Addendum to Reactions to ingredients (Was Re: Giving Gold Bond a try..)

[Guest guest]

I just wrote to 007:

" You're assuming the reason people fail initial treatment is because

acne vulgaris is not being diagnosed and so remains untreated. To

prevent that (unproven) assertion, you advocate exposing everyone to

some statistical analysis. Doesn't make sense to me, because a

competent dermatologist will diagnose the presence of only rosacea,

or both rosacea and acne vulgaris, by just looking at the patient's

face. "

I'd like to add one comment: when there is an unsatisfactory response

to initial therapy the dermatologist will modify treatment, and one

of the things s/he will consider is a co-existing dermatologic

condition, whether newly acquired or unmasked by the improving

original condition.

An analogy is pool (billiards): It sounds like you want to hit all

the balls into their respective pockets off the break shot (the

opening shot, when the fifteen balls in triangle configuration are

struck by the white ball). That's fantasy pool. In reality, the most

likely and safest winning strategy is to use the break shot to set

the table up for all subsequent shots, which are then pocketed one by

one.

Marjorie

Marjorie Lazoff, MD