Think you can be allergic to your spouse? Just this week in the clinic, a middle-aged woman presents with a rash found only when she wears her wedding ring. No other jewellery gives her problems except for the ring when worn > 2-3 days. Although nickel allergy can cause this scenario, this woman probably has occlusion dermatitis or “wedding ring allergy.” Any accumulation of soap and water underneath the ring will cause this type of dermatitis in sensitive individuals. Want to learn more?
14 Jun 2012 Leave a Comment
25 Apr 2012 Leave a Comment
in Just For Fun! And you might learn something too!, What's New in the Office? Tags: Alternative medicine, National Center for Complementary and Alternative Medicine, National Institutes of Health, NCCAM
The National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health is hosting a Twitter Chat about asthma and complementary health practices. Join them for an online discussion on this topic April 26th at 1 p.m. ET. The
Twitter account is @NCCAM and you can participate by using the hashtag #nccamchat.
08 Mar 2012 4 Comments
Let’s take a break from eosinophilic esophagitis (I was hoping you would say that!)–I’ll resume that tomorrow.
The following video is exciting news for Tulsa. Dr. Kendrick has been very instrumental in bringing this new technology to this community. Thanks for your hard work.
What this means is better communication between doctors and hospitals. Only a better outcome for everyone!
02 Mar 2012 Leave a Comment
in Just For Fun! And you might learn something too!, What's New in the Office? Tags: Allergies, Allergy, American Academy of Allergy, American Academy of Allergy Asthma and Immunology, Asthma, Conditions and Diseases, Health, United States
The Academy website is www.aaaai.org. Over 6,000+ attendees from all over the world to present the most recent advances in allergy and asthma. Yours truly even has an abstract on the correlation between BMI and FEV1. Yes I know, if you understood that we might all be in trouble!
Monday, I’ll start with a case report on a teenager that can’t swallow….are you sure you have the right specialty? How does this have anything to do with allergy/asthma? Stay tuned.
30 Jan 2012 2 Comments
in Just For Fun! And you might learn something too!, What's New in the Office? Tags: Cannabis, Conditions and Diseases, Health, Journal of the American Medical Association, Lung, Pectus excavatum, Respiratory disease, Spirometry
Here’s something you never want your doctor to say–interesting! That usually means something is bad for you, but good for a teaching case. Last week was no exception.
I won’t mention any names for privacy, but this teenage boy was having problems. Everytime his lung capacity dropped below 60%, here came the steroids. No cough, no wheeze, no attack….just steroids. What’s going on? Examination revealed the answer. This patient has pectus excavatum (see below) that reduced his lung function because of a MECHANICAL problem, not asthma per se.
The worse your deformity, the lower your lung function. The objectives and conclusion of this story are listed below. J Pediatr. 2011 Aug;159(2):256-61.e2. Epub 2011 Mar 22.
Increasing severity of pectus excavatum is associated with reduced pulmonary function.
To determine whether pulmonary function decreases as a function of severity of pectus excavatum, and whether reduced function is restrictive or obstructive in nature in a large multicenter study.
Among patients presenting for surgical repair of pectus excavatum, those with more severe deformities have a much higher likelihood of decreased pulmonary function with a restrictive pulmonary pattern.
Do you want pictures? In English please! The case report below means that if you have pectus excavatum, with any stress on the lungs (carrying weights, running, an infection) you are likely to experience a greater drop in your lung function than patients without the deformity.
J Med Case Reports. 2011 Dec 21;5(1):592.
- Pectus on the right with lower lung function.
Objective effect manifestation of pectus excavatum on load-stressed pulmonary function testing: a case report.
This report highlights the possible detrimental synergism of thoracic load stress and pectus excavatum on cardiopulmonary function. Thoracic load-stressed pulmonary function testing provides objective evidence in support of such a synergistic relationship.
Thus, our “mystery” patient is solved. Because of the pectus deformity, he is more at risk for a low FEV1 with any cold or upper respiratory illness. And now you know the rest of the story….
04 Jan 2012 Leave a Comment
It’s January and thank goodness no blizzard like last year in Oklahoma! But…can you be allergic to the cold? Every year, I evaluate 1 or 2 patients with “cold-induced” urticaria and today was that day. The following video is from Mayo clinic, but this condition can and does happen in Oklahoma.
Here is a link to USAToday and the same condition–>Allergic to Cold!
29 Dec 2011 Leave a Comment
Our offices at 817 S Elm will be closed for the New Year’s holiday on Monday, January 2. Enjoy the time off….if you need to get in touch with me, call 918-259-3141 (I’ll be paged).