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It could be that doctors do not always prescribe effectively. For instance, a specialist physiotherapist in neurology may know more about specific use of anti-spasticity medication (Chapter use of bronchodilators and they could use this knowledge for more effective prescribing. In a hospital setting a consultant physiotherapist may specialize in the rehabilitation of older patients, who have had falls or experienced physical decline following infection.
Without treatment, warts will eventually disappear due to actions of the immune system. There are treatments available, but their use can be tedious, painful and prolonged. Many chemical treatments containing keratolytics are sold as over-the-counter preparations. Other more specialized treatments are cryotherapy, using liquid nitrogen, electrosurgery, surgical excision, bleomycin injections and carbon dioxide laser. Fungal infection of the skin and nails will be familiar to podiatrists.

The cause was found to be a contaminant called methylphenyltetrahydropyridine (MPTP), which causes severe degeneration of the nigrostriatal tract. This led to the suggestion that idiopathic Parkinsons disease may be caused by some, as yet, unidentified neurotoxin. It is possible that overactivity of glutamate could cause neuronal damage [as may also be the case in motor neuron disease and Alzheimers disease]. Other known toxic causes include Wilsons disease, where there is deposition of copper in the basal nuclei, and mercury and manganese poisoning. Environmental factors that may play a role in the aetiology of Parkinsons disease include: living in a rural environment; using well water; exposure to pesticides; a diet high in animal fats or carbohydrates; or low consumption of foods rich in antioxidants such as vitamin C and E.
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However, it now appears that deterioration with time is likely, although trials are still being evaluated.
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Sometimes the joint involvement is similar to that seen in rheumatoid arthritis, that is, symmetrical polyarthritis.
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Hypersecretion of thyroid hormone occurs in Gravess disease due to autoimmune stimulation of the thyroid gland mimicking the effects of TSH.
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This is a relatively new group of drugs and adverse effects appear to be rare.
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