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Practical Dermatology: Topical Steroid Addiction in Dermatology Today
Practical Dermatology: Topical Steroid Addiction in Dermatology Today

Red Skin Syndrome

Practical Dermatology: Topical Steroid Addiction in Dermatology Today

By Dr Marvin Rapaport, MD|2021-10-19T03:16:45-07:00December 12th, 2019|Red Skin Syndrome|

Original article was published by Practical Dermatology in November 2019: https://practicaldermatology.com/articles/2019-nov/topical-steroid-addiction-in-dermatology-today. An article, “Topical Steroid Withdrawal in Atopic Dermatitis” appeared in the August 2019 issue of Practical Dermatology®. I had several concerns about the information, content, bibliography, including the general tenor and ultimate recommendations. The article in question only superficially scratched the surface of this problem [...]

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RSS Patients from Other States & Countries
RSS Patients from Other States & Countries

Red Skin Syndrome, RSS Patients

RSS Patients from Other States & Countries

By Dr Marvin Rapaport, MD|2021-10-19T03:16:45-07:00November 12th, 2018|Red Skin Syndrome, RSS Patients|

In the past 5 years, approximately 350 RSS patients from all corners of the USA and from around the world: Europe, Asia, and South America have sought consultation with me. These patients have either flown in to Los Angeles or I have aided their local physicians in caring for them. Two weeks ago, an RSS [...]

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Nitric Oxide
Nitric Oxide

Red Skin Syndrome, RSS

Nitric Oxide

By Dr Marvin Rapaport, MD|2019-12-12T18:13:31-08:00November 9th, 2018|Red Skin Syndrome, RSS|

Nitric oxide has important roles in the body. This chemical attained star status in the 1980’s when it was discovered that it is a key molecule in the cardiovascular system that helps keep blood vessels healthy and regulates blood pressure. Nitric oxide (NO) is released by the inner layer of blood vessels keeping these vessels [...]

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Lymphoma Misdiagnosed in RSS
Lymphoma Misdiagnosed in RSS

Red Skin Syndrome

Lymphoma Misdiagnosed in RSS

By Dr Marvin Rapaport, MD|2021-10-19T03:16:45-07:00November 7th, 2018|Red Skin Syndrome|

Over the past 18 months I have treated four patients who had been misdiagnosed with lymphoma of the skin and /or Sezary syndrome, an end stage form of lymphoma. None of the four patients I treated had corroboratory lab studies - no skin biopsy proven lymphoma or any blood study showing lymphoma cells, or lymph [...]

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Drug Company Still Marketing Steroids
Drug Company Still Marketing Steroids

False Treatments, Red Skin Syndrome

Drug Company Still Marketing Steroids

By Dr Marvin Rapaport, MD|2021-10-19T03:16:45-07:00November 2nd, 2018|False Treatments, Red Skin Syndrome|

I received a copy of an article titled, “Topical corticosteroids for treatment-resistant atopic dermatitis” by a fellow dermatologist. I assumed it would be a fun vintage historical insight into what we were taught in the 1960s. I should know better than to jump to conclusions. The article appeared in the September, 2018 edition of a [...]

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ITSAN Meeting Call for Attendees
ITSAN Meeting Call for Attendees

False Treatments, Red Skin Syndrome, RSS

ITSAN Meeting Call for Attendees

By Dr Marvin Rapaport, MD|2021-10-19T03:16:45-07:00October 31st, 2018|False Treatments, Red Skin Syndrome, RSS|

Sadly, the topical steroids that bring temporary relief to many patients also brings Red Skin Syndrome (RSS) - an addiction to topical steroids - to many. RSS is a condition that is completely curable by withdrawing from steroids but dermatologists and general practitioners routinely misdiagnose the condition as chronic eczema - and then prescribe even [...]

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Dupilumab – Hocum

By Dr Marvin Rapaport, MD|2021-10-19T03:16:46-07:00April 3rd, 2018|Dupilumab|

"VERY INTERESTING" This was the often used comment by Arte Johnson on the decades old 'Laugh In' show on NBC television. He played a German spy or professor with a strong German accent and used this comment when things appeared very peculiar to him. I repeat the same comment when I quote a Dr Andrew [...]

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Dupilumab: More Peculiar Happenings

By Dr Marvin Rapaport, MD|2019-12-12T18:13:32-08:00March 28th, 2018|Dupilumab|

Here's a new comment on Dupilumab. Patient 1: A 20ish healthy male with life-long use of steroids for eczema and with resultant RSS is admitted to the hospital for nearly 4 weeks to have various forms and strengths of steroid creams and oral medication to be applied to the whole body. Then, once he is [...]

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ITSAN Rebuke

By Dr Marvin Rapaport, MD|2019-12-12T18:13:32-08:00March 26th, 2018|False Treatments|

I take a detour today from many more Dupilumab stories by concentrating on a new ITSAN appeal for donations over the heading "I wish I would have known (about steroids)." The implications of this new campaign are that it is an evil drug. Steroid creams used properly in the proper strength for the correct amount [...]

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Prescribing Dupilumab

By Dr Marvin Rapaport, MD|2019-12-12T18:13:32-08:00March 25th, 2018|Dupilumab|

Something is peculiar with the new drug Dupilumab and its marketing. Patient 1 - a moderately symptomatic RSS patient, functioning fairly well, received a near 3 page letter from his dermatologist to take the new 'wonder drug' Dupilumab. The letter contained all kinds of compliments for the drug and the doctor has probably had little [...]

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Marvin Rapaport, MD

Teaching Appointments: Clinical Professor –
Medicine/Dermatology, University of California Los Angeles Medical Center; Past Attending Chief-Dermatology Division, Cedars-Sinai Medical Center

Board-Certified: American Board of Dermatology

MD: Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania

Internship: LA County Hospital, USC

Residency: Dermatology, University of California Los Angeles Medical Center

BA: University of Pennsylvania, Philadelphia, Pennsylvania

Member: American Academy of Dermatology, American Medical Association