These tests will help assess whether or not your purpura is a result of a more serious condition, such as a platelet or blood disorder. People who have Henoch-Schonlein purpura often have deposits of a certain protein, IgA (immunoglobulin A), on the affected organ. They may change your treatment depending on its efficacy. When your doctor confirms a diagnosis, theyll discuss treatment options and the long-term outlook for your condition. In other words, it recurs, and people have to live with it for the remainder of their lives. Irregularly shaped lesions appear that may measure one to four cm and are dark in color. Thrombocytopenic means that you have a lower than normal platelet count. Preventive effect of hesperidin against inflammation in CD-1 mouse skin caused by tumor promoter. Leung AK, et al. The following could cause nonthrombocytopenic purpura: The following could cause thrombocytopenic purpura: Your doctor will examine your skin to diagnose purpura. Solar purpura is most commonly seen in the elderly. We avoid using tertiary references. Wearing sunblock can help protect your skin from further sun damage. It is also known as Bateman purpura, after British dermatology actinic purpura, because of its association with sun damage. (Maria Uspenskaya/Shutterstock) Actinic purpura is a condition that impacts the elderly and is. });}); Which language do you prefer to get the answer?EnglishSpanish. Henoch-Schonlein purpura usually goes away on its own within a month with no lasting ill effects. Vascular diseases or medications that affect the blood vessels can also contribute to the development of actinic purpura. These medications include aspirin and ibuprofen. All Senile purpura The resulting bleeds and the bruises are way out of proportion to the cause. Citrus Bioflavonoids: Senile purpura (also known as "Actinic purpura," and "Solar purpura") was first described by Bateman1 in 1818 when he noted dark purple blotches and determined that they were due to the extravasation of blood into the dermal tissue. Both sexes are equally affected.7. This blood may show up just beneath the surface of the skin. Because these drugs can have serious side effects, discuss the risks and benefits of using them with your doctor. Are there any natural or herbal remedies that are effective for purpura? What medications and supplements does the person with the rash take regularly? 3 Effective Homeopathic Treatment for Scalp Ringworm! It happens when small blood vessels leak blood under your skin's surface. This then reduces the risk for actinic purpura. ITP may also be associated with people with infections like HIV, Hepatitis C or H pylori. Senile purpura was first described by British dermatologist Thomas Bateman in 1818. One can detect antibodies that are associated with platelets in the blood. When a blood vessel bursts, a small amount of blood escapes from the vessel into the body. Disclaimer: We dont claim cure any diseases by which modern medicine fraternity claiming incurable on the basis of the technology and scientific facts. (2011). Mature skin is prone to bruising, resulting in a condition known as actinic purpura, characterized by unsightly ecchymosis and purple patches. Those who practice it use tiny amounts of natural substances, like plants and minerals. Other possible causes include: Exposure to ultraviolet rays and aging skin are common causes of senile purpura. 2020. Purpura can also occur in the mucous membranes, particularly in the mouth and internal organs. Some studies have explored using vitamin K topically to reduce the appearance of bruising, but no studies have been conducted on vitamin Ks effects on senile purpura, so speak to your doctor before using this technique. These bruises typically last between one and three weeks before fading. The list below covers some of the potential senile purpura causes: Despite what some people think, the elderly dont suddenly wake up covered in purplish red spots. Purpura spots are generally benign, but may indicate a more serious medical condition, such as a blood clotting disorder. Other risk factors include chronic sunlight exposure and the use of oral or topical corticosteroids and anticoagulants (blood thinners). Ranganna S, Govindarajan VS, Ramana KV. Once your platelet count is back to a safe level, you can gradually discontinue taking the drug under the direction of your doctor. Adjacent skin is often thin, not very elastic. Some patients may seek relief from Arnica Montana, which is derived from the Arnica plant. There is no conventional medicine for senile purpura. Shah NS, et al. It can cause side effects such as headache, nausea, and fever. Schwartz RA. Antiradical and chelating effects in flavonoid protection against silica-induced cell injury. Splenomegaly (enlargement of the spleen) does exclude the diagnosis of ITP. In cases of severe kidney involvement, your doctor may suggest a kidney biopsy to help guide treatment decisions. Although cosmetically displeasing, senile purpura is benign and unrelated to any systemic diseases or blood dyscrasias. The latest drugs used to treat low platelet count in people with chronic immune (idiopathic) thrombocytopenic purpura (ITP) are romiplostim (Nplate) and eltrombopag (Promacta). CBCcomplete blood count with a differential count, PT, aPTT with INRthis is a coagulation profile. Actinic Purpura Clinical Presentation. Bruising disappears on average in about three weeks, Yellowish or brown stains appear where purple bruises once were, Bruises appear with or without minor trauma. fragile blood vessels. Mayo Clinic. Belladona- High temperature with severe throbbing headache. The problem with the condition is that it tends to be chronic. Retrieved January 12, 2012 from http://emedicine.medscape.com/article/1087008-clinical#a0218. However, people with gastrointestinal or. Gene has two undergraduate Diplomas in Nutrition, a Bachelors in Nutrition, a Masters in Nutrition, a Graduate Diploma in Herbal Medicine, and a Masters in Herbal Medicine. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. In emergencies, when purpura causes extreme bleeding, hospitals will perform transfusions of platelet concentrates, corticosteroids, and immunoglobulin. You have 30 days to try one bottle of the product. It controls bleeding piles in an outstanding manner. In most cases, actinic purpura develops from minor trauma, even though it looks like the person sustained a serious injury. No adverse effects were noted by either the patients or investigators. Vitamin C Vinson JA, Bose P. Comparative bioavailability of synthetic and natural vitamin C in guinea pigs. Because purpura develops from a variety of causes, there is not a one size fits all treatment. Actinic Purpura. IgA vasculitis. Eriodictyol glycoside in the treatment of meni'ere's disease. Persons with the disease have too few platelets in the blood. The most common factor that most directly affects the development of actinic purpura is thin, easily damaged skin. . (2002). Purpura happens when small blood vessels burst. Following is a discussion of these. Arnica Montana has anti-inflammatory properties and can control bleeding which can make it effective at treating senile purpura. Protecting your limbs by wearing shin guards can also help prevent minor trauma that causes bruising. 4. Purpura occurs when small blood vessels burst, causing blood to pool under the skin. We do not share any your subscription information with third parties. Senile purpura can be diagnosed based on clinical appearance alone. I ( and a friend or 2) love gardening. Bruises in elderly people frequently occur because their skin has become thinner with age (senile purpura). Hamamelis - For Bleeding, Internal Piles. HR, 0-(beta-hydroxyethyl)-rutosides; (Venoruton): rapid relief of signs/symptoms in chronic venous insufficiency and microangiopathy: a prospective, controlled study. No single laboratory test can confirm Henoch-Schonlein purpura, but certain tests can help rule out other diseases and make a diagnosis of Henoch-Schonlein seem likely. Because of the ultraviolet-induced atrophy, the connective tissue of the dermis is no longer able to adequately support the microvasculature. It is also known as Bateman purpura, after British dermatology pioneer Thomas Bateman, who first described it in 1818; and actinic purpura, because of its association with sun damage. The main indicating features for these homeopathic medicines are as follows: 1. Your doctor will likely start you on an oral corticosteroid, such as prednisone. A case report34 on another patient with PPP showed similar benefits when supplemented with rutin and vitamin C. Combining vitamin C, rutin, citrus bioflavonoids, hesperidin, eriocitrin and A. montana Mayo Clinic is a not-for-profit organization. As a result, even minor trauma can tear the capillaries, leading to the extravasation of blood.5, Senile purpura may also be a sign of collagen loss in skin and bone. In an open pilot study,33 oral rutin and vitamin C were administered to three patients with chronic progressive pigmented purpura (PPP), a different type of purpura. Topical retinoids have been reported to decrease signs of aging on the skin and may also prevent senile purpura. Senile purpura. It can be used to treatment modality for idiopathic thrombocytopenic purpura (ITP), an autoimmune-mediated hematologic disorder Purpura refers to purple-colored spots that are most recognizable on the skin. Low platelet levels may be inherited or genetic, but they may also be related to recent: You should always contact your doctor if you notice any growths on or changes to your skin. Before your appointment, write answers to the following questions: Questions you may want to ask your doctor include: Your doctor is likely to ask a number of questions, such as: Connect with others like you for support and answers to your questions in the Blood Cancers & Disorders support group on Mayo Clinic Connect, a patient community. It is hypothesized that changes in skin collagen also occur in bone collagen, leading to the associated changes in bone density.6, Epidemiology Vitamin C is required for the synthesis of collagen, an important structural component of blood vessels, tendons, ligaments, and bone.8 Symptoms of scurvy, the classic vitamin C deficiency disease, include bleeding and bruising easily. Medications to treat ITP may include: Steroids. Arnica Montana has anti-inflammatory properties and can control bleeding which can make it effective at treating senile purpura. Senile purpura is most common among seniors with roughly 11.9 percent of adults over the age of 50 having it. Retrieved January 12, 2012 from http://www.consultantlive.com/skin-diseases/content/article/10162/1421703#. Fill out your name and email and get the link to our comprehensive medical questionnaire.By filling out our medical questionnaire, you will get an email from dr. Ricardo Kotliroff with our best treatment for your illness/es. The products released by Bel Marra Health. An alternative study uncovered that applying epidermal growth factor to the affected area can help skin thicken and reduce lesions. The subsequent extravasation of blood into the surrounding dermis results in the development of dark purple ecchymoses. ITP is sometimes called immune thrombocytopenic purpura. Purpura may be petechiae that have spread and . Updated April 25, 2011. Its important that if you have senile purpura, you avoid foods and beverages that can thin the blood. Once treatment is started, your doctor will monitor your platelet count to help determine whether or not its effective. The brown discoloration may fade, but it could be permanent. All patients remained free of lesions at the end of 3-months treatment. Premilife gives energy to the human body that increases the chances of winning diseases (which diseases? You can learn more about how we ensure our content is accurate and current by reading our. As a result, superficial vessels tear and rupture even with negligible trauma. An eosinophil count is blood test that measures the number of eosinophils, a type of white blood cell, in your body. Its important to talk to your doctor about the risks of taking corticosteroids for long periods of time. Accessed May 13, 2019. As a result, the platelet count does get does result in easy bleeding as well as bruising on the body. What did the rash look like when it first started? Lifshitz OH, et al. In the initial stages, these bruises appear purplish red. In the majority of cases of senile purpura, treatment is not necessary, but for those who do not like the appearance of bruises, there are a few options available to them. You can learn more about how we ensure our content is accurate and current by reading our. So, Hesperidin alone is frequently used for several vascular conditions like hemorrhoids and varicose veins. While it is a new area of research, a study published in the Journal of Drugs in Dermatology indicates that a twice-daily dose of citrus bioflavonoids is a good natural remedy for senile purpura. (n.d.). Video. arrow-right-small-blue Ditre CM, et al. With age and photodamage, the dermal tissues become thin and increase the fragility of blood vessels. Only after we are satisfied with the products. This content does not have an English version. Your doctor may recommend an ultrasound to rule out other causes of abdominal pain and to check for possible complications, such as a bowel obstruction. The role of Homeopathy in Indigestion & Constipation. What tests are needed to confirm the diagnosis? Henoch-Schonlein purpura. This site complies with the HONcode standard for trustworthy health information: verify here. AskMayoExpert. Oberbaum M, Galoyan N, Lerner-Geva L, Singer SR, Grisaru S, Shashar D, Samueloff A. The lesions do not undergo the colour changes of a bruise and take up to three weeks to resolve. WebMD Professional. Hamamelis is useful in cases where piles is internal, painless and it bleeds. Rheumatoid arthritis, lupus, and Sjogrens syndrome are all collagen vascular diseases that have been linked to purpura. (DR MURALI ANKIREDDY SIR; DR KAPILA MAM; DR BHAVYA MAM). You can talk to your dermatologist about how to reduce their appearance. Schwartz RA. On the other hand, these retinol formulas can bring with them unwanted side effects and sometimes the cons outweigh the benefits. There are two kinds of purpura: nonthrombocytopenic and thrombocytopenic. Senile purpura affects over 10% of those aged over 50 years old. It is common for elderly to develop senile purpura on their forearms. Senile Purpura is a bleeding disorder in which the immune system destroys platelets, which are necessary for normal blood clotting. However, no studies have been done on people who have senile purpura. Ostomy Wound Manage. The blood vessels in the elderly are more . Using a new intense pulsed light protocol in subjects with senile purpura, both the number and square area of ecchymoses on the treated arm were significantly reduced (P = 0.02 and P = 0.04, respectively, paired t test) as compared with the untreated arm at 1 month after four weekly treatments. in government-approved facilities. This can create purple spots on the skin that range in size from small dots to large patches. Senile purpura Prevalence is also highest among individuals who have greater exposure to the sun. This natural medicine sourced from plant 'witch - hazel' is the best prescription for piles that bleeds. Hesperidin helps in improving venous tone and improves lymphatic drainage. Rest, plenty of fluids and over-the-counter pain relievers may help. Chemistry, technology, and quality evaluation. The primary symptom of actinic purpura is large, purplish red bruises that are most common on the backs of the hands or the forearm. Purpura can affect both children and adults. Kostyuk VA, Potapovich AI. Clinical improvement in chronic venous insufficiency signs and symptoms with Venoruton (HR): an 8-month, open-registry, cost-efficacy study. Accessed May 13, 2019. Di Carlo G, Mascolo N, Izzo AA, Capasso F. Flavonoids: Old and new aspects of a class of natural therapeutic drugs. Platelets are also called thrombocytes. Understand if homeopathy can cure Idiopathic thrombocytopenic purpura, what is the avilable research data, and post your questions to Dr. Bhatias. Miyake Y, Shimoi K, Kumazawa S, Yamamoto K, Kinae N, Osawa T. Identification and antioxidant activity of flavonoid metabolites in plasma and urine of eriocitrin-treated rats. Your doctor can prescribe topical retinoids that thicken your skin to prevent further skin aging. Miyake Y, Yamamoto K, Tsujihara N, Osawa T. Protective effects of lemon flavonoids on oxidative stress in diabetic rats. Henoch-Schonlein purpura (IgA vasculitis): Rapid evidence review. The platelets are indeed normal in the bone marrow and are destroyed in the bloodstream and in ones spleen. Integrative treatment with vitamin C, key flavonids and the homeopathic A. montana has been show to result in a 50 percent reduction in skin purpura lesions. This is because the spleen is the main body part responsible for eliminating platelets. Actinic purpura. All rights reserved. There is, in fact, an auto-immune reaction in ones body by which antibodies are formed against platelets. You'll likely first see your family doctor or your child's pediatrician for this condition. Scheinfeld NS. Intravenous Immunoglobulin (IVIG) in cases of severe bleeding, immunoglobulins when they have to be given intravenously does help to increase the platelet count rapidly but its effect does last only for a couple of weeks. All our products are backed by a 100% satisfaction guarantee. American Family Physician. The main remedies for Psoriasis are Arsenic Album, Graphites Naturalis, and Arsenic Iodatum. Healthline Media does not provide medical advice, diagnosis, or treatment. It can be difficult to cope with a chronic condition. However, in children and adults with very low platelet count and significant bleeding calls for treatment. Accessed May 18, 2021. Administering another immuno-suppressive drug, Homeopathy can indeed be applied to treat various diseases and conditions such as cancer, allergy, mood disorders, headache, and pain. Causes, symptoms, diagnosis, and treatment tips. Retrieved January 12, 2012 from http://emedicine.medscape.com/article/1087008-overview#a0199. Most purpuric lesions last between one and three weeks, though the discoloration may be permanent after they fade. In some cases, a yellow of brown stain takes the place of the purple bruise for a short period of time, while in other cases, the yellowish stain is unfortunately permanent. They can be made from just about any substance known to man , including plants, minerals, animal products, and energy fields. Background and objectives: Senile purpura is a common condition characterized by recurrent ecchymoses in the elderly on the extensor surfaces of the forearms, hands, and legs. Cospite M. Double-blind, placebo-controlled evaluation of clinical activity and safety of Daflon 500 mg in the treatment of acute hemorrhoids. Older individuals have thinner, more fragile skin, so bruises are more likely to form as a result. ITP is sometimes called immune thrombocytopenic purpura. If you have one of these rashes, you may have anemia. They fade to brown instead of having the typical coloration of a fading bruise, which may look blue, green, or yellow at different healing points. These symptoms appear to be related to the weakening of blood vessels and connective tissue, both of which contain collagen.9 Consequently, maintaining healthy vitamin C status would appear to be an important consideration in the prevention of purpura. Posted by ellerbracke @ellerbracke, May 24, 2019 . Dermatologists suggest we do whatever we can to protect our skin from an early age. Learn what high and low numbers. Part II. In ITP, the value of RBCs and WBCs are in fact normal and only platelet count does get low. more than 700!) However, splenectomies arent effective in everyone. To reduce your risk of forming new spots or making spots worse, you should avoid medications that reduce platelet count. Henoch-Schonlein purpura is a disease that involves purple spots on the skin, joint pain, gastrointestinal problems, and glomerulonephritis (a type of kidney disorder). Beta-thalassemia causes symptoms related to anemia, including weak or brittle bones, and leads to problems with how your bones develop. When it does, your doctor will discontinue the drug. 2020 (102): 229. https://www.clinicalkey.com. Your doctor will ask about your symptoms and medical history and do a physical assessment. ITP Homeopathy Treatment. You Need To Read This! fatty fish, such as salmon . You should also choose low-impact activities over high-impact activities. Its prevalence markedly increases with years of exposure to the sun and is more pronounced in fair-skinned individuals than in others. Side effects may include: If medications arent effective in treating thrombocytopenic purpura, your doctor may recommend a splenectomy. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Best homeopathy treatment in Hyderabad is worth trying as it, The best homeopathic doctor needs to be consulted for treating, Menstrual cramps and pains can be quite disturbing and distressing., Hyperhidrosis is symptomatic of abnormal sweating and can be treated, Angina Pectoris can be treated with the help of homeopathic, Best homeopathy specialists in Hyderabad can very diligently treat warts, Respected sir/madam, Hoping everyone fine. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. The main symptom is a rash with . In ITP, the bone marrow shows a normal or greater number of megakaryocytes (the early form of platelets). Conventional treatment Your doctor may also perform a biopsy of the skin in addition to blood and platelet count tests. The homeopathic remedy Arnica montana is commonly used to treat bruising. Know the signs and symptoms and find the best homeopathic medicines for treating Idiopathic thrombocytopenic purpura. Causes Homeopathic remedies can indeed be considered as complementary and alternative medicines for ITP treatment procedures on account of their mechanisms of action. In rare cases, thrombocytopenic purpura thats left untreated may cause a person to develop excessive bleeding in some part of their body. Senile purpura A. Chemistry. It may occur more often in people with low platelet levels in their blood, often due to an underlying condition. What is senile purpura? Bel Marra products are produced Homeopathic Treatment of ITP Homeopathy can indeed be applied to treat various diseases and conditions such as cancer, allergy, mood disorders, headache, and pain. Beauregard S, Gilchrest BA. At the end of six weeks, the supplement blend treated group showed a 50 percent reduction in purpura lesions from baseline. The tissues that support the underlying blood vessels have become more fragile. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Learn about causes, treatment, and. What if it turns up later? A single copy of these materials may be reprinted for noncommercial personal use only. Davies N, Ohgami Y, Remsberg C, Yanez J. Eriocitrin and Eriodictyol: Anti-Cancer Activity, Anti-Oxidant Capacity, and Stereospecific Disposition in Rats, Humans, and Lemonade Tracks: Contributed Papers: In-Vivo Metabolism. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Senile purpura is benign, easy bruising that affects older adults. One study found that applying topical vitamin K after a laser treatment minimized bruising. Morand C, Dubray C, Milenkovic D, Lioger D, Martin JF, Scalbert A, Mazur A. Hesperidin contributes to the vascular protective effects of orange juice: a randomized crossover study in healthy volunteers. Just what is senile purpura? Sometimes, low platelet levels can cause excessive bruising and bleeding. Henoch-Schonlein purpura. Biopsies. The number of elderly in industrialized nations continues to increase, so the incidence of senile purpura and other age-related skin conditions is expected to rise significantly over the next few decades. 1987:123 (12); 1638. Vasculitis is inflammation of blood vessels. There are different types of purpura. Lipids 1998;33:689-95. Pyrogen - Pyrogen is the common used medicine for any septic fever. Diabetes, rheumatoid arthritis, and lupus may also increase the likelihood of developing the lesions. Its mostly used to treat patients with severe thrombocytopenic purpura and patients for whom corticosteroid treatment isnt effective. In the United States, the occurrence of senile purpura is almost exclusively limited to the elderly population, commonly found in approximately 11.9 percent of those older than 50 years. There are some herbal and homeopathic remedies that claim to help relieve the pain, swelling, or discoloration of bruises. You should see your doctor as soon as possible if you suspect you have purpura. Citrus fruits. arrow-right-small-blue Note that this may not provide an exact translation in all languages, Home There is no conventional medicine for senile purpura. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Integrative treatment for senile purpura is effective, and may consist of using key nutraceuticals and one homeopathic remedy. Here's some information that may help you get ready for your appointment. They believe these . The results were that patients treated with A. montana were found to have a smaller area of ecchymosis on postoperative days 1, 5, 7, and 10, with these differences reaching statistical significance on postoperative days 1 and 7. Excessive bleeding in the brain can lead to a fatal brain hemorrhage. Study Design Go to Resource links provided by the National Library of Medicine The lesions or bruises usually clear up on their own without causing any serious health complications. A complete blood count (CBC) does, in fact, determine the value of platelets in the blood. Misra MC, Parshad R. Randomized clinical trial of micronized flavonoids in the early control of bleeding from acute internal haemorrhoids. Notify me of follow-up comments by email. pressure . Here's how to recognize anemia rash and what you can do to treat it. Hesperidin can also reduce the generation of free radicals.23,24,25,26 A randomized, controlled, crossover study27 also demonstrated that hesperidin provides vascular protective effects, including protective effects on the microvascular endothelium. QJM. However, some people dislike the appearance of the bruises and seek treatment. Senile purpura is characterised by irregularly-shaped macules, 1 4 cm in diameter, that are dark purple with well-defined margins. Homeopathic Medicines for Psoriasis. Even with wearing long sleeves while working outside, (today it was about 76 degrees by 8 AM here), I still get poked or scratched. Corticosteroids, such as prednisone, may help shorten the time and intensity of joint and abdominal pain. IgA vasculitis (Henoch-Schonlein purpura): Clinical manifestations and diagnosis. As for the free gifts you receive with your purchase, they are yours to keep as a thank you for giving this natural, Papaya fruit health benefits, papaya recipes for healthy skin and hair, Essential oils for aging skin: Preventing & treating wrinkles naturally. Well, the simplest senile purpura definition is when elderly are more prone to bruises. Homeopathy doctor, Dr. Bhatia, guides you about the homeopathy treatment of Idiopathic thrombocytopenic purpura. Rights Reserved. Can you recommend a website where I can learn more? 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DiseaseLeishmaniasisLeukodystrophiesLeukoplakiaLewy Body DiseaseLichen PlanusLiver CancerLiver FailureLow Back PainLung CancerLupusLyme DiseaseLymphedemaLymphomaMacroglossiaMacular DegenerationMacular EdemaMacular HoleMajor Depressive DisorderMalariaMale InfertilityManiaMeaslesMedulloblastomasMelanomaMenieres DiseaseMeningitisMenopauseMental RetardationMerkel Cell CancerMesotheliomaMetabolic SyndromeMigraineMild Cognitive ImpairmentMitral Valve ProlapseMixed EpisodeMoebius SyndromeMolesMolluscum ContagiosumMultiple MyelomaMultiple SclerosisMunchausens SyndromeMuscle CrampsMuscular DystrophyMyasthenia GravisMyelodysplastic SyndromesMyelofibrosisMyelolipomaMyelopathyMyopia NearsightednessMyositisMyositis OssificansNarcissistic Personality DisorderNarcolepsyNasal CancerNausea and VomitingNephritisNeural Tube DefectsNeuroblastomaNeurofibromatosisNeurogenic BladderNeurologic urinary incontinenceNeuromyelitis OpticaNicotine Related DisorderNorovirus InfectionsObesityObesity in ChildrenObsessive Compulsive DisorderObsessive Compulsive Personality DisorderOppositional Defiant DisorderOral CancerOral CandidiasisOrthostatic HypotensionOsteoarthritisOsteogenesis ImperfectaOsteomyelitisOsteonecrosisOsteoporosisOvarian CancerOvarian CystsOvarian InsufficiencyOveractive BladderPagets Disease of BonePainPancreatic CancerPancreatitis Acute and ChronicPanic DisorderPanic Disorder With AgoraphobiaParalysisParanoid Personality DisorderParaphiliaParaplegiaParkinsons DiseaseParonychiaPatellofemoral Pain SyndromePathological GamblingPelvic Inflammatory DiseasePelvic PainPelvic Support ProblemsPemphigusPenis CancerPeptic UlcerPeriodontal DiseasePeripheral Arterial DiseasePeripheral NeuropathyPeyronies DiseasePhantom LimbPharyngitisPharynx CancerPhenylketonuriaPheochromocytomaPhobiaPituitary TumorsPlantar FasciitisPlatelet DisordersPneumoconiosisPneumocystis InfectionsPneumoniaPolio and Post-Polio SyndromePolycystic Kidney DiseasePolycystic Ovary SyndromePolycythemia VeraPolymyalgia RheumaticaPorphyriaPortal HypertensionPost Herpetic NeuralgiaPost Traumatic Stress DisorderPostpartum DepressionPrader-Willi SyndromePrediabetesPregnancy and Substance AbusePremature EjaculationPremature Ovarian FailurePremenstrual SyndromePresbyopiaPressure SoresPrimary AmyloidosisProctitisProgressive Supranuclear PalsyProstate CancerProstatitisProteinuriaPruritus AniPseudotumor CerebriPsoriasisPsoriatic ArthritisPterygiumPulmonary EmbolismPulmonary FibrosisPulmonary HypertensionPyelonephritisRaynauds DiseaseRectal ProlapseReiters SyndromeResidual SchizophreniaRespiratory Syncytial Virus InfectionsRestless LegsRetinal DetachmentRetinitis PigmentosaRetinoblastomaRett SyndromeRhabdomyosarcomaRheumatic FeverRosaceaRotator Cuff InjuriesRubella in adultsRumination SyndromeSalivary Gland CancerSalivary Gland DisorderSarcoidosisScabiesScarsSchizoaffective DisorderSchizoid Personality DisorderSchizophreniaSchizophrenia Negative SymptomsSchizophreniform DisorderSchizotypal Personality DisorderSciaticaSclerodermaScoliosisSeasonal Affective DisorderSeborrheic DermatitisSecondary AmyloidosisSeizuresSelective MutismSelf-harmSenile CataractSenile PurpuraSensorineural Hearing LossSeparation Anxiety DisorderSexual Arousal DisorderSexual Aversion DisorderSexual Desire DisorderSexual DysfunctionSexual Problems in WomenShingles (Herpes Zoster)Short Bowel SyndromeShoulder Injuries and DisordersSickle Cell AnemiaSinusitisSjogrens SyndromeSkin CancerSkin Pigmentation DisordersSleep ApneaSmokeless TobaccoSmokingSnoringSocial PhobiaSomatoform DisorderSore ThroatSpasticitySpecific PhobiaSpina BifidaSpinal Cord DiseasesSpinal Cord InjuriesSpinal Muscular AtrophySpinal StenosisSplenomegalySports InjuriesSprains and StrainsStaphylococcal InfectionsStein-Leventhal SyndromeStomach CancerStrabismusStreptococcal InfectionsStressStress Urinary IncontinenceStrokeStutteringSubacute Sclerosing PanencephalitisSubacute ThyroiditisSugar AddictionSuicideSunburnSurgerySwallowing DisordersSweatSyncopeSyphilisSyringomyeliaTachycardiaTardive DyskinesiaTaste and Smell DisordersTay-Sachs DiseaseTear of MeniscusTemporomandibular Joint DysfunctionTendinitisTennis ElbowTension HeadacheTesticular CancerThalassemiaThroat CancerThrombophlebitisThymus CancerThyroid CancerTic DisorderTinea InfectionsTinnitusTonsillitisTorticollisTourettes DisorderTransient Ischemic AttackTraumatic Brain InjuryTrichomoniasisTrichotillomaniaTrigeminal NeuralgiaTriglyceridesTuberculosisTuberous SclerosisTurner SyndromeUlcerative ColitisUndescended TesticleUrethral CancerUrinary Tract InfectionsUsher SyndromeUterine CancerUterine ProlapseVaginal CancerVaginismusVaricose VeinsVasculitisViral InfectionsVision Impairment and BlindnessVitiligoVocal Cord Abuse and MisuseVocal Cord Nodules and PolypsVulvar CancerVulvodyniaWartsWegeners GranulomatosisWest Nile VirusWhiplashWhooping CoughWilms' TumorWilson DiseaseWoundsWrinklesYeast InfectionsYellow 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