Quality of Life and Morgellons, Treatment Considerations with Dr. Steven Feldman

At 12PM EST on 2/22/2022 Dr. Steven Feldman returned to Morgellons Discussion and Microscopy Videos to answer several questions and review the literature with us.

“Chronic skin diseases have a huge impact on patients’ lives. We can help make great improvements in our patients’ lives, if they will use the medicine we prescribe. That’s a big if. Dr. Steven Feldman has opened our understanding of adherence issues in the treatment of psoriasis, atopic dermatitis and acne. He is author of over 700 MEDLINE-referenced publications and serves as editor of the Journal of Dermatological Treatment.

Dr. Feldman is a board-certified dermatologist and dermatopathologist. He is professor of dermatology, pathology and public health sciences at the Wake Forest University School of Medicine in North Carolina. He earned his M.D. and PhD degrees from Duke University in Durham, NC, and then completed a dermatology residency at the University of North Carolina at Chapel Hill and his dermatopathology residency at the Medical University of South Carolina, in Charleston.”
https://www.aocd.org/page/SpkrBioFeldmanSM16

  • What is #Psoriasis and does it involve skin lesions and foot blisters?
  • What is the treatment for Psoriasis, is there a vaccine or a cure?
  • A recent research paper suggests environmental contamination may result in worsening Psoriasis symptoms, is this true and should patients be concerned? https://www.hcplive.com/view/psoriasis-flares-short-term-air-pollution-exposure
  • Have you ever seen a #Morgellons patient who you knew has psoriasis, or another skin condition instead?
  • In a recently published research paper that you co-authored, it recommends #antipsychotics as the first line treatment for MD. What is the primary concern of a physician for diagnosing antipsychotics for Morgellons patients? https://www.tandfonline.com/doi/full/10.1080/14656566.2022.2029407
  • Can people bring their Dermatologist a box of skin artifacts and have it mean something which can be addressed other than DOP? (Duke University in collaboration with Kilimanjaro Christian Medical University College Tropical Parasitology: Protozoans, Worms, Vectors and Human Diseases https://www.coursera.org/learn/parasitology)
  • Are there any conditions where it would be reasonable for a patient to pick at their skin, like warts, blisters, or pimples?
  • Are there instances where people who think they have Morgellons wouldn’t need antipsychotics? Full article: Advances in and hope for the treatment of parasitosis (tandfonline.com) https://www.tandfonline.com/doi/full/10.3109/09546634.2016.1153254, Morgellons disease etiology and therapeutic approach: a systematic review (escholarship.org) https://pubmed.ncbi.nlm.nih.gov/34755952/
  • Does online information play a role in the patients you see who might need antipsychotics?
  • Can CBD be a substitute for antipsychotic medications, and are there any skin conditions do you feel could be treated or managed with cannabis as a first-line treatment? (https://pubmed.ncbi.nlm.nih.gov/29241357/)
  • If your state passed a medical marijuana law, would you be open to writing recommendations for your patients?
  • A recent article on Dermatology Advisor suggests there may be a “real Morgellons” condition that involves human biofilaments. Is this paper substantial to validate a real Morgellons condition in your opinion? (Lyme Disease May Be Associated With Genital Lesions and Morgellons Disease – Dermatology Advisor) https://www.dermatologyadvisor.com/home/topics/general-dermatology/lyme-disease-linked-to-genital-lesions-and-morgellons-disease/
  • What is the most common reason for skin disorders?
  • Are there any known skin conditions that result in fuzzy sores?
  • You mentioned in Skin Deep that one of the symptoms being shared looks like warts, what was going through your mind when you saw them? https://www.morgellonsmovie.org/
  • If the physician observes filaments, as in this recent case-study, what in your opinion are they looking at? https://pubmed.ncbi.nlm.nih.gov/34917368/
  • Do you feel testing patients for Lyme, Relapsing Fever, and Syphilis may help improve the patient relationship or exacerbate if all the tests are negative?
  • Do you ever have to have a patient on long-term antibiotics, are intramuscular or intravenous antibiotics ever required in Dermatology?
  • What do you think about the new artificial intelligence program which can diagnose skin conditions from images, are you concerned about job security? https://blog.google/technology/health/ai-dermatology-preview-io-2021/
  • What are peptides, and are there any FDA approved peptide therapies? https://www.clinuvel.com/scenesse/
  • How do you feel about the potential role of Gamification towards patient compliance? https://www.sciencedirect.com/science/article/pii/S1059131117305290
  • Can steroids or hormones ever help Dermatology patients?
  • Do you ever have to refer a patient out for more serious treatment, like surgery? What skin conditions would result in that scenario?
  • What causes the skin to age, and can it be regenerated?

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