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Addison's Disease Elucidating PANDAS

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Addison's Disease Elucidating PANDAS PRACTICE BUILDING Naturopathic Specialty Practice: Keys to NATUROPATHIC DOCTOR NEWS & REVIEW Making It Successful ..........................>>10 Darin Ingels, ND VOLUME 10 ISSUE 4 April 2014 | Autoimmune / ALLER gy Medicine Sometimes specialty practices happen by accident. A case study and some tips help pave the way for Tolle Causam success. TOLLE CAUSAM Autoimmunity and the Gut: Elucidating PANDAS How Intestinal Inflammation Contributes to Autoimmune Disease .....................>>12 Follow-Up Discussion of an Immune-Mediated Jenny Berg, ND, LAc Kelly Baker, ND, LAc Intestinal flora influences our immune system’s Mental Illness ability to differentiate self from non-self. Steven Rondeau, ND, BCIA-EEG VIS MEDICATRIX NATURAE Allergy Elimination Technique: Simplified ANDAS is an acronym for “Pediatric Treatment of Difficult Cases ..............>>15 PAutoimmune Neuropsychiatric Sheryl Wagner, ND Disorder Associated with Streptococcus.” A few case studies illustrate the surprisingly broad This condition, which was initially application of NAET with patients. identified by Sue Swedo, MD, and DOCERE described in the American Journal of Autoimmune Infertility in Women: Psychiatry in 1998,1 is characterized by Part 2 ...................................................>>16 abrupt-onset obsessive-compulsive Fiona McCulloch, BSc, ND disorder (OCD) and/or other Intestinal support, autoimmune diet, and neuropsychiatric symptoms in a child. (See nutraceuticals help reverse a common cause of Table 1 for Swedo’s original diagnostic female infertility. criteria.) In my previous NDNR paper NATUROpaTHIC NEWS from 2010,2 I described the presentation, history and controversy surrounding this Association Spotlight: An Introduction newly identified syndrome. Since that to the ANRI and NORI .........................>>20 time, several other groups have sought Colleen Huber, NMD to better redefine this condition, and the Dr Huber introduces ANRI & NORI, organizations committed to the advancement of research & acronym, PANS, or Pediatric Acute-Onset education on chronic disease. Neuropsychiatric Syndrome, was recently Continued on page 3 SIMILAR THOUGHT An Unusual Application ......................>>21 Joseph Kellerstein, DC, ND Docere Zeroing in on unusual characteristics in a child leads to an unexpected remedy. BOTANICAL INSIGHTS Addison’s Disease Opiate Addiction: Pathophysiology and Herbal Interventions ....................>>22 A Naturopathic Approach Jillian Stansbury, ND Standard opiate maintenance therapies are problematic. Several herbs serve as safer options Amanda HEgnauer, ND 3. Secondary adrenocortical insufficiency: an autoimmune disease. Although all for addicts. This includes any disorder of the races and both sexes may be affected, drenal insufficiency, or hypofunction, hypothalamus and pituitary, such as certain causes of Addison’s disease, such THE EXPERT REPORT Amay be caused by either primary metastic cancer, infection, or infarction, as autoimmune adrenalitis, are much more Oral-Systemic Health Care ............>>24 adrenal disease (primary hypoadrenalism) which reduces the output of ACTH. common in whites, particularly women.3 Mark Swanson, ND or decreased stimulation of the adrenals In turn, this leads to hypoadrenalism, A large number of diseases may attack Dental hygiene is one of the easiest ways to prevent CVD, stroke, diabetes, and Alzheimer’s. owing to a deficiency of ACTH (secondary which has many similarities to the adrenal cortex, but more than 90% of hypoadrenalism). The patterns of Addison’s disease, although the all cases are attributable to autoimmune NATURE CURE adrenocortical insufficiency can be hyperpigmentation characteristic of adrenalitis, tuberculosis, or metastatic CLINICAL PEARLS 3 considered under the following headings: primary Addison’s disease is absent, and cancers. Autoimmune adrenalitis accounts 3 Rebirth of the Body: 1. Primary acute adrenocortical aldosterone synthesis is near-normal. for 60-70% of cases of Addison’s, and may The Spring Cleanse ............................>>26 insufficiency (adrenal crisis): This can occur as a sporadic or familial disorder. Sussanna Czeranko, ND, BBE be due to a variety of causes, such as loss Addison’s Disease In about half of these cases, the adrenal The theme of restoration and renewal from a spring of the cortex, idiopathic (autoimmune), Primary chronic adrenocortical gland is the sole target of an autoimmune cleanse is archetypically naturopathic. infection, acute hemorrhagic necrosis, and insufficiency (Addison’s disease) is reaction, but in the remainder of cases, metabolic failure in hormone production. an uncommon disorder resulting from other autoimmune disease, such as EDUCATION In patients with chronic adrenocortical progressive destruction of the adrenal Hashimoto’s disease, pernicious anemia, The Emergence of the IANP: insufficiency, crisisa is precipitated by any cortex and, often, the adrenal medulla.3 type 1 diabetes mellitus, and idiopathic Right Time, Right Place ......................>>28 form of stress that requires an immediate Because the condition arises from problems hypoparathyroidism, is also present. David J. Schleich, PhD increase in steroid output from glands within the adrenal gland, it is termed In autoimmunity, our adaptive (or An international association of naturopathic that are incapable of responding.1,2 “primary adrenal insufficiency,” and acquired) immune response (which professionals could provide a much-needed healthcare model for the international community. 2. Primary chronic adrenocortical because the damage is incurred by the insufficiency (Addison’s disease) body’s own immune system, it is termed Continued on page 8 Available online at ndnr.com SCAN THIS Naturopathic Doctor News & Review This month’s complimentary PO Box 2968 e-version is brought to you by: Scottsdale, AZ 85252-2968 Phone 888.627.8677 Fax 480.275.7712 www.ndnr.com To access this month’s complimentary e-version Metagenics University presents FirstLine Therapy ® Certification Personalized Lifestyle Medicine for Preventing and Managing Chronic Illness Get Certified for More Rewarding Outcomes Register Today! metagenics.com/flt FirstLine Therapy provides a structured system and support materials to 800 692 9400 US teach patients behavior modification for a lifetime approach to healthy 800 268 6200 Canada living. Obtaining certification is the first step to successfully addressing multiple conditions with this singular approach. Thousands of healthcare Learn More professionals have already realized the value of these certification events metagenics.com/flt to help put them on the right track for establishing a more successful and rewarding lifestyle medicine practice. 1 RegisterMetagenics for the 3 /2-day FirstLine® Therapy Certification event today! MayGenetic 2-4, Potential 2014 Through Boston, Nutrition MA July 18-20, 2014 Chicago, IL May 23-25, 2014 Toronto, Canada November 14-16, 2014 New York City, NY June 20-22, 2014 Seattle, WA December 5-7, 2014 Dallas, TX FirstLine Therapy ® Lifestyle Medicine Programs by Metagenics Science-based + Lifestyle Medicine + Breakthrough + Unsurpassed + Practitioner = The Metagenics Products Programs Research Quality Partnership Difference © 2014 Metagenics, Inc. All Rights Reserved AD FORM MUST BE COMPLETED IN FULL CLIENT PHONE CONTACT FAX AUTHORIZED SIGNATURE DATE CHECK EACH BOX AS A GUIDE: ❑ Name correct? ❑ Address correct? ❑ Phone # correct? ❑ Ad copy correct? ❑ Offer correct, if any? • Look over your project and check for errors; spelling, address, telephone numbers, copy or content. NDNR is not responsible for typos or incorrect information. AD APPROVAL: • Please note that due to differences in monitor calibration, colors on this digital proof ❑ Ad approved as is may not match actual printed colors. ❑ Corrections needed client will supply a correct ad file • Sign this page and email or fax it back to NDNR. ❑ Corrections desired • Any changes from this point forward may cost you in time and materials. client authorizes NDNR to make changes indicated; design fee applies. • NDNR cannot process your job until receipt of sign-off. EMAIL BACK TO: [email protected] or FAX BACK TO: (480) 275-7712 Tolle Causam Continued from top of page 1 introduced.3,4 Prior to PANS, the acronym ONLINE EDITORIAL EXCLUSIVES PITAND (Pediatric Infection-Triggered Autoimmune Neuropsychiatric Disorder) Primum Non Practice had been suggested in the late 1990s after Nocere Building researchers hypothesized that there were more triggers beyond just Group A beta- The Wrong Target: The Fallacy of Online Booking: An Efficient hemolytic Streptococcus.5 In 2012, Using Hypoglycemic Agents in Way to Build Your Practice Diabetes K.C. Bateman, BSc, ND Dr Harvey Singer and his group proposed Richard K. Maurer, ND Online booking is a perfect way to share your schedule yet another description of acute-onset When the sole focus in diabetes is the lowering of glucose, between multiple locations and multiple users. behavioral symptoms in children: insulin resistance and CV risk can actually increase. Childhood Acute Neuropsychiatric Education Symptoms (CANS). These new acronyms Vis Medicatrix Message From the President: New Dean were all conceived to include all other Naturae Appointed at the University of Bridgeport abrupt-onset OCD or tic symptoms— not Holism in Autoimmune Disease: College of Naturopathic Medicine just those brought on by streptococcal Working in Harmony With the David M. Brady, ND, DC, CCN, DACBN infections but also including newly Healing
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