cea and seborrheic dermatitis

[Guest guest]

I addressed someone's question about the connection between rosacea

and seborrheic dermatitis early Sunday evening, in addition to a

handful of other public posts, only some of which have been publicly

posted.

I talked about the four major conditions that I think of when dealing

with a local facial skin problems: acne, rosacea, seborrheic

dermatitis, and eczema (atopic dermatitis). Dermatologists may look

at this differently, but from my perspective they represent the

various ways normal skin responds when irritated or " upset. " I see

all four existing separately or together in various combinations,

waxing and waning independently or together.

Specifically, this response includes inflammation of the skin and/or

pores, edema of the skin and/or pores, increased proliferation of

cells and sebum, and impairment of the epidermal protective barrier,

the latter resulting in a loss of moisture (dry skin) and increased

absorption of whatever is on the skin (irritation leading to

inflammation and further barrier impairment). Each of the conditions

has a predominant presentation but there's overlap in each's

presentations, in addition to multiple conditions occurring at the

same time.

The skin can also develop problems on top of any of these --

superinfections, allergic reactions, etc. That's why diagnosis can be

challenging at times, and may not be fully possible on the first

visit. Also, as the skin changes with treatment, new reactions may

develop. That's not bad or unexpected, it's just characteristic of

human skin on the planet Earth.

(Flushing appears to be a vascular, not a skin problem. Depending on

the person, it may or may not trigger skin inflammation and edema,

but flushing itself is not a skin reaction, even though it is part of

many people's rosacea. That's why it doesn't respond to basic skin

care or treatments for inflammation or increased cell/sebum

production)

Those seeking a direct link between rosacea and seborrheic dermatitis

might think about the analogy of an angry/upset spoilt child. Such a

child might cry, might pout, might throw a temper tantrum. Each

spoilt child will react with their own unique response or combination

of responses. It doesn't really help to talk about the relationship

between crying and throwing a tantrum, for example, or why one child

becomes sullen and another does not, or even why the spoilt child

became angry, as such children become angry sometimes for the

slightest reasons, and other times will laugh it off. The key is,

once the child has reacted, the behavior itself needs to be managed,

in the present, whatever it is. Can future outbursts be prevented?

Maybe, but the answer isn't likely to be simple or work all the time,

on spoilt children or on those with chronic skin problems.

Marjorie

Marjorie Lazoff, MD

[Guest guest]

Good unifying theory. Kind of like it's hard to tell where the

confluent papules end and the flusing/blushing begin sort of thing.

Your theory is precisely why low dose accutane works so great for a

wide variety of disorders. If the child is crying because he is

hungry, his diaper needs to be changed, and wants a toy, Accutane

gives him everything he wants by normalizer follicular

keritinization, reducing sebum production, and being anti-

inflammatory.

> I addressed someone's question about the connection between rosacea

> and seborrheic dermatitis early Sunday evening, in addition to a

> handful of other public posts, only some of which have been

publicly

> posted.

>

> I talked about the four major conditions that I think of when

dealing

> with a local facial skin problems: acne, rosacea, seborrheic

> dermatitis, and eczema (atopic dermatitis). Dermatologists may look

> at this differently, but from my perspective they represent the

> various ways normal skin responds when irritated or " upset. " I see

> all four existing separately or together in various combinations,

> waxing and waning independently or together.

>

> Specifically, this response includes inflammation of the skin

and/or

> pores, edema of the skin and/or pores, increased proliferation of

> cells and sebum, and impairment of the epidermal protective

barrier,

> the latter resulting in a loss of moisture (dry skin) and increased

> absorption of whatever is on the skin (irritation leading to

> inflammation and further barrier impairment). Each of the

conditions

> has a predominant presentation but there's overlap in each's

> presentations, in addition to multiple conditions occurring at the

> same time.

>

> The skin can also develop problems on top of any of these --

> superinfections, allergic reactions, etc. That's why diagnosis can

be

> challenging at times, and may not be fully possible on the first

> visit. Also, as the skin changes with treatment, new reactions may

> develop. That's not bad or unexpected, it's just characteristic of

> human skin on the planet Earth.

>

> (Flushing appears to be a vascular, not a skin problem. Depending

on

> the person, it may or may not trigger skin inflammation and edema,

> but flushing itself is not a skin reaction, even though it is part

of

> many people's rosacea. That's why it doesn't respond to basic skin

> care or treatments for inflammation or increased cell/sebum

> production)

>

> Those seeking a direct link between rosacea and seborrheic

dermatitis

> might think about the analogy of an angry/upset spoilt child. Such

a

> child might cry, might pout, might throw a temper tantrum. Each

> spoilt child will react with their own unique response or

combination

> of responses. It doesn't really help to talk about the relationship

> between crying and throwing a tantrum, for example, or why one

child

> becomes sullen and another does not, or even why the spoilt child

> became angry, as such children become angry sometimes for the

> slightest reasons, and other times will laugh it off. The key is,

> once the child has reacted, the behavior itself needs to be

managed,

> in the present, whatever it is. Can future outbursts be prevented?

> Maybe, but the answer isn't likely to be simple or work all the

time,

> on spoilt children or on those with chronic skin problems.

>

> Marjorie

>

> Marjorie Lazoff, MD

[Guest guest]

Good unifying theory. Kind of like it's hard to tell where the

confluent papules end and the flusing/blushing begin sort of thing.

Your theory is precisely why low dose accutane works so great for a

wide variety of disorders. If the child is crying because he is

hungry, his diaper needs to be changed, and wants a toy, Accutane

gives him everything he wants by normalizer follicular

keritinization, reducing sebum production, and being anti-

inflammatory.

> I addressed someone's question about the connection between rosacea

> and seborrheic dermatitis early Sunday evening, in addition to a

> handful of other public posts, only some of which have been

publicly

> posted.

>

> I talked about the four major conditions that I think of when

dealing

> with a local facial skin problems: acne, rosacea, seborrheic

> dermatitis, and eczema (atopic dermatitis). Dermatologists may look

> at this differently, but from my perspective they represent the

> various ways normal skin responds when irritated or " upset. " I see

> all four existing separately or together in various combinations,

> waxing and waning independently or together.

>

> Specifically, this response includes inflammation of the skin

and/or

> pores, edema of the skin and/or pores, increased proliferation of

> cells and sebum, and impairment of the epidermal protective

barrier,

> the latter resulting in a loss of moisture (dry skin) and increased

> absorption of whatever is on the skin (irritation leading to

> inflammation and further barrier impairment). Each of the

conditions

> has a predominant presentation but there's overlap in each's

> presentations, in addition to multiple conditions occurring at the

> same time.

>

> The skin can also develop problems on top of any of these --

> superinfections, allergic reactions, etc. That's why diagnosis can

be

> challenging at times, and may not be fully possible on the first

> visit. Also, as the skin changes with treatment, new reactions may

> develop. That's not bad or unexpected, it's just characteristic of

> human skin on the planet Earth.

>

> (Flushing appears to be a vascular, not a skin problem. Depending

on

> the person, it may or may not trigger skin inflammation and edema,

> but flushing itself is not a skin reaction, even though it is part

of

> many people's rosacea. That's why it doesn't respond to basic skin

> care or treatments for inflammation or increased cell/sebum

> production)

>

> Those seeking a direct link between rosacea and seborrheic

dermatitis

> might think about the analogy of an angry/upset spoilt child. Such

a

> child might cry, might pout, might throw a temper tantrum. Each

> spoilt child will react with their own unique response or

combination

> of responses. It doesn't really help to talk about the relationship

> between crying and throwing a tantrum, for example, or why one

child

> becomes sullen and another does not, or even why the spoilt child

> became angry, as such children become angry sometimes for the

> slightest reasons, and other times will laugh it off. The key is,

> once the child has reacted, the behavior itself needs to be

managed,

> in the present, whatever it is. Can future outbursts be prevented?

> Maybe, but the answer isn't likely to be simple or work all the

time,

> on spoilt children or on those with chronic skin problems.

>

> Marjorie

>

> Marjorie Lazoff, MD

[Guest guest]

Good unifying theory. Kind of like it's hard to tell where the

confluent papules end and the flusing/blushing begin sort of thing.

Your theory is precisely why low dose accutane works so great for a

wide variety of disorders. If the child is crying because he is

hungry, his diaper needs to be changed, and wants a toy, Accutane

gives him everything he wants by normalizer follicular

keritinization, reducing sebum production, and being anti-

inflammatory.

> I addressed someone's question about the connection between rosacea

> and seborrheic dermatitis early Sunday evening, in addition to a

> handful of other public posts, only some of which have been

publicly

> posted.

>

> I talked about the four major conditions that I think of when

dealing

> with a local facial skin problems: acne, rosacea, seborrheic

> dermatitis, and eczema (atopic dermatitis). Dermatologists may look

> at this differently, but from my perspective they represent the

> various ways normal skin responds when irritated or " upset. " I see

> all four existing separately or together in various combinations,

> waxing and waning independently or together.

>

> Specifically, this response includes inflammation of the skin

and/or

> pores, edema of the skin and/or pores, increased proliferation of

> cells and sebum, and impairment of the epidermal protective

barrier,

> the latter resulting in a loss of moisture (dry skin) and increased

> absorption of whatever is on the skin (irritation leading to

> inflammation and further barrier impairment). Each of the

conditions

> has a predominant presentation but there's overlap in each's

> presentations, in addition to multiple conditions occurring at the

> same time.

>

> The skin can also develop problems on top of any of these --

> superinfections, allergic reactions, etc. That's why diagnosis can

be

> challenging at times, and may not be fully possible on the first

> visit. Also, as the skin changes with treatment, new reactions may

> develop. That's not bad or unexpected, it's just characteristic of

> human skin on the planet Earth.

>

> (Flushing appears to be a vascular, not a skin problem. Depending

on

> the person, it may or may not trigger skin inflammation and edema,

> but flushing itself is not a skin reaction, even though it is part

of

> many people's rosacea. That's why it doesn't respond to basic skin

> care or treatments for inflammation or increased cell/sebum

> production)

>

> Those seeking a direct link between rosacea and seborrheic

dermatitis

> might think about the analogy of an angry/upset spoilt child. Such

a

> child might cry, might pout, might throw a temper tantrum. Each

> spoilt child will react with their own unique response or

combination

> of responses. It doesn't really help to talk about the relationship

> between crying and throwing a tantrum, for example, or why one

child

> becomes sullen and another does not, or even why the spoilt child

> became angry, as such children become angry sometimes for the

> slightest reasons, and other times will laugh it off. The key is,

> once the child has reacted, the behavior itself needs to be

managed,

> in the present, whatever it is. Can future outbursts be prevented?

> Maybe, but the answer isn't likely to be simple or work all the

time,

> on spoilt children or on those with chronic skin problems.

>

> Marjorie

>

> Marjorie Lazoff, MD