Re: VA Disability Physical

[Guest guest]

That's an understatement! I had to take my shoes and socks off and she tickled

my feet, I thought she was checking for ED but then a little later she said she

couldn't find ED in my records but she was going to " take my word for it " !

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 122/73

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I am copying this because it often

comes up as we talk about the relationship of PA and DM: (In addition to amy

upcoming PCP appt next month I have a physical next week to support my VA

disability claim.)

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Medications and Chemical Toxins

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Some medications, such as nicotinic

acid and certain types of diuretics, anti-seizure drugs, psychiatric drugs, and

drugs to treat human immunodeficiency virus (HIV), can impair beta cells or

disrupt insulin action. Pentamidine, a drug prescribed to treat a type of

pneumonia, can increase the risk of pancreatitis, beta cell damage, and

diabetes. Also, glucocorticoids†" steroid hormones that are chemically

similar to naturally produced cortisol†" may impair insulin action.

Glucocorticoids are used to treat inflammatory illnesses such as rheumatoid

arthritis, asthma, lupus, and ulcerative colitis.

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Many chemical toxins can damage or

destroy beta cells in animals, but only a few have been linked to diabetes in

humans. For example, dioxin†" a contaminant of the herbicide Agent Orange,

used during the Vietnam War†" may be linked to the development of type 2

diabetes. In 2000, based on a report from the Institute of Medicine, the U.S.

Department of Veterans Affairs (VA) added diabetes to the list of conditions for

which Vietnam veterans are eligible for disability compensation. Also, a

chemical in a rat poison no longer in use has been shown to cause diabetes if

ingested. Some studies suggest a high intake of nitrogen-containing chemicals

such as nitrates and nitrites might increase the risk of diabetes. Arsenic has

also been studied for possible links to diabetes.

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

http://diabetes.niddk.nih.gov/dm/pubs/causes/#type2

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 64 yo morb. ob. male - 12mm

X 13mm rt. a.adnoma with previous rt. flank & amp; testicle pain. I have decided

against an adrenalectomy at this time since Meds. are working so well. Current

BP(last week ave): 122/73

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/Opportunities: OSA w

Bi-Pap settings 13/19, DM2. and PTSD.

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 MG,

Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and

Spironolactone 50 MG.

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt; & gt;

> > & gt; & gt; & gt;

> > & gt; & gt;

> > & gt;

> >

>

[Guest guest]

Just so you know the ticking of the feet is to check for nerve damage.

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I am copying this because it

often comes up as we talk about the relationship of PA and DM: (In addition to

amy upcoming PCP appt next month I have a physical next week to support my VA

disability claim.)

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Medications and Chemical Toxins

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Some medications, such as

nicotinic acid and certain types of diuretics, anti-seizure drugs, psychiatric

drugs, and drugs to treat human immunodeficiency virus (HIV), can impair beta

cells or disrupt insulin action. Pentamidine, a drug prescribed to treat a type

of pneumonia, can increase the risk of pancreatitis, beta cell damage, and

diabetes. Also, glucocorticoids†" steroid hormones that are chemically

similar to naturally produced cortisol†" may impair insulin action.

Glucocorticoids are used to treat inflammatory illnesses such as rheumatoid

arthritis, asthma, lupus, and ulcerative colitis.

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Many chemical toxins can damage

or destroy beta cells in animals, but only a few have been linked to diabetes in

humans. For example, dioxin†" a contaminant of the herbicide Agent Orange,

used during the Vietnam War†" may be linked to the development of type 2

diabetes. In 2000, based on a report from the Institute of Medicine, the U.S.

Department of Veterans Affairs (VA) added diabetes to the list of conditions for

which Vietnam veterans are eligible for disability compensation. Also, a

chemical in a rat poison no longer in use has been shown to cause diabetes if

ingested. Some studies suggest a high intake of nitrogen-containing chemicals

such as nitrates and nitrites might increase the risk of diabetes. Arsenic has

also been studied for possible links to diabetes.

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

http://diabetes.niddk.nih.gov/dm/pubs/causes/#type2

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 64 yo morb. ob. male -

12mm X 13mm rt. a.adnoma with previous rt. flank & amp; testicle pain. I have

decided against an adrenalectomy at this time since Meds. are working so well.

Current BP(last week ave): 122/73

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/Opportunities: OSA w

Bi-Pap settings 13/19, DM2. and PTSD.

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 MG,

Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and

Spironolactone 50 MG.

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt; & gt;

> > > & gt; & gt; & gt;

> > > & gt; & gt;

> > > & gt;

> > >

> >

>

[Guest guest]

I'd rather have the tickle test than the "wink test".....a VA/military acronym for a test. Anyone know?Sent from my Palm Pre on the Now Network from Sprint

I think it was called Playboy. Probably and age issue, they didn't have Viagra when you went through school did they! LOL > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I am copying this > > because it often comes up as we talk about the relationship of PA > > and DM: (In addition to amy upcoming PCP appt next month I have a > > physical next week to support my VA disability claim.) > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Medications and Chemical > > Toxins > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Some medications, such > > as nicotinic acid and certain types of diuretics, anti-seizure > > drugs, psychiatric drugs, and drugs to treat human immunodeficiency > > virus (HIV), can impair beta cells or disrupt insulin action. > > Pentamidine, a drug prescribed to treat a type of pneumonia, can > > increase the risk of pancreatitis, beta cell damage, and diabetes. > > Also, glucocorticoidsâ€"steroid hormones that are chemically > > similar to naturally produced cortisolâ€"may impair insulin > > action. Glucocorticoids are used to treat inflammatory illnesses > > such as rheumatoid arthritis, asthma, lupus, and ulcerative colitis. > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Many chemical toxins can > > damage or destroy beta cells in animals, but only a few have been > > linked to diabetes in humans. For example, dioxinâ€"a contaminant > > of the herbicide Agent Orange, used during the Vietnam Warâ€"may > > be linked to the development of type 2 diabetes. In 2000, based on a > > report from the Institute of Medicine, the U.S. Department of > > Veterans Affairs (VA) added diabetes to the list of conditions for > > which Vietnam veterans are eligible for disability compensation. > > Also, a chemical in a rat poison no longer in use has been shown to > > cause diabetes if ingested. Some studies suggest a high intake of > > nitrogen-containing chemicals such as nitrates and nitrites might > > increase the risk of diabetes. Arsenic has also been studied for > > possible links to diabetes. > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; http://diabetes.niddk.nih.gov/dm/pubs/causes/#type2 > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 64 yo morb. ob. > > male - 12mm X 13mm rt. a.adnoma with previous rt. flank & amp; > > testicle pain. I have decided against an adrenalectomy at this time > > since Meds. are working so well. Current BP(last week ave): 122/73 > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/ > > Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 > > MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, > > Metformin 2000MG and Spironolactone 50 MG. > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; > > > > & gt; & gt; > > > > & gt; > > > > > > > > > > > >

[Guest guest]

Am I close? See below. (Isn't google great!) Is that what my PCP called a

" digital exam " ? Why did she ask me to take a test for HIV? Bday coming up, do

I get another one?

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 122/73

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

Anal wink

The anal wink or anocutaneous reflex is the reflexivecontraction of the external

anal sphincterupon stroking of the skin around the anus.

The absence of this reflex indicates that there is an interruption of the reflex

arc, which may be in the sensory afferentlimb or the motor efferentlimb. The

synapsebetween the afferent and efferent limbs occurs in the lowest sacral

segments of the spinal cord.

Child abuse controversy

Dr. Bruce Woodlingdeveloped the " anal wink test " which he alleged was an

indisputable diagnostic indicator that a child had been sodomised. In a clinical

setting, he would spread a child?s buttocks and touch the rectum with a cotton

swab. If the anus " winked " , Woodling testified, this was " proof of sodomy " . His

testimony was prominent in the Mc preschoolchild abuse case — the largest

and costliest court case in United Stateshistory.

It has since been established that Woodling never made any effort to validate

his test, and it has been utterly discredited.

Woodling's pseudoscientifictestimony contributed to Ray Buckleyspending five

years in remand prison. Buckley was later released without conviction.

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; I am copying this

> & gt; & gt; because it often comes up as we talk about the relationship of PA

> & gt; & gt; and DM: (In addition to amy upcoming PCP appt next month I have a

> & gt; & gt; physical next week to support my VA disability claim.)

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; Medications and Chemical

> & gt; & gt; Toxins

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; Some medications, such

> & gt; & gt; as nicotinic acid and certain types of diuretics, anti-seizure

> & gt; & gt; drugs, psychiatric drugs, and drugs to treat human immunodeficiency

> & gt; & gt; virus (HIV), can impair beta cells or disrupt insulin action.

> & gt; & gt; Pentamidine, a drug prescribed to treat a type of pneumonia, can

> & gt; & gt; increase the risk of pancreatitis, beta cell damage, and diabetes.

> & gt; & gt; Also, glucocorticoids†" steroid hormones that are

chemically

> & gt; & gt; similar to naturally produced cortisol†" may impair

insulin

> & gt; & gt; action. Glucocorticoids are used to treat inflammatory illnesses

> & gt; & gt; such as rheumatoid arthritis, asthma, lupus, and ulcerative

colitis.

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; Many chemical toxins can

> & gt; & gt; damage or destroy beta cells in animals, but only a few have been

> & gt; & gt; linked to diabetes in humans. For example, dioxin†" a

contaminant

> & gt; & gt; of the herbicide Agent Orange, used during the Vietnam

War†" may

> & gt; & gt; be linked to the development of type 2 diabetes. In 2000, based on

a

> & gt; & gt; report from the Institute of Medicine, the U.S. Department of

> & gt; & gt; Veterans Affairs (VA) added diabetes to the list of conditions for

> & gt; & gt; which Vietnam veterans are eligible for disability compensation.

> & gt; & gt; Also, a chemical in a rat poison no longer in use has been shown to

> & gt; & gt; cause diabetes if ingested. Some studies suggest a high intake of

> & gt; & gt; nitrogen-containing chemicals such as nitrates and nitrites might

> & gt; & gt; increase the risk of diabetes. Arsenic has also been studied for

> & gt; & gt; possible links to diabetes.

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; http://diabetes.niddk.nih.gov/dm/pubs/causes/#type2

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; - 64 yo morb. ob.

> & gt; & gt; male - 12mm X 13mm rt. a.adnoma with previous rt. flank & amp;amp;

> & gt; & gt; testicle pain. I have decided against an adrenalectomy at this time

> & gt; & gt; since Meds. are working so well. Current BP(last week ave): 122/73

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; Other Issues/

> & gt; & gt; Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt; Meds: Duloxetine hcl 80

> & gt; & gt; MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

> & gt; & gt; Metformin 2000MG and Spironolactone 50 MG.

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

& amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt; & amp;gt;

> & gt; & gt; & gt; & gt; & amp;gt;

> & gt; & gt; & gt; & gt;

> & gt; & gt; & gt;

> & gt; & gt;

> & gt; & gt;

> & gt;

>

[Guest guest]

Nope, just my pantyhose - NOT. (Just another example of what I learned from Dr.

Groopman!) Okay, get serious!

I found this where it looks like the French did some looking into it. Haven't

found any more testing yet.

Association of androgenetic alopecia and hypertension.

Eur J Dermatol. 2007; 17(3):220-2 (ISSN: 1167-1122)

Ahouansou S; Le Toumelin P; Crickx B; Descamps V

Department of Public Health, Avicenne Hospital, Assistance Publique-Hôpitaux de

Paris, Bobigny Cedex. France.

Summary:

Men with hairloss may want to closely monitor their blood pressure and treat

high blood pressure early.

Androgenetic alopecia is considered to be associated with coronary heart disease

but the explanation of this association remains unknown. Hypertension is highly

prevalent in patients with coronary heart disease. Essential hypertension is

linked to hyperaldosteronism and spironolactone, an antihypertensive drug which

is a mineralocorticoid receptor antagonist, has been used for a long time in the

treatment of androgenic alopecia. We recently observed in a double transgenic

mouse model that overexpression of a mineralocorticoid receptor targeted to the

skin induced the development of alopecia.We prospectively studied the

association of hypertension and androgenetic alopecia in Caucasian men. Two

hundred and fifty Caucasian men aged 35-65 years were consecutively recruited by

5 general practitioners (50 per practitioner). Data collected included age,

androgenetic alopecia score with a simplified Norwood's score (0-4), blood

pressure or history of hypertension, smoking, history of diabetes mellitus or

hyperlipidemia, familial history of androgenetic alopecia, and treatment.

Chi-square, Fisher exact tests and linear regression model were used for

statistical analysis.Hypertension was strongly associated to androgenetic

alopecia (p < 0.001). Linear regression tests confirmed that this association

was independent of age : odds ratio was 2.195 (95% CI : 1.1-4.3). Familial

history of androgenetic alopecia was also strongly associated with androgenetic

alopecia : odds ratio was 10.870 (95% CI : 4.3-27.1). Other variables (diabetes

mellitus, hyperlipidemia, smoking, treatment) were not associated with

androgenetic alopecia.We were limited by a relatively small study sample but in

this study androgenetic alopecia was strongly associated with hypertension.

Association of androgenetic alopecia and hyperaldosteronism warrants additional

studies. The use of specific mineralocorticoid receptor antagonists could be of

interest in the treatment of androgenetic alopecia.

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 122/73

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > & gt; & gt; & gt; & gt;

> > > > > > > > & gt; & gt; & gt; & gt; Sorry to inform you Doctor, but you have

> > > > > > just committed the #1 sin, next thing I know you'll interrupt me

> > > > in

> > > > > > an average of 18 seconds! Your penance is to read Dr. Jerome

> > > > > > Groopman's " How Doctors Think " !

> > > > > > > > & gt; & gt; & gt; & gt;

> > > > > > > > & gt; & gt; & gt; & gt; Can I assume that DM is resolved now

> > > > that I

> > > > > > have PA and K under control? Should I tell them to forget the

> > > > Agent

> > > > > > Orange claim even though DaNang, the place I laid my head for 10

> > > > > > months an

>

[Guest guest]

The are talking about baldness- of the head Aka AA. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Nope, just my pantyhose - NOT. (Just another example of what I learned from Dr. Groopman!) Okay, get serious!

I found this where it looks like the French did some looking into it. Haven't found any more testing yet.

Association of androgenetic alopecia and hypertension.

Eur J Dermatol. 2007; 17(3):220-2 (ISSN: 1167-1122)

Ahouansou S; Le Toumelin P; Crickx B; Descamps V

Department of Public Health, Avicenne Hospital, Assistance Publique-Hôpitaux de Paris, Bobigny Cedex. France.

Summary:

Men with hairloss may want to closely monitor their blood pressure and treat high blood pressure early.

Androgenetic alopecia is considered to be associated with coronary heart disease but the explanation of this association remains unknown. Hypertension is highly prevalent in patients with coronary heart disease. Essential hypertension is linked to hyperaldosteronism and spironolactone, an antihypertensive drug which is a mineralocorticoid receptor antagonist, has been used for a long time in the treatment of androgenic alopecia. We recently observed in a double transgenic mouse model that overexpression of a mineralocorticoid receptor targeted to the skin induced the development of alopecia.We prospectively studied the association of hypertension and androgenetic alopecia in Caucasian men. Two hundred and fifty Caucasian men aged 35-65 years were consecutively recruited by 5 general practitioners (50 per practitioner). Data collected included age, androgenetic alopecia score with a simplified Norwood's score (0-4), blood pressure or history of hypertension, smoking, history of diabetes mellitus or hyperlipidemia, familial history of androgenetic alopecia, and treatment. Chi-square, Fisher exact tests and linear regression model were used for statistical analysis.Hypertension was strongly associated to androgenetic alopecia (p < 0.001). Linear regression tests confirmed that this association was independent of age : odds ratio was 2.195 (95% CI : 1.1-4.3). Familial history of androgenetic alopecia was also strongly associated with androgenetic alopecia : odds ratio was 10.870 (95% CI : 4.3-27.1). Other variables (diabetes mellitus, hyperlipidemia, smoking, treatment) were not associated with androgenetic alopecia.We were limited by a relatively small study sample but in this study androgenetic alopecia was strongly associated with hypertension. Association of androgenetic alopecia and hyperaldosteronism warrants additional studies. The use of specific mineralocorticoid receptor antagonists could be of interest in the treatment of androgenetic alopecia.

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 122/73

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

& nbsp;

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