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Re: Round Circles on Skin

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> Hi,

>

> When my cea graduated from slight flushing to red, dry skin

> with broken capillaries I also noticed two round circles on face

> which looked a little like a ringworm.

Can't diagnose from a description, Anne, it needs to be seen by a

physician. Could be a lot of things. Fungal skin infections can be

diagnosed by taking a scraping and looking at it under the microscope

by a family doctor or dermatologist.

Hope that helps.

Marjorie

Marjorie Lazoff, MD

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Hi Anne--this is exactly how my rosacea started. In fact, I was so

sure it was ringworm, I convinced my GP to test it. The test did come

back positive for fungus, but I think that's because I had a bit of

seb derm with it. Turns out it was just a cluster of blood vessels

that was, for some strange reason, circular. It would come and go

over the years, when I flared really badly. :)

> Hi,

>

> When my cea graduated from slight flushing to red, dry skin

with

> broken capillaries I also noticed two round circles on face which

> looked a little like a ringworm. They seemed to appear overnight.

> Different doctors had different diagnosis and I tried fungal cream,

> cortisone (only applied twice) and a few other concoctions to no

> avail. When I first got them they were itchy but that has

stopped.

> They are not raised, do not flake and never increase in size but

some

> days they are redder than usual. They are about the size of a 5

cent

> coin. Does anyone have any ideas what they might be and if there's

> anyway to get rid of them?

>

> Anne M

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Hi Anne--this is exactly how my rosacea started. In fact, I was so

sure it was ringworm, I convinced my GP to test it. The test did come

back positive for fungus, but I think that's because I had a bit of

seb derm with it. Turns out it was just a cluster of blood vessels

that was, for some strange reason, circular. It would come and go

over the years, when I flared really badly. :)

> Hi,

>

> When my cea graduated from slight flushing to red, dry skin

with

> broken capillaries I also noticed two round circles on face which

> looked a little like a ringworm. They seemed to appear overnight.

> Different doctors had different diagnosis and I tried fungal cream,

> cortisone (only applied twice) and a few other concoctions to no

> avail. When I first got them they were itchy but that has

stopped.

> They are not raised, do not flake and never increase in size but

some

> days they are redder than usual. They are about the size of a 5

cent

> coin. Does anyone have any ideas what they might be and if there's

> anyway to get rid of them?

>

> Anne M

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> This is not correct - Yeast IS a type of fungus. Fungi include

Moulds such

> as Tinea, Yeasts such as Thrush (Candida) and even Mushrooms etc.

At least

> for " normal, mainstream " thinking. I'm sure different people have

different ideas!

Barry, under the category of " more than you ever wanted to know about

fungi... "

You and Adam are using the mycologist's definition of fungi as if it

were identical to the physician's definition of fungi. They are

related, but not the same thing.

In medicine, for all practical purposes, yeast is synomous with most

forms of candida infections, whereas virtually every other type of

pathologic fungi is just called fungi -- including not only what you

and mycologists call molds but also dimorphic fungi (which grow in

humans as yeast but in the lab as molds) like histoplasmosis and

blastomycosis, among others. Fungal infections even includes yeast-

like cryptococcus which causes a subtle form of meningitis, and the

uncategorizable pneumocystis carinii, which causes the most common

type of immunocompromised pneumonia in AIDS patients. For physicians,

the term mold is used when talking about environmental and allergy

disorders, not tinea pedis (athletes' foot). For physicians, tinea is

a dermatophyte, a type of a fungal infection that affects the skin.

So to physicians, yeast and fungi both refer to two forms of mycotic

infections; a candida infection is NOT a type of tinea infection,

which is where your reasoning would lead us if we adopted the

mycologist's definitions to the medical use of yeast and fungi. Yes,

a candida infection is a type of fungal infection, but that's not

what I understood Adam to be talking about -- if I recall, he was

comparing yeast, which can be a dermatophyte, with a fungal

dermatophyte.

Marjorie

Marjorie Lazoff, MD

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> This is not correct - Yeast IS a type of fungus. Fungi include

Moulds such

> as Tinea, Yeasts such as Thrush (Candida) and even Mushrooms etc.

At least

> for " normal, mainstream " thinking. I'm sure different people have

different ideas!

Barry, under the category of " more than you ever wanted to know about

fungi... "

You and Adam are using the mycologist's definition of fungi as if it

were identical to the physician's definition of fungi. They are

related, but not the same thing.

In medicine, for all practical purposes, yeast is synomous with most

forms of candida infections, whereas virtually every other type of

pathologic fungi is just called fungi -- including not only what you

and mycologists call molds but also dimorphic fungi (which grow in

humans as yeast but in the lab as molds) like histoplasmosis and

blastomycosis, among others. Fungal infections even includes yeast-

like cryptococcus which causes a subtle form of meningitis, and the

uncategorizable pneumocystis carinii, which causes the most common

type of immunocompromised pneumonia in AIDS patients. For physicians,

the term mold is used when talking about environmental and allergy

disorders, not tinea pedis (athletes' foot). For physicians, tinea is

a dermatophyte, a type of a fungal infection that affects the skin.

So to physicians, yeast and fungi both refer to two forms of mycotic

infections; a candida infection is NOT a type of tinea infection,

which is where your reasoning would lead us if we adopted the

mycologist's definitions to the medical use of yeast and fungi. Yes,

a candida infection is a type of fungal infection, but that's not

what I understood Adam to be talking about -- if I recall, he was

comparing yeast, which can be a dermatophyte, with a fungal

dermatophyte.

Marjorie

Marjorie Lazoff, MD

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