Treatment: If a pancreatic or liver tumor is identified and able to be surgically excised, the skin lesions may normalize for an extended period of time, but because these tumors metastasize (spread to other areas of the body) quickly, surgery is not curative. In cases of end stage liver disease, surgery is not possible, and the goal of therapy is to increase quality of life and decrease uncomfortable skin lesions with supportive care and addressing the nutritional abnormalities. Supportive care includes supplementing protein and necessary minerals and enzymes through the diet and oral supplements or by weekly intravenous amino acid infusions that are performed in the hospital on an outpatient basis until improvement in the skin is noted. Unfortunately, despite the supportive care, the disease will progress.
"I strained my back and was in pain every time I moved the wrong way or changed positions, after working too hard on an outdoor project. My PCP prescribed a Methylprednisolone steroid pack. The medication started working the first day and has "loosened my back muscles" and reduced the pain considerably. I have 1 day left of the medication and feel pretty good. I have a history of depression and did feel a little jittery and have trouble getting to sleep, but nothing too bad that I would stop taking the medicine. Also having gas and the medicine is making me hungry. For me benefits definitely outweigh the side effects."
Back in New York, I joined the Midtown Y and fell in with a crew of hard-hat bruisers – vice cops and garbagemen in chalk-smudged Speedos and calf-high wrestling boots. I thought they were giants until the day in June when the real size kings walked in. Two of them, Tommy and Spiro, had chiseled trunks and the complicated, quasi-Cubist planes that give away hardcore juicers. But it was the third one, a mocha-skinned guy named Angel, that I couldn't pry my gaze off. When he doffed his Puma jacket and burned through upright rows, I saw the kind of vascular, strand-on-strand rhomboids you find in Da Vinci studies. There was art in what he did and art in what he made: muscle from a fourth dimension. I gathered my flimsy nerve and said hello.