REPLY to Question: PSORIASIS, topical antimicrobial treatments for skin, oral, genital (etc) use

As I mention in the book (IM4), I enjoy treating psoriasis, and I have seen 20-year cases of severe treatment resistant psoriasis disappear following implementation of the diet protocol+supplements

Dr Alex Kennerly Vasquez

Sep 04, 2022

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I intend to reply to all questions offered at the “ask me anything” post; let’s use that post as the central hub for questions and I will get to them as soon as I can:

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2 years ago · 15 likes · 25 comments · Dr Alex Kennerly Vasquez

Here, you’ll find the original post, followed by my reply and any supporting info.

QUESTION:

So, these are my questions for now about psoriasis: when you recommend the nostrils, nails, genitals cleanse with the povidone iodine, can you please tell me how many times per week or per month shall the patient do this? And should the psoriatic skin patches be cleansed with the povidone iodine too?

REPLY:

1. Background information in the Human Microbiome and Dysbiosis in Clinical Disease course plus (of course) Inflammation Mastery 4th Edition

Psoriasis is one of the classic prototypes of “Dysbiosis-Induced Disease” discussed in Video #3 Prototypes: Prototypic Clinical Patterns.

As I mention in the book (IM4), I enjoy treating psoriasis, and I have seen 20-year cases of severe treatment resistant psoriasis virtually disappear following implementation of the diet protocol plus a few additional (rather basic) interventions; however, unfortunately, not all cases are so responsive.

2. Microbial paradigm of Psoriasis

Pretty much anytime we talk about microorganisms and psoriasis I think we have to pay some respect to the work of Dr Patricia Noah and her colleagues; the late Patricia Noah held a PhD in Microbiology and was truly a pioneer in these concepts which have been consistently substantiated. She was one of the lead faculty in a complex/problematic psoriasis clinic, so although she did not have a clinical degree per se she certainly had clinical experience in the diagnosis, management and treatment of psoriasis. Her article which I have provided an image of below from Seminars in Dermatology December 1990 was a real game changer for me in the way that I managed psoriasis clinically and also the way that I talked about it in my textbook protocols. As you would reasonably expect from someone with a PhD in Microbiology who is also working in a medical clinic affiliated with a medical school, Dr. Noah’s work centered mostly around laboratory diagnosis followed by treatment with antibacterial and antifungal drugs, ie, obviously a very allopathic drug-based model. She never (to my knowledge) talked about basic nutrition, immunonutrition, anti-inflammatory nutrition, or strengthening of barriers (eg vitamin D). However, based on her work and the work that followed from it, we can easily attain a complete picture of the antimicrobial paradigm that is a core pillar of the treatment of psoriasis, as I will describe below.