Latest / Cyrus Webb's tracks / Dr. Erin Bauer discusses Psoriasis Awareness and treatment options on Conversations LIVE

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Dr. Erin Bauer discusses Psoriasis Awareness and treatment options on Conversations LIVE · Cyrus Webb's tracks

• 0:00
  Speaker 1: Hello, everyone, and welcome back to Conversations Live. I'm your host,
• 0:02
  Speaker 1: Cyrus Webb. Glad you all could join us once again
• 0:04
  Speaker 1: for a radio audience tuning in at WYED 94.1 FM
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  Speaker 1: and WYEDonline.com. We're glad that you all can be with us. Also,
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  Speaker 1: join us online worldwide via our podcast at HeartRadio and
• 0:15
  Speaker 1: Amazon Music, as well as through Conversations Radio Network. We're
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  Speaker 1: glad you all could be with us as well. This
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  Speaker 1: is part of a news segment here at WYED, and
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  Speaker 1: today we're talking about psoriasis awareness, among other things, days
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  Speaker 1: in October. have been recognized for some important things to
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  Speaker 1: be reminders for us. October 29th is recognized as World
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  Speaker 1: Psoriasis Day. And for the millions of people living with psoriasis,
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  Speaker 1: what appears on their skin may be a visible sign
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  Speaker 1: of chronic inflammation happening below the surface. This overreactive immune
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  Speaker 1: response travels along similar pathways in the body that link
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  Speaker 1: to other conditions like psoriatic arthritis and inflammatory bowel syndrome,
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  Speaker 1: things that we have talked about before, which could make
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  Speaker 1: them relatives or what's called Soraya siblings. Here to talk
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  Speaker 1: to us more about this and what you need to
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  Speaker 1: know about it, we're excited to welcome Dr. Erin Bauer
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  Speaker 1: to our broadcast today. She's a rheumatologist at Virginia Mason
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  Speaker 1: Medical Center. Dr. Bauer, thank you again for stopping by.
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  Speaker 1: I really appreciate it.
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  Speaker 2: Yes, thank you so much for having me.
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  Speaker 1: Well, you know, we talk a lot on this program.
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  Speaker 1: We've talked about psoriasis quite a bit, and we haven't
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  Speaker 1: talked about those. What is so interesting here is psoriasis siblings.
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  Speaker 1: So let's start there. What exactly are the conditions that
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  Speaker 1: are called psoriasis siblings, and how are they related?
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  Speaker 2: Yeah, great question. So psoriasis siblings is a cute term
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  Speaker 2: that we came up with basically to relay that There
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  Speaker 2: are some uninvited siblings that can go along with this.
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  Speaker 2: About 30% of people with plaque psoriasis will go on
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  Speaker 2: to develop psoriatic arthritis, which is an autoimmune inflammatory condition
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  Speaker 2: that affects the joints and the tendons. And then up
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  Speaker 2: to half of people can develop some intestinal inflammation, what
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  Speaker 2: can go on to be diagnosed as inflammatory bowel disease
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  Speaker 2: or IBD. And I don't think it's necessarily intuitive that
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  Speaker 2: these can be related. So that's why I'm here on
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  Speaker 2: behalf of Johnson & Johnson, just to kind of chat
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  Speaker 2: a little bit more about the symptoms and then the
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  Speaker 2: treatment and hopefully get people connected.
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  Speaker 1: I think so many times, Dr. Bauer, we may be
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  Speaker 1: experiencing something and we may discount it or say it's
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  Speaker 1: not something that's that serious. But what are the early
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  Speaker 1: signs and symptoms of cirrhotic arthritis and inflammatory bowel disease
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  Speaker 1: that people with plexorhizae should look out for?
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  Speaker 2: Yeah, I totally agree. I hear this from patients all
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  Speaker 2: the time. And basically what we're looking out for, the
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  Speaker 2: biggest risk factors for developing psoriatic arthritis if you have
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  Speaker 2: psoriasis is if you have psoriasis on your scalp. And
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  Speaker 2: then also if you have psoriasis that involves your fingernails,
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  Speaker 2: which actually looks more like little pitting in the fingernails,
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  Speaker 2: the nail bed lifting off of the surface. That's a
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  Speaker 2: sign of disruption in your nail health from inflammation at
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  Speaker 2: the base of your fingernail. The GI symptoms can also
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  Speaker 2: be a little bit subtle. So we're having people look
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  Speaker 2: out for You know, if you have blood in your stool,
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  Speaker 2: if you have abdominal discomfort, if you've maybe been diagnosed
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  Speaker 2: with anemia that's not responding to iron supplements, a sign
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  Speaker 2: that you're having active inflammation. And a lot of these
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  Speaker 2: symptoms can show up years after your psoriasis diagnosis, but
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  Speaker 2: they can also show up all at the same time.
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  Speaker 1: Oh, wow. So, I mean, we know, of course, that
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  Speaker 1: being able to catch these things early are so important.
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  Speaker 1: But what are the risks if these conditions are left
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  Speaker 1: untreated and why is acting early so important, Dr. Bauer? Yes.
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  Speaker 2: So chronic inflammation throughout your body can cause a lot
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  Speaker 2: of downstream effects, very stressful for all of our organs.
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  Speaker 2: For the arthritis component of it, if you have inflammation
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  Speaker 2: inside your joint space, that can cause you some permanent
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  Speaker 2: joint damage, eating away at the joint itself, causing erosion.
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  Speaker 2: That can also cause fusion of the joints. That can
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  Speaker 2: really affect people's mobility down the road. And having chronic
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  Speaker 2: inflammation in your GI tract really impacts your ability to
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  Speaker 2: absorb the nutrients that you need. You can get ulcerations
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  Speaker 2: in your GI system. You can be losing blood if
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  Speaker 2: you have active bleeding. And all of those things are
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  Speaker 2: really best treated the earlier the better.
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  Speaker 1: And I think that's why conversations like this are so important,
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  Speaker 1: not only for our audience, but also for them to
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  Speaker 1: think about. when it comes to their family members. So
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  Speaker 1: let's talk about treatment. So what type of treatments are
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  Speaker 1: available and how do different specialists work together to manage
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  Speaker 1: these conditions?
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  Speaker 2: Yeah, so the good news is we have a lot
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  Speaker 2: of different treatment options, which are all quite effective and
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  Speaker 2: a really nice range of treatments so that we can
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  Speaker 2: individualize them for the individual patient, what specifically is bothering
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  Speaker 2: them the most. My dermatology colleagues as experts in skin
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  Speaker 2: disease will typically start patients on a topical therapy, topical
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  Speaker 2: steroids and gels and creams. They also use UV therapy,
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  Speaker 2: we call phototherapy, which can be really helpful. And then
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  Speaker 2: as a rheumatologist, I consider myself an expert in treating
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  Speaker 2: more systemic inflammatory diseases. And we have this family of
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  Speaker 2: medicine we call biologics, which are quite effective in at
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  Speaker 2: treating all of these psoriasis siblings. These are usually injectable
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  Speaker 2: medicines or IV medications, and then also working hand-in-hand with
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  Speaker 2: a gastroenterologist to help us with both the diagnosis and
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  Speaker 2: then making sure that we're keeping the gut inflammation under control.
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  Speaker 1: So what advice do you have then, Dr. Bauer, based
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  Speaker 1: on this conversation for someone living with plaque psoriasis today?
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  Speaker 2: I just really want people who have plaque psoriasis to
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  Speaker 2: know that if something doesn't feel right to them, if
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  Speaker 2: they've noticed a new symptom, even if it's not immediately
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  Speaker 2: apparent that it could be related to your psoriasis to...
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  Speaker 2: speak up about it to talk to your primary care
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  Speaker 2: doctor and see if they do have that concern and
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  Speaker 2: to get you plugged in to the right specialist. If
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  Speaker 2: you're wondering about other kind of symptoms that might be
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  Speaker 2: developing or be related, people can check out psoriasiblings.com as
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  Speaker 2: well for more information. And that's P-S-O-R-I-A, psoriasiblings, because it
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  Speaker 2: is something that I think a lot of people don't
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  Speaker 2: immediately know to think about.
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  Speaker 1: And we're going to link that up as well for
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  Speaker 1: our audience. Again, everyone, Dr. Erin Bauer has been our guest,
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  Speaker 1: a rheumatologist at Virginia Mason Medical Center, talking not only
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  Speaker 1: about what you need to know about these psoriasis siblings,
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  Speaker 1: but also the importance of early detection and being able
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  Speaker 1: to get that treated. Dr. Bauer, thank you again for
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  Speaker 1: the great work you all are doing and for the
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  Speaker 1: time today. Looking forward to speaking with you again.
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  Speaker 2: Thank you for having me.
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  Speaker 1: Glad to do it. And we thank your audience for
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  Speaker 1: tuning in to this great segment of Conversations Live. Until
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  Speaker 1: next time. I'm your host, Cyrus Webster. As always, enjoy
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  Speaker 1: your day, enjoy your life, enjoy your world. Thank you
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  Speaker 1: for being with us here at Conversations Live. Let us
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  Speaker 1: go make today amazing. Take care.