[Fwd: Re: Dissecting cellulitis question]

[Guest guest]

:

I have come across two patients who complained of sharp lower back

pains while lying in bed at night, just before falling asleep. Both

were taking Accutane. Both experienced complete relief after they quit

taking Accutane. Back pain is listed the PDR as a common adverse

reaction... Can't believe someone would be taking it for 12 years! Your

hypothesis sounds plausible... Maybe try Dr. Carolyn McMakin's electric

gloves over the scalp?

Glenn

Glenn F. Gumaer, B.S., D.C.

1240 N. Riverside Avenue

Medford, OR 97501

541-770-1330

www.seekhealth.com

Abrahamson wrote:

Have a 40 y/o male pt. with dissecting cellulitis

which has been managed

with Acutane for 12 years. He suspects that his muscle tightness and

back

pain may be a secondary effect of the medication.

The guy has little lumps of bald patches the size of jellybeans

localized to

his occiput (alopecia areata).

Here's a description of it:

http://www.emedicine.com/derm/topic625.htm

Looking on Dr. to Dr. websites shows them preferring acutane (They get

really great stuff from the Acutane lady; Palm Pilots and everything!).

Most

recommend antibiotics. Here's an interesting note: it's not an

infection! Of

course, it can lead to an infection so prescribing Abx. is, of course

always

proper course; childhood itself following the same logic; sarcasm

intended.

"Bacterial infection appears to be a secondary event, not an etiologic

factor in the pathogenesis."

http://matrix.ucdavis.edu/rxderm-archives/disseting-folliculitis

Just brainstorming here: Research indicates that breast tissue damage

from

shoulder harness seatbelts statistically lead to a higher incidence of

breast cancer. In rare cases of breast damage from MVA's, I have my CA

or

the patient ultrasound the damaged breast tissue to slow healing and

decrease scarring.

Sooooo; I am wondering if this strange folliculitis could be treated

globally by relaxing the muscles, taut connective tissue, and allowing

better blood flow to the area.

Background: Perifolliculitis capitis abscedens et suffodiens (PCAS) is a

therapeutically challenging suppurative scalp disease of unknown

etiology.

Spitzer first described the disease in 1903, and Hoffman named it

descriptively in 1907 (suffodiens is from the Latin suffodio, meaning

to dig

under). Bacterial infection appears to be a secondary event, not an

etiologic factor in the pathogenesis.

( E. Abrahamson, D.C.)

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

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