landscape

afternoon view

Discoid Lupus Erythematosus

Discoid Lupus Erythematosus

http://www.aocd.org/skin/dermatologic_diseases/discoid_lupus_eryt.html

Discoid lupus erythematosus (DLE) is a chronic skin condition of sores with inflammation and scarring favoring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. The center areas may appear lighter in color with a rim darker than the normal skin. When lesions occur in hairy areas such as the beard or scalp, permanent scarring and hair loss can occur. A small percentage of patients with discoid lupus can develop disease of the internal organs, which can make the person sick. Children and people with many spots are usually at more risk of this. If a doctor suspects this condition, a skin biopsy needs to be done to confirm the diagnosis because other conditions can look like discoid lupus erythematosus. If the skin biopsy shows discoid lupus erythematosus, then further blood testing may be indicated.

The exact cause is unknown, but it is thought to be autoimmune with the body's immune system incorrectly attacking normal skin. This condition tends to run in families. Females outnumber males with this condition 3 to 1. In some patients with discoid lupus erythematosus, sunlight and cigarette smoking may make the lesions come out.

Cortisone ointment applied to the skin in the involved areas will often improve the lesions and slow down their progression. Cortisone injections into the lesions will also treat discoid lupus and usually are more effective than the ointment form of cortisone. Alternatively, calcineurin inhibitors, pimecrolimus cream or tacrolimus ointment may be used. Imiquimod has also been reported to be helpful in a few patients. If the lesions are becoming unsightly and one really feel something more needs to be done, a drug named Plaquenil will often improve the condition. Patients on Plaquenil need eye exams once a year to prevent damage to the retina of the eye and periodic blood work. Closely related drugs (Aralen, Quinacrine) may be more effective but have more side effects. Other drugs, such as Accutane and Soriatane, can also be used.

Patients whose condition is sensitive to sunlight need to wear a UVA/UVB blocking sunscreen daily and a hat while out doors. Follow-up with the doctor is important and necessary every six months to once a year to make sure the disease is not spreading to the internal organs and to minimize scarring.

Why Is It So Hard to Get Rid of Bed Bugs?

Why Is It So Hard to Get Rid of Bed Bugs? http://insects.about.com/od/insectpests/f/hardkillbedbugs.htm

Bed bugs are notoriously difficult to eliminate once they've established themselves in a dwelling, and they're on the rise everywhere. What makes it so hard to get rid of bed bugs?

Second, bed bugs multiply quickly. A single female can lay 500 eggs during her life, and within a few months her offspring can reproduce as well. A few individuals introduced to a new environment can increase exponentially. Depending on conditions, bed bugs can produce 3 or 4 generations in one year. Additionally, bed bugs reproduce most quickly in temperatures between 70*deg; and 82*deg; F, right in the range where most people keep their thermostats.

Bed bugs can go a remarkably long time without feeding, should no host be present to provide them with needed blood meals. Scientists have documented adult bed bugs living up to 550 days without eating, and nymphs may last for months. So simply leaving an infested dwelling unoccupied for a few months in hopes of starving them out will do nothing to discourage the little freeloaders.

Just to make their extermination more difficult, bed bugs can sense chemical odors, and may avoid areas where cleaning agents or even pesticides have been applied. Some scientists believe bed bugs have developed a resistance to certain insecticides as well.

Finally, to rid a dwelling of bed bugs for good, every possible hiding place must be cleaned or treated. In a home, that means all clothing, bedding, linens, and other washable fabrics must be laundered, usually repeatedly. Every crevice and seam of mattresses and upholstered furniture must be inspected and treated. Cracks in walls must be sealed, loose wallpaper reattached or removed, and carpets treated and vacuumed. Dresser drawers have to be emptied and cleaned, and all clutter must be removed to limit hiding places for stray bed bugs.

Nulis apa ya...

Kesel dengan satu browser tidak pernah menjadi masalah masih banyak browser yang siap dibuka.

Kesel dengan satu ketikan, hapus atau edit ulang saja.

Kesel dengan cara berpakaian, pergi ke toko ganti koleksi.

Kesel dengan makanan, cari yang lain ganti lokasi.

Semua kesel bisa terobati.

Kesel tidak punya ide dan tidak tahu mau nulis apa.........wah ini kenapa buat hati jadi sedih.

seperti aku tidak mempunyai temen curhat.

You changed my life

I'm so glad I found you.

My friend. wrote those words in a note to me. On the pages that follow, you will discover that he didn't find me. I found him. And, thanks to Er, I remembered a few things about life that I hadn't really thought about for a long time.

For years I had grand visions of working leader who changed the course of history. I filled my personal diary as presidents and statesmen. I wanted to understand what made their lives great - and what might be missing from mine.

In looking for answers I turned to books written by people who are successful in business and industry. For a while I searched for excellence, then I compared my habits to those of highly effective people. Like millions of people, I thought success equaled happiness.

The book I've written, though, is about a simple man who ran a cash register. He worked hard and was good to people. That, in turn, made him happy.

Can it be so simple? so free of complications? Er thought so. He showed me how to be a better person, not one wealthier or more successful or more powerful.

He changed my life - forever.