Can someone PLEASE PLEASE explain this for me?

[Guest guest]

I think I may have Finally after over a year of searching figured out what is

wrong with my skin. In addition to cea I think I may have a fungal

infection of M. Furfur. This (these?) fungus can cause Seborrheic Dermatitis

(first derm's diagnosis) , follicular acne (second derm's diagnosis), and a

weird rash thing very similar in appearance to what I had on my arm a bunch of

months ago. And this type of infection can be caused by long-term antibiotic

use (been on 'em for 2+ years). Here is my question:

Two months ago I tried to go off of my antibiotics. I quit my minocycline

basically cold-turkey. When I did this, ALL of my skin conditions flared. My

cea (redness, flushing, and Swelling), my " acne " , AND my " Seborrheic

Dermatitis " ! Now, I know quitting Minocycline can cause flaring of both acne,

and cea. But, if my problem was simply having an antibiotic-induced fungal

problem on top of my cea, would all of my fungal-related symptoms have

flared when I stopped my antibiotics? Seems like if anything, the opposite

would've happened? Does this reaction destroy my theory of my problem being

fungus-related? Or can this be explained?

Neither of my derms say I have a fungal problem, but it makes much more sense

than what either of them suggested. I wanna know if this is a possibility

before making a fuss and pursuing it further.

[Guest guest]

> if my problem was simply having an antibiotic-induced fungal

> problem on top of my cea, would all of my fungal-related

> symptoms have flared when I stopped my antibiotics? Seems like if

> anything, the opposite would've happened? Does this reaction

> destroy my theory of my problem being fungus-related? Or can this

> be explained?

I would explain it this way: by abruptly stopping an anti-

inflammatory medication (oral antibiotic), the rosacean inflammation

worsened. Inflammation causes a further breakdown of the skin's

protective layer and so worsened all your skin conditions, seborrheic

dermatitis and acne.

Nothing you've ever said makes me suspect you have a fungal infection.

Marjorie

Marjorie Lazoff, MD

[Guest guest]

> if my problem was simply having an antibiotic-induced fungal

> problem on top of my cea, would all of my fungal-related

> symptoms have flared when I stopped my antibiotics? Seems like if

> anything, the opposite would've happened? Does this reaction

> destroy my theory of my problem being fungus-related? Or can this

> be explained?

I would explain it this way: by abruptly stopping an anti-

inflammatory medication (oral antibiotic), the rosacean inflammation

worsened. Inflammation causes a further breakdown of the skin's

protective layer and so worsened all your skin conditions, seborrheic

dermatitis and acne.

Nothing you've ever said makes me suspect you have a fungal infection.

Marjorie

Marjorie Lazoff, MD

[Guest guest]

> I think I may have Finally after over a year of searching figured

out what is wrong with my skin. In addition to cea I think I may

have a fungal infection of M. Furfur. This (these?) fungus can cause

Seborrheic Dermatitis (first derm's diagnosis) , follicular acne

(second derm's diagnosis), and a weird rash thing very similar in

appearance to what I had on my arm a bunch of months ago.

NB that the follicular acne would not have comedones. Malassezia

furfur/pityrosporum can be cultured for, if done correctly. You

might have wanted to culture for this to prove/disprove your theory.

If you are not immunocompromised, it usually isn't a problem, yet you

have been on antibiotics for 2 years, so this is definately an index

of suspucion. Anyone on systemic antibiotics would be well advised

to do the following to prevent fungal overgrowth.

wash trunk and scalp and feet with ZNP bar (leave on for 5 minutes

several times per week) - antifungal to pityrosporum

take acidophilus - prevents resistant gi bacteria from flourishing

topical benzoyl peroxide - prevents resistant p. acnes

And this type of infection can be caused by long-term antibiotic

use (been on 'em for 2+ years). Here is my question:

>

> Two months ago I tried to go off of my antibiotics. I quit my

minocycline basically cold-turkey. When I did this, ALL of my skin

conditions flared. My cea (redness, flushing, and Swelling),

my " acne " , AND my " Seborrheic Dermatitis " ! Now, I know quitting

Minocycline can cause flaring of both acne, and cea. But, if my

problem was simply having an antibiotic-induced fungal problem on top

of my cea, would all of my fungal-related symptoms have flared

when I stopped my antibiotics? Seems like if anything, the opposite

would've happened? Does this reaction destroy my theory of my

problem being fungus-related? Or can this be explained?

Bad idea. Long term antibiotics for acne and rosacea is like living

in the ghetto. The only consistant way out is through education and

hard work. Oral and topical retinoids are education and hard work...

I concur with the opininion another esteemed poster, emargency,

minocyline is very anti-inflammatory, stopping it would invite

inflammation of various etiologies.

Also remember that even if the minocyline is making your fungal

problem worse, you still have rosacea, and withdrawing an effective

treatment will put you back to square one with respect to the

rosacea.

>

> Neither of my derms say I have a fungal problem, but it makes much

more sense than what either of them suggested. I wanna know if this

is a possibility before making a fuss and pursuing it further.

>

>

Was your fungal problem located on your face only, or was it on your

trunk as well. You could have tried one of Nase's famous compounded

ketoconozole/noritate combo's. Oral antifungals are bad times for

males as the ketoconozoles are antiandrogenic, possibly the more

expensive antifungals are not (sporonox?) though I'm not sure. You

could have topically applied a selenium sulfide shampoo (selsun 2%)

either leave on all night or 10 minutes for about a week or two to

see if this helped if you had pityrosporum on your trunk. I beleive

you're on photoderm, but if you weren't the clearly the answer would

have been to switch to 10 mg accutane qd.

>

[Guest guest]

> I think I may have Finally after over a year of searching figured

out what is wrong with my skin. In addition to cea I think I may

have a fungal infection of M. Furfur. This (these?) fungus can cause

Seborrheic Dermatitis (first derm's diagnosis) , follicular acne

(second derm's diagnosis), and a weird rash thing very similar in

appearance to what I had on my arm a bunch of months ago.

NB that the follicular acne would not have comedones. Malassezia

furfur/pityrosporum can be cultured for, if done correctly. You

might have wanted to culture for this to prove/disprove your theory.

If you are not immunocompromised, it usually isn't a problem, yet you

have been on antibiotics for 2 years, so this is definately an index

of suspucion. Anyone on systemic antibiotics would be well advised

to do the following to prevent fungal overgrowth.

wash trunk and scalp and feet with ZNP bar (leave on for 5 minutes

several times per week) - antifungal to pityrosporum

take acidophilus - prevents resistant gi bacteria from flourishing

topical benzoyl peroxide - prevents resistant p. acnes

And this type of infection can be caused by long-term antibiotic

use (been on 'em for 2+ years). Here is my question:

>

> Two months ago I tried to go off of my antibiotics. I quit my

minocycline basically cold-turkey. When I did this, ALL of my skin

conditions flared. My cea (redness, flushing, and Swelling),

my " acne " , AND my " Seborrheic Dermatitis " ! Now, I know quitting

Minocycline can cause flaring of both acne, and cea. But, if my

problem was simply having an antibiotic-induced fungal problem on top

of my cea, would all of my fungal-related symptoms have flared

when I stopped my antibiotics? Seems like if anything, the opposite

would've happened? Does this reaction destroy my theory of my

problem being fungus-related? Or can this be explained?

Bad idea. Long term antibiotics for acne and rosacea is like living

in the ghetto. The only consistant way out is through education and

hard work. Oral and topical retinoids are education and hard work...

I concur with the opininion another esteemed poster, emargency,

minocyline is very anti-inflammatory, stopping it would invite

inflammation of various etiologies.

Also remember that even if the minocyline is making your fungal

problem worse, you still have rosacea, and withdrawing an effective

treatment will put you back to square one with respect to the

rosacea.

>

> Neither of my derms say I have a fungal problem, but it makes much

more sense than what either of them suggested. I wanna know if this

is a possibility before making a fuss and pursuing it further.

>

>

Was your fungal problem located on your face only, or was it on your

trunk as well. You could have tried one of Nase's famous compounded

ketoconozole/noritate combo's. Oral antifungals are bad times for

males as the ketoconozoles are antiandrogenic, possibly the more

expensive antifungals are not (sporonox?) though I'm not sure. You

could have topically applied a selenium sulfide shampoo (selsun 2%)

either leave on all night or 10 minutes for about a week or two to

see if this helped if you had pityrosporum on your trunk. I beleive

you're on photoderm, but if you weren't the clearly the answer would

have been to switch to 10 mg accutane qd.

>

[Guest guest]

> I think I may have Finally after over a year of searching figured

out what is wrong with my skin. In addition to cea I think I may

have a fungal infection of M. Furfur. This (these?) fungus can cause

Seborrheic Dermatitis (first derm's diagnosis) , follicular acne

(second derm's diagnosis), and a weird rash thing very similar in

appearance to what I had on my arm a bunch of months ago.

NB that the follicular acne would not have comedones. Malassezia

furfur/pityrosporum can be cultured for, if done correctly. You

might have wanted to culture for this to prove/disprove your theory.

If you are not immunocompromised, it usually isn't a problem, yet you

have been on antibiotics for 2 years, so this is definately an index

of suspucion. Anyone on systemic antibiotics would be well advised

to do the following to prevent fungal overgrowth.

wash trunk and scalp and feet with ZNP bar (leave on for 5 minutes

several times per week) - antifungal to pityrosporum

take acidophilus - prevents resistant gi bacteria from flourishing

topical benzoyl peroxide - prevents resistant p. acnes

And this type of infection can be caused by long-term antibiotic

use (been on 'em for 2+ years). Here is my question:

>

> Two months ago I tried to go off of my antibiotics. I quit my

minocycline basically cold-turkey. When I did this, ALL of my skin

conditions flared. My cea (redness, flushing, and Swelling),

my " acne " , AND my " Seborrheic Dermatitis " ! Now, I know quitting

Minocycline can cause flaring of both acne, and cea. But, if my

problem was simply having an antibiotic-induced fungal problem on top

of my cea, would all of my fungal-related symptoms have flared

when I stopped my antibiotics? Seems like if anything, the opposite

would've happened? Does this reaction destroy my theory of my

problem being fungus-related? Or can this be explained?

Bad idea. Long term antibiotics for acne and rosacea is like living

in the ghetto. The only consistant way out is through education and

hard work. Oral and topical retinoids are education and hard work...

I concur with the opininion another esteemed poster, emargency,

minocyline is very anti-inflammatory, stopping it would invite

inflammation of various etiologies.

Also remember that even if the minocyline is making your fungal

problem worse, you still have rosacea, and withdrawing an effective

treatment will put you back to square one with respect to the

rosacea.

>

> Neither of my derms say I have a fungal problem, but it makes much

more sense than what either of them suggested. I wanna know if this

is a possibility before making a fuss and pursuing it further.

>

>

Was your fungal problem located on your face only, or was it on your

trunk as well. You could have tried one of Nase's famous compounded

ketoconozole/noritate combo's. Oral antifungals are bad times for

males as the ketoconozoles are antiandrogenic, possibly the more

expensive antifungals are not (sporonox?) though I'm not sure. You

could have topically applied a selenium sulfide shampoo (selsun 2%)

either leave on all night or 10 minutes for about a week or two to

see if this helped if you had pityrosporum on your trunk. I beleive

you're on photoderm, but if you weren't the clearly the answer would

have been to switch to 10 mg accutane qd.

>