Guest guest Posted July 3, 2007 Report Share Posted July 3, 2007 This ties in with your SLE posts, read on : GA= Granuloma Annulare, ACA = Atrophica Chronica Acrodermis Well- I had my Derma appointment in Dartmouth and even though I went in there with a fairly bad attitude, the guy (about 35 years old) handled me fine- even when I said " I just paid $250.00 to find out what I already knew " . Bottom line- he agrees that what I have is GA (umbrella descriptor) and probably ACA (specifically) and that it's the result of a prior infection of either TB, Rickettsia or Lyme and there is no " standard " treatment. Off-the grid- he prescribed niacinamide (1500mg daily) for 30 days - which I'm going to try. Prescription hasn't arrived yet... my insurance for drugs is MEDCO- mail order. He said it works about 50% of the time- mechanism unknown. It's worth a shot, I'm going to try it- as long as my liver stay OK- supposed to be very low toxicity level for this form.: references: 1- MODULATES APOPTOSIS Traister A, Breitman I, Bar-Lev E, Zvibel I, Harel A, Halpern Z, Oren R. Related Articles, Links Nicotinamide induces apoptosis and reduces collagen I and pro- inflammatory cytokines expression in rat hepatic stellate cells. Scand J Gastroenterol. 2005 Oct;40(10):1226-34. PMID: 16165703 [PubMed - indexed for MEDLINE] REFERENCE #2 Ungerstedt JS, Blomback M, Soderstrom T. Related Articles, Links Nicotinamide is a potent inhibitor of proinflammatory cytokines. Clin Exp Immunol. 2003 Jan;131(1):48-52. PMID: 12519385 [PubMed - indexed for MEDLINE] Quote Link to comment Share on other sites More sharing options...
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