Peripheral Arterial Insufficiency

Yehuda Handelsman, MD: Hello and welcome to this HCPLive® Peer Exchange titled, "Expert Perspective on Novel Treatment Options for Atherosclerotic Cardiovascular Disease and Hypercholesterolemia." I'm Yehuda Handelsman, I'm an endocrinologist in a private practice and I'm associated with Providence Cedars-Sinai Tarzana Medical Center in Los Angeles, California. With me, I have 4 top experts in our field of cardiovascular hyperlipidemia diseases, Drs Christie Ballantyne, Matthew Budoff, Erin Michos, and Paul Jellinger. Would you introduce yourselves? Christie Ballantyne, MD: I'm Christie Ballantyne, the chief of cardiology and cardiovascular research at Baylor College of Medicine in Houston, Texas. Matthew J. Budoff, MD: I'm Matt Budoff, I'm a professor at UCLA [University of California, Los Angeles] School of Medicine and the program director of preventive cardiologists at Harbor-UCLA Medical Center in Torrance, California. Erin D. Michos, MD, MHS:

Background Chronic mesenteric ischemia (CMI) is a relatively rare disorder and, if left untreated, can progress to acute mesenteric ischemia (AMI), which is a life-threatening condition with high mortality rates (50–70%). 1 Asymptomatic CMI has 5-year mortality of up to 40%, and it may be even higher (86%) if all three mesenteric arteries are affected. 2 Atherosclerosis of the mesenteric arteries is the most common cause of CMI. 3,4 Another cause of CMI, especially in a relatively younger population, is median arcuate ligament syndrome (MALS). 5 The typical clinical presentation is abdominal pain with postprandial worsening resulting from persistent intestinal hypoperfusion due to insufficient blood supply during increased metabolic demand after eating. 6 Changes in the eating pattern, ie, avoiding large meal portions, usually lead to undesirable weight loss in these patients. Other complaints may follow, such as diarrhea or constipation, nausea, vomiting, and in severe cases

Introduction One of the most common emotional disorders presented by chronic kidney disease (CKD) patients is anxiety due to the hemodialysis (HD) procedure (a procedure in which the blood is cleared of any impurities and waste; and it is the foremost approach to manage renal failure). 1,2 Anxiety disorders are common in end stage renal disease (ESRD), with rates ranging between 12% and 52%. HD necessitates that patients comply with diet and fluid restrictions, as the process is associated with chronic pain and discomfort. Anxiety in ESRD patients is also attributed to the invasive procedures related to HD, such as arteriovenous fistula (AVF) cannulation and alarm sounds going off the dialysis machine. Patients also reported anxiety episodes on the lack of permanent nurses that take care of the patients during the HD treatment sessions. 3 HD treatment can cause a series of complications during the procedure. A common complication during hemodialysis treatment is a drop in blood

Suddenly, I'm seeing it everywhere. It's sort of like a goatee made up of a rash. Yes. You did indeed read that correctly. Life over the past couple of years hasn't been challenging enough, so the universe has seen fit to send us a Luciferian beard made of red, itchy skin. There's visible scaling and dryness as well as raised texture. It can present around the eyes too, but most commonly you'll find it around the mouth, chin and nose. Naturally, due to the standard cosmic injustices, it's far more common in women than men. It's called perioral dermatitis. For weeks, I could not figure out what it was. It's often mistaken for acne, but ingredients such as salicylic acid that help with breakouts will make it worse. My second instinct was hydrocortisone cream, which is a sensible go-to for short-term use on itchy, rashy scenarios. Don't do it – the steroid cream initially improves the rash only f

Red bumps on your legs, WHY? It just seems so unfair that just as summer is approaching and you're getting out all your cute shorts and sundresses, the random red bumps on your legs are stopping you from wearing what you actually want to wear. Well, first of all, you should feel comfortable wearing whatever you want to wear, whenever you want to wear it, with or without red spots on your legs. Because guess what, all of us are beautiful in our own ways and life is too short to let some spots on your legs stop you from wearing that cute dress you've been holding onto for months. But all said and done, it's definitely not wrong to want your skin looking smooth and clear. The thing about these red spots is, that they can be worrisome if you don't know what is causing them. While it could be something minor, sometimes these bumps could need medical attention.

A rash on the inner thigh is a fairly widespread complaint. The lack of heat and airflow around the inner thighs allow bacteria and other germs to flourish. This area is also easily irritated by friction or contact with clothing. This article lists 11 common causes of a rash on the inner thigh, along with possible treatment options and preventive techniques. There are many possible reasons for an inner thigh rash. Both women and men are susceptible to inner thigh rashes, although the causes may vary between the sexes. Potential causes include: 1. Atopic dermatitis Share on Pinterest A rash on the inner thigh may be accompanied by itchiness, oozing lesions, and scaly patches. Atopic dermatitis, more commonly known as eczema, causes red, itchy, and dry skin. The condition is more common in children, although it can occur at any age. According to the American Academy of Dermatology Association, an estimated 10 to 20 percent of children worldwide have eczema, while just 1 to 3 percent of a