Re: Other diseases that may be misdiagnosed as rosacea

[Guest guest]

Hi Brady,

I found this website the other day. It is VERY informative and the pictures have

been an eye opener for me - not to mention the source of one nightmare! Here is

the link to the topics list. The format is the same for every disease - the most

interesting for me was the Differentials section. Go to cea and look at that

section. It will tell you other problems that should be considered The other

interesting one was Seb derm. I had no idea so many other diseases looked like

seb derm.

Now I understand why it is possible for derms to get it wrong or prescribe

several medications in the search for what may be wrong. cea and Seb derm

are two diseases that look like a couple of others and respond or don't respond

to various drugs. How frustrating is that for the patient and doctor!

http://emedicine.com/derm/topiclist.htm

Leah

[Guest guest]

Hi Brady,

I found this website the other day. It is VERY informative and the pictures have

been an eye opener for me - not to mention the source of one nightmare! Here is

the link to the topics list. The format is the same for every disease - the most

interesting for me was the Differentials section. Go to cea and look at that

section. It will tell you other problems that should be considered The other

interesting one was Seb derm. I had no idea so many other diseases looked like

seb derm.

Now I understand why it is possible for derms to get it wrong or prescribe

several medications in the search for what may be wrong. cea and Seb derm

are two diseases that look like a couple of others and respond or don't respond

to various drugs. How frustrating is that for the patient and doctor!

http://emedicine.com/derm/topiclist.htm

Leah

[Guest guest]

Leah,

thanks for the link. I have posted this link on my site at this url:

http://rosaceadiet.com/html/tip.html

Brady

On Sunday, June 30, 2002, at 08:43 PM, rosacea-support

wrote:

Date: Sun, 30 Jun 2002 21:51:15 +1000

Subject: re: Other diseases that may be misdiagnosed as rosacea

Hi Brady,

I found this website the other day. It is VERY informative and the

pictures have been an eye opener for me - not to mention the source of

one nightmare! Here is the link to the topics list. The format is the

same for every disease - the most interesting for me was the

Differentials section. Go to cea and look at that section. It will

tell you other problems that should be considered The other interesting

one was Seb derm. I had no idea so many other diseases looked like seb

derm.

Now I understand why it is possible for derms to get it wrong or

prescribe several medications in the search for what may be wrong.

cea and Seb derm are two diseases that look like a couple of others

and respond or don't respond to various drugs. How frustrating is that

for the patient and doctor!

http://emedicine.com/derm/topiclist.htm

Leah

[Guest guest]

Leah,

thanks for the link. I have posted this link on my site at this url:

http://rosaceadiet.com/html/tip.html

Brady

On Sunday, June 30, 2002, at 08:43 PM, rosacea-support

wrote:

Date: Sun, 30 Jun 2002 21:51:15 +1000

Subject: re: Other diseases that may be misdiagnosed as rosacea

Hi Brady,

I found this website the other day. It is VERY informative and the

pictures have been an eye opener for me - not to mention the source of

one nightmare! Here is the link to the topics list. The format is the

same for every disease - the most interesting for me was the

Differentials section. Go to cea and look at that section. It will

tell you other problems that should be considered The other interesting

one was Seb derm. I had no idea so many other diseases looked like seb

derm.

Now I understand why it is possible for derms to get it wrong or

prescribe several medications in the search for what may be wrong.

cea and Seb derm are two diseases that look like a couple of others

and respond or don't respond to various drugs. How frustrating is that

for the patient and doctor!

http://emedicine.com/derm/topiclist.htm

Leah

[Guest guest]

> Now I understand why it is possible for derms to get it wrong or

> prescribe several medications in the search for what may be wrong.

> cea and Seb derm are two diseases that look like a couple of

others

> and respond or don't respond to various drugs. How frustrating is

that

> for the patient and doctor!

Leah, dermatologists don't use pictures, because as you note, all

pictures look the same! <g> Photos are used by physicians to denote

specific features of a skin lesion or rash, not for identification.

Proper diagnosis is made by patient history, characteristics of the

rash, considerations of other conditions, responses to treatment,

etc. Sometimes, response to drugs is part of the diagnosis, esp if

there are several conditions coexisting or if the presentation is

atypical. Physician reference text, not photographs, since medical

descriptions of rashes are far more accurate to describe the variety

of skins, ages, and underlying conditions that confront doctors.

Competent physicians, esp dermatologists, aren't confused in the same

way as a person looking at online references. It's not just the seven

years of medical education but (more important) all the years/decades

of clinical experience seeing and treating skin conditions that gives

the familiarity. Look at it this way: remember your first day at

work, when everything was overwhelming, it was hard to differentiate

different people or locations at work, even if you were given a

blueprint of the building and list of coworkers? Compare that

experience to after you've worked at the same place for twenty years,

and how you knew the building and everyone as individuals? The

blueprints and worker lists were no longer helpful for the kinds of

questions that come up after 20 years of experience. Familiarity

breeds more than just contempt. <g>

Marjorie

Marjorie Lazoff, MD

[Guest guest]

> Now I understand why it is possible for derms to get it wrong or

> prescribe several medications in the search for what may be wrong.

> cea and Seb derm are two diseases that look like a couple of

others

> and respond or don't respond to various drugs. How frustrating is

that

> for the patient and doctor!

Leah, dermatologists don't use pictures, because as you note, all

pictures look the same! <g> Photos are used by physicians to denote

specific features of a skin lesion or rash, not for identification.

Proper diagnosis is made by patient history, characteristics of the

rash, considerations of other conditions, responses to treatment,

etc. Sometimes, response to drugs is part of the diagnosis, esp if

there are several conditions coexisting or if the presentation is

atypical. Physician reference text, not photographs, since medical

descriptions of rashes are far more accurate to describe the variety

of skins, ages, and underlying conditions that confront doctors.

Competent physicians, esp dermatologists, aren't confused in the same

way as a person looking at online references. It's not just the seven

years of medical education but (more important) all the years/decades

of clinical experience seeing and treating skin conditions that gives

the familiarity. Look at it this way: remember your first day at

work, when everything was overwhelming, it was hard to differentiate

different people or locations at work, even if you were given a

blueprint of the building and list of coworkers? Compare that

experience to after you've worked at the same place for twenty years,

and how you knew the building and everyone as individuals? The

blueprints and worker lists were no longer helpful for the kinds of

questions that come up after 20 years of experience. Familiarity

breeds more than just contempt. <g>

Marjorie

Marjorie Lazoff, MD