Pityrosporum Folliculitis

[Guest guest]

Remember me, I asked the question can antibiotics make rosacea worst?

Back in April of this year I posted two very long emails asking for

support and advice about how to get off of the antibiotics and many

of you responded which I appreciated very much! I knew in my heart

that the antibiotics made my condition WORST! Ten times more worst.

My case was so mild that the derms did not think that I had it but

after going on the anti's and going back for follow up just 3 weeks

later, my condition progressed to the point that I truly did look

like I had rosacea. I had papules and pustules and red inflamed

skin. I had stinging and burning but the most chronic symptom was the

itching. The most terrible itching you could imagine. At times it

felt like something was crawling all over my face. This was a key

fact that no one heard until last Wed. 6/19/2002. After 6 months of

hell, 6 doctors, 20 different blood test of every kind, 15

acupuncture visits and lots of money spent on books, products, herbs,

medicines, etc. Dr. in Somersworth, NH (my savior)

diagnosed me correctly! When he said " I'll be right back you DO

NOT HAVE ROSACEA you'll be fine in 5 days " I felt like I had just won

the lottery!!!!!

I have a condition called Pityrosporum Folliculitis (PF). This is a

very common yeast problem that MANY doctors overlook! PF is

typically found in the upper trunk area of the body and I did have

itchy little bumps on my neck as well. My acupuncturists

consistently told me I had a lot of yeast in my body and that she did

not think it was rosacea but a yeast problem. Boy, was she right!!

But how difficult it was to believe this when I had red inflamed

skin, papules and pustules everywhere and stinging burning skin. And

I would flush after workouts and warm showers (this sounded and

looked like rosacea to me). PF was on my face, not my body, my Dr.

did a simple skin scraping from my face put it on the microscope and

let me look at the thousands of little beach ball organisms. It was

truly a sight to see. This stuff was growing all over my face! So

my question can antibiotics make rosacea worst? Should have been

" Can antibiotics make Pityrosporum Folliculitis worst? " The answer is

YES! PF is also now called Mallezza (SP).

I was put on the ant fungal pill called Sporanox (just 5 days), given

ZNP soap and a topical ant fungal lotion called Loprox. I have 100%

total clearance. I know you all know what hell having rosacea brings

to your life and the lifestyle changes you must make. This past 6

months I've learned more about dangerous skincare products,

treatments and how diet makes all the difference in the world! I

thought I knew a lot about diet, exercise and skincare, being a

former model and personal trainer. I knew nothing and I believe that

I was meant to go through this experience in order for me to make the

necessary lifestyle changes that will ultimately prevent some other

terrible condition in the future. So all though I do not have

rosacea, sugar is out of my life and so are a few others things that

I learned that are bad for the skin. I have to thank my wonderful

friend GT who was there for me through all my tears and gripes about

cea. She is the most knowledgeable person I know about cea

as well as business and she has a database in her head about product

ingredients that will blow your socks off! :-) GT you are my idol and

DR. thank you for going to that conference and learning more

about PF, you are truly my hero!!!

Here's the link to learn more about PF

http://www.aocd.org/skin/dermatologic_diseases/pityrosporum_folli.html

Max the former model no more):-)

[Guest guest]

I'm between dermatologists right now. Are there some

over-the-counter products I could try in order to see

if I respond to treatment for yeast overgrowth?

Thanks!

Shane

[Guest guest]

I remember your posts very well! I'm so glad to hear your rash and

symptoms resolved and you can return to modeling. Your initial

symptoms were so general, I never understood how you were originally

diagnosed with rosacea, especially given your ethnicity.

Typically, PF in healthy persons occur after extensive use with

antibiotics, not just a few weeks, unless there is an underlying

predisposition to fungal infections.

It's not that competent doctors overlook PF, but that to my knowledge

it's not appropriate to consider it early on in an otherwise healthy

person. I don't know that your previous dermatologist did anything

wrong, other than perhaps prematurely jumping to a diagnosis of

rosacea (but that's not a fair statement, since I can't know all the

information available to her at the time). I recall you liked and

trusted her, and that's the most important thing. It's easy enough

for a physician to diagnose or rule out a skin fungal infection by

examining a skin scraping under the microscope, but that isn't

something a physician is likely to do with an otherwise healthy

patient.

But it is appropriate to consider PF in someone under chronic

antibiotic treatment who is no longer getting better, or suddenly

gets worse, and so Dr. did the appropriate work-up given

your presentation to him six months into the condition.

Something I'm presently discussing with another physician: whether

chronic use of non-prescription anti-bacterial washes alone -- like

triclosan, which is being discussed in another thread -- alone or

with antibiotics, predispose to conditions like PF in otherwise

healthy patients. I'm curious -- back in the fall/winter, when you

said your symptoms initially began, were you using such a product on

your face?

Thanks for sharing your good news. Best of luck with your modeling

career.

Marjorie

Marjorie Lazoff, MD

> Remember me, I asked the question can antibiotics make rosacea

worst?

> Back in April of this year I posted two very long emails asking for

> support and advice about how to get off of the antibiotics and many

> of you responded which I appreciated very much! I knew in my heart

> that the antibiotics made my condition WORST! Ten times more

worst.

> My case was so mild that the derms did not think that I had it but

> after going on the anti's and going back for follow up just 3 weeks

> later, my condition progressed to the point that I truly did look

> like I had rosacea. I had papules and pustules and red inflamed

> skin. I had stinging and burning but the most chronic symptom was

the

> itching. The most terrible itching you could imagine. At times it

> felt like something was crawling all over my face. This was a key

> fact that no one heard until last Wed. 6/19/2002. After 6 months

of

> hell, 6 doctors, 20 different blood test of every kind, 15

> acupuncture visits and lots of money spent on books, products,

herbs,

> medicines, etc. Dr. in Somersworth, NH (my savior)

> diagnosed me correctly! When he said " I'll be right back you DO

> NOT HAVE ROSACEA you'll be fine in 5 days " I felt like I had just

won

> the lottery!!!!!

>

> I have a condition called Pityrosporum Folliculitis (PF). This is

a

> very common yeast problem that MANY doctors overlook! PF is

> typically found in the upper trunk area of the body and I did have

> itchy little bumps on my neck as well. My acupuncturists

> consistently told me I had a lot of yeast in my body and that she

did

> not think it was rosacea but a yeast problem. Boy, was she right!!

> But how difficult it was to believe this when I had red inflamed

> skin, papules and pustules everywhere and stinging burning skin.

And

> I would flush after workouts and warm showers (this sounded and

> looked like rosacea to me). PF was on my face, not my body, my Dr.

> did a simple skin scraping from my face put it on the microscope

and

> let me look at the thousands of little beach ball organisms. It

was

> truly a sight to see. This stuff was growing all over my face! So

> my question can antibiotics make rosacea worst? Should have been

> " Can antibiotics make Pityrosporum Folliculitis worst? " The answer

is

> YES! PF is also now called Mallezza (SP).

>

> I was put on the ant fungal pill called Sporanox (just 5 days),

given

> ZNP soap and a topical ant fungal lotion called Loprox. I have

100%

> total clearance. I know you all know what hell having rosacea

brings

> to your life and the lifestyle changes you must make. This past 6

> months I've learned more about dangerous skincare products,

> treatments and how diet makes all the difference in the world! I

> thought I knew a lot about diet, exercise and skincare, being a

> former model and personal trainer. I knew nothing and I believe

that

> I was meant to go through this experience in order for me to make

the

> necessary lifestyle changes that will ultimately prevent some other

> terrible condition in the future. So all though I do not have

> rosacea, sugar is out of my life and so are a few others things

that

> I learned that are bad for the skin. I have to thank my wonderful

> friend GT who was there for me through all my tears and gripes

about

> cea. She is the most knowledgeable person I know about cea

> as well as business and she has a database in her head about

product

> ingredients that will blow your socks off! :-) GT you are my idol

and

> DR. thank you for going to that conference and learning

more

> about PF, you are truly my hero!!!

>

> Here's the link to learn more about PF

>

http://www.aocd.org/skin/dermatologic_diseases/pityrosporum_folli.html

>

> Max the former model no more):-)

[Guest guest]

Marjorie,

Thanks for your comments. No I was not using any anti-bacterial

washes. However, you may remember me stating that I was working in an

office environment that was found to have high levels of fungi. And

in my particular office I had usually high levels of the following:

Yeast,Aspergillus Ochyraceous,Botrytis sp,Cladosporium sp,Sterilia

mycelia Penicillium sp,Bacillus sp,Coagulase-negative

Staphylococcus,Micrococcus sp,Bacillus sp,Coagulase-

negative,Staphylococcus,Micrococcus sp,Pithomyces sp,Sepedonium sp,

Multiple Gram Negative rods and Bacillus sp.

This could have been my predisposition to yeast as I am typically a

very healthy person (I get a cold once a year if that). So that's why

this was an enigma to everyone. How did I get so allergic and

develop a skin disorder over night? It's not that my Derm did not do

a good job showing concern and wanting to find a solution, but it's

all she really did do and yes I really like her a lot. I told her to

put me on Biaxin after the Doxy made me worst. I began to have

clearance from the Biaxin because it does have some anti-fungal

properties in it. However, when I went off the Biaxin for 10 days it

came right back.

I believe whatever I initially started with was from my office and

was at a very mild stage, going on the anti's created so much yeast

that I began to have yeast infections (I only had 2 in my entire life

prior to this). My diet was pretty healthy besides the occasional

martini (low carb with very little bread if any). So I can say that

my medical history is excellent. Matter of fact all these test that

were run trying to rule out stuff just re-confirmed this! So what I

can say it's still a question of how and why but as long as I know

the " what " and how to treat the " what " I don't really care much about

anything else. Thanks again for your follow up.

Max

-- In rosacea-support@y..., " emarjency " <emarjency@s...> wrote:

> I remember your posts very well! I'm so glad to hear your rash and

> symptoms resolved and you can return to modeling. Your initial

> symptoms were so general, I never understood how you were

originally

> diagnosed with rosacea, especially given your ethnicity.

>

> Typically, PF in healthy persons occur after extensive use with

> antibiotics, not just a few weeks, unless there is an underlying

> predisposition to fungal infections.

>

> It's not that competent doctors overlook PF, but that to my

knowledge

> it's not appropriate to consider it early on in an otherwise

healthy

> person. I don't know that your previous dermatologist did anything

> wrong, other than perhaps prematurely jumping to a diagnosis of

> rosacea (but that's not a fair statement, since I can't know all

the

> information available to her at the time). I recall you liked and

> trusted her, and that's the most important thing. It's easy enough

> for a physician to diagnose or rule out a skin fungal infection by

> examining a skin scraping under the microscope, but that isn't

> something a physician is likely to do with an otherwise healthy

> patient.

>

> But it is appropriate to consider PF in someone under chronic

> antibiotic treatment who is no longer getting better, or suddenly

> gets worse, and so Dr. did the appropriate work-up given

> your presentation to him six months into the condition.

>

> Something I'm presently discussing with another physician: whether

> chronic use of non-prescription anti-bacterial washes alone -- like

> triclosan, which is being discussed in another thread -- alone or

> with antibiotics, predispose to conditions like PF in otherwise

> healthy patients. I'm curious -- back in the fall/winter, when you

> said your symptoms initially began, were you using such a product

on

> your face?

>

> Thanks for sharing your good news. Best of luck with your modeling

> career.

>

> Marjorie

>

> Marjorie Lazoff, MD

>

>

>

>

> > Remember me, I asked the question can antibiotics make rosacea

> worst?

> > Back in April of this year I posted two very long emails asking

for

> > support and advice about how to get off of the antibiotics and

many

> > of you responded which I appreciated very much! I knew in my

heart

> > that the antibiotics made my condition WORST! Ten times more

> worst.

> > My case was so mild that the derms did not think that I had it

but

> > after going on the anti's and going back for follow up just 3

weeks

> > later, my condition progressed to the point that I truly did look

> > like I had rosacea. I had papules and pustules and red inflamed

> > skin. I had stinging and burning but the most chronic symptom was

> the

> > itching. The most terrible itching you could imagine. At times

it

> > felt like something was crawling all over my face. This was a key

> > fact that no one heard until last Wed. 6/19/2002. After 6 months

> of

> > hell, 6 doctors, 20 different blood test of every kind, 15

> > acupuncture visits and lots of money spent on books, products,

> herbs,

> > medicines, etc. Dr. in Somersworth, NH (my savior)

> > diagnosed me correctly! When he said " I'll be right back you

DO

> > NOT HAVE ROSACEA you'll be fine in 5 days " I felt like I had just

> won

> > the lottery!!!!!

> >

> > I have a condition called Pityrosporum Folliculitis (PF). This

is

> a

> > very common yeast problem that MANY doctors overlook! PF is

> > typically found in the upper trunk area of the body and I did

have

> > itchy little bumps on my neck as well. My acupuncturists

> > consistently told me I had a lot of yeast in my body and that she

> did

> > not think it was rosacea but a yeast problem. Boy, was she

right!!

> > But how difficult it was to believe this when I had red inflamed

> > skin, papules and pustules everywhere and stinging burning skin.

> And

> > I would flush after workouts and warm showers (this sounded and

> > looked like rosacea to me). PF was on my face, not my body, my

Dr.

> > did a simple skin scraping from my face put it on the microscope

> and

> > let me look at the thousands of little beach ball organisms. It

> was

> > truly a sight to see. This stuff was growing all over my face!

So

> > my question can antibiotics make rosacea worst? Should have been

> > " Can antibiotics make Pityrosporum Folliculitis worst? " The

answer

> is

> > YES! PF is also now called Mallezza (SP).

> >

> > I was put on the ant fungal pill called Sporanox (just 5 days),

> given

> > ZNP soap and a topical ant fungal lotion called Loprox. I have

> 100%

> > total clearance. I know you all know what hell having rosacea

> brings

> > to your life and the lifestyle changes you must make. This past

6

> > months I've learned more about dangerous skincare products,

> > treatments and how diet makes all the difference in the world! I

> > thought I knew a lot about diet, exercise and skincare, being a

> > former model and personal trainer. I knew nothing and I believe

> that

> > I was meant to go through this experience in order for me to make

> the

> > necessary lifestyle changes that will ultimately prevent some

other

> > terrible condition in the future. So all though I do not have

> > rosacea, sugar is out of my life and so are a few others things

> that

> > I learned that are bad for the skin. I have to thank my

wonderful

> > friend GT who was there for me through all my tears and gripes

> about

> > cea. She is the most knowledgeable person I know about

cea

> > as well as business and she has a database in her head about

> product

> > ingredients that will blow your socks off! :-) GT you are my idol

> and

> > DR. thank you for going to that conference and learning

> more

> > about PF, you are truly my hero!!!

> >

> > Here's the link to learn more about PF

> >

>

http://www.aocd.org/skin/dermatologic_diseases/pityrosporum_folli.html

> >

> > Max the former model no more):-)