Tuesday, May 6, 2014

risks, benefits,alternatives

Mount Sinai may or may not have adequately disposed to Jay Patel and other trial participants, the risks, benefits or alternatives.

Life is all about money? Nothing else matters? Bet on it?  Know what /why you are betting or just wing it?

effective and not sponsored by  drug company errand people.

Let Dr. Emma Guttman-Yasky et al compare, contrast and debate the merits of their work with the work done overseas. See below. See also faustmanlab.org and pubmed.org.

It is an indictment of the intellects of Mount Sinai and Rockefeller University that BCG works for autoimmune diseases safely and inexpensively. These are things that drug companies do not much care for.
A corporation is a person without a soul and the people below are the corpulent embodiments of corporations?

BCG shoot it  or shot someone else with it and see that it works and say I should have thought of that.






Mount Sinai dermatologist leading breakthrough treatment of severe eczema

Dr. Emma Guttman-Yassky, an investigative researcher at the Icahn School of Medicine at Mount Sinai Medical Center, is at the forefront of major medical advances in the understanding and treatment of eczema. The 40-year-old rising star has identified molecules that cause the skin disease and targeted drugs to treat it.

NEW YORK DAILY NEWS
Saturday, May 3, 2014, 6:33 PM
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NYC PAPERS OUT. Social media use restricted to low res file max 184 x 128 pixels and 72 dpi David Handschuh/New York Daily News Dr. Emma Guttman-Yassky, a star dermatologist at the Icahn School of Medicine at Mount Sinai Medical Center, is at the forefront of revolutionary treatments of severe eczema.
For the last three years, Neal Patel thought he was going to lose his mind from itching — suffering through a skin condition that made for miserable days and sleepless nights The 25-year-old medical student has been tortured by severe eczema on and off since childhood.
In the latest flare-up, which began during his second year at Rutgers New Jersey Medical School, he stopped dating and going out with friends, embarrassed to be seen. Red scaly lesions erupted on his face, arms, hands, trunk and legs. His bed sheets were bloodied from picking at his skin for relief.
Until Dr. Emma Guttman-Yassky, a rising star dermatologist and investigative researcher at the Icahn School of Medicine at Mount Sinai Medical Center, came into his life.
Patel read about her groundbreaking research into atopic dermatitis, as eczema is medically known, and called to see if he could enroll in one of her ongoing clinical trials. “I am indebted to Dr. Guttman,” Patel said. “She has pretty much saved my life.”





Dr. Emma Guttman-Yassky treats Neal Patel, a 25-year-old medical student that has suffered from severe eczema since childhood.
Dr. Emma Guttman-Yassky treats Neal Patel, a 25-year-old medical student that has suffered from severe eczema since childhood.
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  • Dr. Emma Guttman-Yassky treats Neal Patel, a 25-year-old medical student that has suffered from severe eczema since childhood.
  • Dr. Emma Guttman-Yassky treats Neal Patel, who has eczema in many places, including arms and hands (insets).
  • Dr. Emma Guttman-Yassky, Mt SinaiÕs superstar dermatologist is on the verge of discovering a revolutionary treatment for Eczema Ð the horrible itchy skin disease that 30 million Americas suffer from and can literally drive a person crazy. Neal Patel is a patient in Dr. GuttmanÕs clinical trial.
Enlarge
David Handschuh/New York Daily News
Guttman-Yassky, 40, is in the forefront of major advances in the understanding and treatment of eczema. In her laboratory at Rockefeller University and now at Mount Sinai, she has identified the molecules that cause the inflammatory skin disease and targeted drugs to treat it.
She also discovered a unique lymphocyte “Th22” — and its possible role in atopic dermatitis.
“She really is changing the world,” said Dr. Mark Lebwohl, the chief of dermatology at Mount Sinai and president of the American Academy of Dermatology.
I am indebted to Dr. Guttman. She has pretty much saved my life.
Until now, the common treatments for severe eczema were powerful systemic steroids, like prednisone, which can have terrible side effects, and cyclosporine, a broad immune-suppressing drug that turns off an entire immune system and can permanently damage the kidneys, increase blood pressure and increase cancers.
The new drugs Guttman-Yassky is testing target only a very small part of the immune system. If successful, they could be available to the public within a few years.
Guttman-Yassky’s interest in internal medicine and dermatology has been personal as well as professional. She herself had eczema as a child growing up in Romania and Israel.





Neal Patel stopped dating and going out after his latest eczema flare-up. Neal Patel stopped dating and going out after his latest eczema flare-up. Enlarge
Eczema affects 30 million Americans, including 15% of the children in the U.S. Eczema affects 30 million Americans, including 15% of the children in the U.S. Enlarge
“The molecular maps or pathways that are activated in eczema had not been well defined,” Guttman-Yassky said. “It was not clear whether it was a disease of immune activation or if the outer layer of the skin was deficient. We now understand that the disease is primarily immune driven ... which makes it much easier to cure.”
Guttman-Yassky is the principal investigator in several crucial drug trials for patients with moderate to severe eczema — including one funded by the National Institutes of Health for $2.7 million.
“I think these drugs could be a revolutionary change for patients who have suffered for so long,” said Guttman-Yassky, who describes herself as a medical Sherlock Holmes.
Eczema affects 30 million Americans, including 15% of the children in the country. The good news is that most children will outgrow it by age 10 and many will outgrow it by age 5.
Patel, after just two weeks in the drug trial, is already seeing progress. “I am clearing up, I am itching less, I am sleeping better,” Patel said. “I haven’t felt this good in three years. I feel so lucky.”

Read more: http://www.nydailynews.com/life-style/health/mt-sinai-doctor-leading-breakthrough-treatment-eczema-article-1.1778441#ixzz30wxrlyYe



Book $30.
 
 



Paller AS, Lebwohl M, Fleischer AB Jr, Antaya R, Langley RG, Kirsner RS, Blum RR, Rico MJ, Jaracz E, Crowe A, Linowski GJ; US/Canada Tacrolimus Ointment Study Group.
J Am Acad Dermatol. 2005 May;52(5):810-22.
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Ellis CN, Drake LA, Prendergast MM, Abramovits W, Boguniewicz M, Daniel CR, Lebwohl M, Stevens SR, Whitaker-Worth DL, Tong KB.
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Ellis CN, Drake LA, Prendergast MM, Abramovits W, Boguniewicz M, Daniel CR, Lebwohl M, Stevens SR, Whitaker-Worth DL, Cheng JW, Tong KB.
J Am Acad Dermatol. 2002 Mar;46(3):361-70.
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Koo J, Lebwohl A.
Am Fam Physician. 2001 Dec 1;64(11):1873-8.
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Jorizzo JL, Magee K, Stewart DM, Lebwohl MG, Rajagopalan R, Brown JJ.
Cutis. 1997 Jul;60(1):55-60.
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>>> Rigshospitalet  <news@meltwaterpress.com> 9/3/2012 9:27 AM >>>





Press release


3rd of September 2012



Tuberculosis vaccine - a new remedy for allergies and asthma in children?
M Can a vaccine against tuberculosis help combat asthma and eczema in Danish children early in life? This will now be examined in a comprehensive Danish research study.  
From September 2012, thousands of Danish pregnant women will receive an invitation to allow their newborns to take part in a sensational trial.
The tuberculosis vaccine was removed from the vaccine program in Denmark during the 1980s, however new research indicates that the vaccine can improve the health of children.
Research carried out in developing countries shows that the health of infants who have been given the tuberculosis vaccine (BCG/Calmette) at birth is improved and the babies have a better survival rate than those who have not been given the vaccine. The vaccine also seems to have a preventive effect against asthma and atopic dermatitis.
Results are so striking that they cannot be explained by the fact that the children did not catch tuberculosis. Therefore, researchers assess the vaccine to have a general positive effect on the immune system, which means that children are less sick, and have less atopic dermatitis, asthma and allergies.
Whether this positive effect also can benefit Danish children will now be examined in a large Danish research project headed by Lone Graff Stensballe, Paediatrician from the Department of Paediatrics and Adolescent Medicine at Rigshospitalet.
The research project will run for three years, starting in September 2012, where 4,300 infants and their parents will be followed through interviews, examinations, and, for 300 of the children, blood tests as well. The project will comprise five PhD courses and a research collaboration with obstetricians, paediatricians, midwives, nurses and laboratory technicians from the three hospitals taking part in the project.
“We are very excited about this unique opportunity to improve the health of Danish children early in life,” says Lone Graff Stensballe. “Unfortunately, we have seen large increases in admissions, consumption of medicines, asthma, eczema and allergies among Danish children. We hope to curb these increases with the new research project.”
The research project will be carried out at Rigshospitalet in collaboration with Hvidovre Hospital, Kolding Sygehus Lillebælt and the new Centre for Vitamins and Vaccines at SSI (Statens Serum Institut).

For further information and interviews, please contact:
Lone Graff Stensballe
Head of Research
Paediatrician, Department of Paediatrics and Adolescent Medicine, Rigshospitalet, Denmark
Telephone: +45 6022 8092    E-mail: lone.graff.stensballe@rh.regionh.dk



Rigshospitalet - a part of Copenhagen University Hospital



Rigshospitalet – a part of Copenhagen University Hospital – is Denmark'sleading hospital for patients needing highly specialized treatment. Rigshospitalet serves all of Denmark, Greenland and the Faroe Islands within almost all specialties and sub-specialties of medicine and surgery.


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