menus, recipes along with much of the text from this website. Hit the Products link to order. Find answers to frequently asked questions and encouragement while on the diet plan at The Cycle Diet Support Message Board and Forum. You'll find interesting discussions on several women's health topics and everyday life. The Cycle Diet website contains a lot of helpful information with new information being added to the support board daily. You may want to bookmark it and comeback often. Be sure and read through the entire website and whatever you decide to do, do not let your symptoms get in the way of family relationships, career advancement or living the best life possible. Introduction to Plan Basics. Reproductive health researchers are now more aware of the connection between PMS/PMDD, diet and stress however, with the heavy patient load many physicians carry, very little time is dedicated to nutrition education or stress management. General advice like eat a balanced diet is well intended, it does not take into account food intolerance, food sensitivities or underlying autoimmune conditions. Women who present with PMS/PMDD symptoms or cyclical disorders are rarely tested for nutrient deficiencies from an inappropriate diet, lifestyle or malabsorption problem, although times are changing. More physicians are beginning to understand the gut- brain connection. Many medical conditions also exacerbate PMS/PMDD as well as interfere with reproductive health. Some women go years living with undiagnosed autoimmune disease, food sensitivities or gluten intolerance misdiagnosed as IBS, or colitis. Gluten sensitivity (1 in 5) and celiac disease (1 in 1. PMS/PMDD as well as affect fertility health. It is always a good idea to check with your primary physician for any underlying medical conditions prior to the start of any self- help program. The Cycle Diet dietitian can help you advocate for the best possible health care outcome. The Cycle Diet is based on the two phases of the female reproductive cycle. You will learn the specifics of the how, why and when to make simple dietary changes for improved reproductive health and PMS symptom relief. The Cycle Diet spells out precisely: Foods to include all of the time. Foods to avoid all of the time. Foods OKduring the Follicular phase. Foods best during Luteal phase. Menu suggestions for both phases. You will learn why popular ultra- processed foods, women with PMS seem to crave more often, may actually enhance food sensitivities. You will learn why dairy, even organic dairy, may not be the best foods for women who suffer from PMS, PMDD or irregular cycles. You will also learn why conventionally raised animal protein, typical in a U. S. Basics to fertility health begins with the right nutrition long before planning a family. New studies suggest the overuse of pesticides, herbicides and antibiotic residues, common in conventionally raised foods, impact the developing fetus more than once thought. Women who are susceptible to PMS and PMDD may also be more vulnerable to postpartum depression. You will learn why it's important to chart your monthly cycle and how to nourish your body according to the cycle phase you are in. Real Plans is a meal planning solution that you can customize to suit your needs. It creates a dynamic grocery list and can be accessed on your smart phone.There are exceptions of course, those who take oral contraceptives or hormone replacement due to surgical removal of the uterus and ovaries. If this is the case, you may have better results following the luteal phase diet plan for two months or cycles. The original Cycle Diet plan is nutritionally balanced for all women between the ages of 1. These sample low-carb diet menus for tasty and nutritious breakfasts, lunches and dinners will help you achieve success without sacrificing flavor. Sites by Individuals. The Paleo Diet Defined is my concise definition of the core paleo diet and the many variations of it. Life Expectancy in the Paleolithic by Ron. Does eating foods based on their glycemic index make a difference in your diet? WebMD reviews the pros and cons of the Glycemic Index Diet. Women who are younger or older have a few extra nutritional needs. If you are the main caretaker and food preparer for your family, the healthy changes you will be making will also benefit your family's health. Reproductive Hormones 1. The female reproductive cycle typically follows a 2. Some women have shorter or longer cycles. If your cycle is unpredictable or you skip periods and you have not been on a very restrictive diet, you should consult a physician for the cause. If you are between the ages of 1. Ask them to check for Polycystic Ovarian Syndrome (PCOS). PCOS is a very common and under- diagnosed problem that is often missed. Women with polycystic ovaries should contact the Cycle Diet Dietitian for a diet specially designed for women with PCOS. During the menstrual cycle, hormones that fluctuate significantly are: Follicle- stimulating hormone (FSH)Luteinizing Hormone (LH)Estrogen. Progesterone. There are two distinct phases of the menstrual cycle: Follicular Phase (proliferative) days 1- 1. Ovulation (Not a phase) usually day 1. Luteal Phase (secretory)- Days 1. The Follicular Phase, begins Day 1, with the first day of your period, and lasts up to around Day 1. During the follicular phase, follicle- stimulating hormone (FSH) stimulates the growth of the cells in the ovarian follicles, ovum, and surrounding layers of cells. Luteinizing hormone (LH) then increases sharply to stimulate the release of the mature follicle (egg) from the ovary at ovulation (Day 1. Estrogen increases to peak at ovulation and for about a week into the Luteal Phase, the second half of the menstrual cycle. Progesterone begins to increase at ovulation and peaks between Days 2. Luteal Phase. Although some women may feel some mild pain at ovulation, most PMS symptoms occur during the Luteal Phase. This is also when estrogen and progesterone are at their peak. In most cases, the majority of premenstrual symptoms present during Days 1. It is during the Luteal Phase that you will pay particularly close attention to your dietary intake. A diet full of saturated fat and excessive animal protein at this time can not only be hard on the liver and kidneys but also your well- being. Drinking alcohol during this time only adds to the problems. The liver is responsible for not only clearing toxins like alcohol out of your system, but the synthesis and degradation of amino acids (proteins) necessary for metabolism. Chart Your Cycle Phases It is important to estimate the times when estrogen and progesterone are at their highest levels in order to supply your body with the nutrients it needs when it needs them. On cycle day 1. 4, estrogen and luteinizing hormone peak during ovulation. On cycle days 2. 0- 2. The majority of PMS symptoms arise when these hormones are at their peak during the Luteal Phase. It is also at this time the need for thiamin, riboflavin, niacin, folate, B6 and B1. D, magnesium, and zinc. When estrogen increases, it also increases the excretion of many of these vitamins and minerals, especially calcium (Thys- Jacobs 1. Many studies have also shown when estrogen levels are higher, estrogen increases the efficiency of insulin causing hypoglycemia in some women and sugar/carbohydrate cravings in others. High levels of estrogen also creates a negative feedback or a blunting affect on other metabolic reactions (thyroid activity and protein degradation). It is known that adipose (fat) tissue contributes between 1. The higher percentage of adipose tissue you carry the more free estrogen you may produce aside from what you produce in your ovaries. In short: When sex hormones are at their peak, cycle days 1. B vitamins, calcium, magnesium, Vitamin D, zinc and other micro minerals also increase. Single vitamin or mineral studies done on vitamin B6 or only magnesium have shown to be inconclusive because all of these nutrients work together. If any of these vitamins or minerals are out of balance (too much or to little) it causes inefficiencies in metabolic pathways. Many chemical reactions in our body that are necessary in metabolizing protein, fat and carbohydrates are slowed or stop until we supply these nutrients for completion. Think of your hormones as a symphony with perfect timing, all of the players need to be present performing perfectly together. Most women with PMS feel great during their follicular phase or after the start of menses. This is the time when estrogen and progesterone along with luteinizing hormone are at their lowest levels. The stress hormone cortisol is naturally lower during this phase, unless you live a very stressful life. Cycle days 1- 1. 3 are the days when it is safer to eat or drink foods listed as stress foods. They are called stress foods because your body goes through extremes to metabolize them. Take wine, or beer as an example; in order to metabolize a 1. B vitamins along with C, A, D, zinc and selenium. Many of the same vitamins needed during the luteal phase. You need these nutrients all of the time, but more so during the 2nd half of your cycle. Mediterranean diet for heart health. Mediterranean diet: A heart- healthy eating plan. The heart- healthy Mediterranean diet is a healthy eating plan based on typical foods and recipes of Mediterranean- style cooking. Here's how to adopt the Mediterranean diet. By Mayo Clinic Staff. If you're looking for a heart- healthy eating plan, the Mediterranean diet might be right for you. The Mediterranean diet incorporates the basics of healthy eating — plus a splash of flavorful olive oil and perhaps a glass of red wine — among other components characterizing the traditional cooking style of countries bordering the Mediterranean Sea. Most healthy diets include fruits, vegetables, fish and whole grains, and limit unhealthy fats. While these parts of a healthy diet are tried- and- true, subtle variations or differences in proportions of certain foods may make a difference in your risk of heart disease. Benefits of the Mediterranean diet. Research has shown that the traditional Mediterranean diet reduces the risk of heart disease. The diet has been associated with a lower level of oxidized low- density lipoprotein (LDL) cholesterol — the . Women who eat a Mediterranean diet supplemented with extra- virgin olive oil and mixed nuts may have a reduced risk of breast cancer. For these reasons, most if not all major scientific organizations encourage healthy adults to adapt a style of eating like that of the Mediterranean diet for prevention of major chronic diseases. Key components of the Mediterranean diet. The Mediterranean diet emphasizes: Eating primarily plant- based foods, such as fruits and vegetables, whole grains, legumes and nuts. Replacing butter with healthy fats such as olive oil and canola oil. Using herbs and spices instead of salt to flavor foods. Limiting red meat to no more than a few times a month. Eating fish and poultry at least twice a week. Enjoying meals with family and friends. Drinking red wine in moderation (optional)Getting plenty of exercise. The Mediterranean diet. Adapted from Oldways Preservation and Exchange Trust, 2. Fruits, vegetables, nuts and grains. The Mediterranean diet traditionally includes fruits, vegetables, pasta and rice. For example, residents of Greece eat very little red meat and average nine servings a day of antioxidant- rich fruits and vegetables. However, throughout the Mediterranean region, bread is eaten plain or dipped in olive oil — not eaten with butter or margarines, which contain saturated or trans fats. Nuts are high in fat (approximately 8. Because nuts are high in calories, they should not be eaten in large amounts — generally no more than a handful a day. Avoid candied or honey- roasted and heavily salted nuts. Oldways Preservation Trust. Accessed Feb. 8, 2. Sofi F, et al. Adherence to Mediterranean diet and health status: Meta- analysis. Mitrou PN, et al. Mediterranean dietary pattern and prediction of all- cause mortality in a U. S. Archives of Internal Medicine. Monounsaturated fats. American Heart Association. Accessed Feb. 8, 2. Zeratsky KA (expert opinion). Mayo Clinic, Rochester, Minn. Mediterranean diet pyramid. Oldways Preservation Trust. Accessed Feb. 8, 2. AHA Scientific Statement: Fish consumption, fish oil, omega- 3 fatty acids, and cardiovascular disease. Circulation. 2. 00. AHA Scientific Statement: Diet and lifestyle recommendations revision 2. Circulation 2. 00. Dietary Guidelines for Americans. Department of Health and Human Services and U. S. Department of Agriculture. Accessed Feb. 8, 2. Colditz GA. Healthy diet in adults. Accessed Feb. 8, 2. Toledo E, et al. Mediterranean diet and invasive breast cancer risk among women at high cardiovascular risk in the PREDIMED trial: A randomized clinical trial. JAMA Internal Medicine. Crous- Bou M, et al. Mediterranean diet and telomere length in Nurses' Health Study: Population based cohort study. Mediterranean diet and telomere length in Nurses' Health Study: Population based cohort study. See more In- depth. Life. Trak Zoom. HRV - Life. Trak. Zoom. HRV measures everything you do, anywhere you do it. Accurately monitor your heart- rate and performance metrics with every stride, stroke, lap, or loop – above ground or under water. Zoom. HRV continuously tracks crucial heart- rate data so you can learn how to push your limits. All the Isuzu parts and accessories you need are here at Auto Parts Warehouse. Get up to 70% off on retail prices! Free Shipping when you order over $50. Pilates classes to tone your body fast. Pilates Reformer classes with high energy music from $20. Luxury studios for Pilates Brisbane. Pilates courses. Sketch intricate details, defined lines and crisp edges with Prismacolor Premier Verithin Colored Pencils. Inside the box you’ll find 36 colored pencils featuring. Intro: Making a Paracord Whip. There are many kinds of whip, but the most popular for sport cracking and target cutting are the Australian Stockwhip and the Bullwhip. ![]() ![]() ![]() In depth review of the new Lifetrak Zoom, lifetrak Zone R420, Brite R450, Zone C410, Move C300 and Core C200. 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![]() ![]() ![]() Baked Chicken Breasts and Vegetables Recipe. ![]() ![]() Ditch the idea that healthy chicken recipes should be tasteless, skinless and bland. Let the Bodybuilding.com Healthy Recipe Database open your mind and stomach to. Enough said, let’s get started with this two-part article on Indian bodybuilding diet plan to build muscle and strength. In the first part, we will take you through. ![]() ![]() ![]() According to the originator Dr. Arthur Agatston, the South Beach Diet is. Nutrition is extremely important in bodybuilding, but fortunately it is also very simple. Basically a good bodybuilding diet equals a normal healthy diet. ![]() ![]() ![]() ![]() Healthy diet chicken with vegetables combines the ease of frozen chicken breasts with the nutritional benefits of fresh vegetables. What I like about this easy recipe. Islamic jurisprudence specifies which foods are hal. This is derived from commandments. ![]() Progesterone & Weight Gain. Sharma's Detailed feature on making child recover from autism. 13 important steps you should take for your child's recovery from autism. Capillaritis . Updated January 2. What is capillaritis? Capillaritis is a harmless skin condition in which there are reddish- brown patches caused by leaky capillaries. It is also known as pigmented purpura. Who gets capillaritis? Capillaritis can affect anyone, but is uncommon in children. ![]() MSN Health and Fitness has fitness, nutrition and medical information for men and women that will help you get active, eat right and improve your overall wellbeing.It usually affects otherwise healthy people. Occasionally capillaritis arises as a reaction to a medication; many different drugs have been occasionally associated with capillaritis. In others a food additive or a viral infection may be responsible. Capillaritis may also develop after exercise. What causes capillaritis? ![]() ![]() ![]() The capillaries are small blood vessels near to the skin surface. For unknown reasons they sometimes become inflamed, although a true vasculitis is not seen on skin biopsy. Blood cells may pass through small gaps that arise between the cells, which make up the capillary walls. The result is petechial haemorrhages. ![]() These fade away depositing haemosiderin in the upper parts of the dermis. More images of capillaritis .. What are the clinical features of capillaritis? There are several descriptive types of capillaritis. They are characterised by tiny red and brown dots, described as cayenne pepper spots. These may group together to form a flat red patch, which becomes brown and then slowly fades away over weeks to months. They are often named after the dermatologist who first described them. ![]() ![]() Schamberg disease (progressive pigmented purpura)This is the most common type of capillaritis. Crops of red- brown flat patches with cayenne pepper spots on their borders appear for no apparent reason. Although most common on the lower legs, Schamberg can arise on any part of the body. It is usually irregularly distributed on both sides with few or many patches. There are no symptoms. Itching purpura. This appears similar to Schamberg disease, but itches. Gougerot- Blum (pigmented purpuric lichenoiddermatosis)This form of capillaritis is less common. The patches are thickened and itchy, rather like eczema. Majocchi purpura (purpura annularis telangiectodes)In this condition there are dilated capillaries as well as brown patches and cayenne spots. ![]() The patches gradually spread outwards. Contact allergy. Capillaritis has been reported to be due to khaki clothing dye and to rubber. It only affects skin in contact with the responsible material. Lichen aureus. Lichen aureus is a solitary brown- yellow patch that is very persistent. It often overlies a varicose vein. Exercise- induced capillaritis. Crops of small red spots may develop on the ankles following prolonged or vigorous exercise (e. The spots fade to brown within a few days and eventually disappear. A burning sensation may occur as the new lesions appear. How is capillaritis diagnosed? Capillaritis is usually a clinical diagnosis. The diagnosis may be supported by dermatoscopy (the petechiae are seen more clearly) and skin biopsy. ![]() No other investigations are necessary in most cases. What is the treatment for capillaritis? As it is a mild condition, most patients do not require treatment for their capillaritis. There is no known cure. Consider if a medication could be the cause: discontinue it for several months to find out if the capillaritis improves. Try avoiding food preservatives and artificial colouring agents. Return to a normal diet if there is no improvement after several months. Topical steroids can be helpful for itching but rarely clear the capillaritis. If the lower leg is affected, consider wearing graduated compression elastic hose. Currently available vascular lasers are not particularly helpful for capillaritis. What is the outcome for capillaritis? Capillaritis can disappear within a few weeks, recur from time to time, or persist for years. Related information. If you're on a grain-free diet, or have “leaky gut” or a damaged gut, you need to read this post, as you are high risk for magnesium deficiency. Are you deficient. Capillaritis (pigmented purpura). Authoritative facts about the skin from DermNet New Zealand. But there isn't much in the way of.
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