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Saw my derm today. He couldnt help me with the pain. He finally

tested for PF by scraping a pustule. (I got lucky, he said the

fact that I'd been using ZNP wouldnt affect the test results).

He said he didn't see Pityrosprorum, but he saw what looked like

it might be a rare yeast. He tested for dermatographism after I

mentioned what my PCP says, and he also told me I do have

dermatographism. he said I likely do NOT have systemic

mastocytosis because my eisophils are normal or something (not

sure exactly what they were called, but I know they were rated a

3). But he said other mast cell disorders were still a

possibility, and he had no problem with me seeing a second

allergist/immunologist to rule the possibility out. He said it

seemed like my immune system was depressed or something.. which

the nurse says is relatively common after long-term antibiotic

use. She made my low WBC count suddenly seem important, and said

it might play into all this. My derm didn't prescribe me

anything, and left me with more answers than questions. He kept

telling me I had to ask all this stuff to my primary care doc.

Who always tells me I need to ask all this stuff to my derm.

Basically, I have Dermatographism. I MAY have a mast cell

disorder (but not systemic mastocytosis). I have a very low WBC

count (and my skin has been very

hypersensitive/rashy/allergic-looking ever since). and in

addition to the fungus under the nails and the sebderm, I have

what MAY be a rare type of yeast. Which, if any, of these might

be possible causes for the redness/flushing/extreme response and

pain caused by any type of heat and sun? The nurse was pretty

quick to discount the yeast theory (saying that normally would

not appear on the face), and was a proponent of the idea that the

low WBC count could be at least partially to blame. My Primary

care said its perfectly ok for a regular, healthy person to have

an unusually low WBC count, and didn't think that was a problem

at all. He said the acneform part of my problem looked like some

type of folliculitus, possibly caused by yeast/fungus, since it

didnt start until well after I began the antibiotics. They both

seemed unclear as to what, if any, role the dermatographism might

be playing in my facial flushing. Its pretty obvious i'm on my

own here, since they just keep passing me off from one to the

other, but I don't know where to go from here.

Any suggestions?

Thanks

Adam

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Saw my derm today. He couldnt help me with the pain. He finally

tested for PF by scraping a pustule. (I got lucky, he said the

fact that I'd been using ZNP wouldnt affect the test results).

He said he didn't see Pityrosprorum, but he saw what looked like

it might be a rare yeast. He tested for dermatographism after I

mentioned what my PCP says, and he also told me I do have

dermatographism. he said I likely do NOT have systemic

mastocytosis because my eisophils are normal or something (not

sure exactly what they were called, but I know they were rated a

3). But he said other mast cell disorders were still a

possibility, and he had no problem with me seeing a second

allergist/immunologist to rule the possibility out. He said it

seemed like my immune system was depressed or something.. which

the nurse says is relatively common after long-term antibiotic

use. She made my low WBC count suddenly seem important, and said

it might play into all this. My derm didn't prescribe me

anything, and left me with more answers than questions. He kept

telling me I had to ask all this stuff to my primary care doc.

Who always tells me I need to ask all this stuff to my derm.

Basically, I have Dermatographism. I MAY have a mast cell

disorder (but not systemic mastocytosis). I have a very low WBC

count (and my skin has been very

hypersensitive/rashy/allergic-looking ever since). and in

addition to the fungus under the nails and the sebderm, I have

what MAY be a rare type of yeast. Which, if any, of these might

be possible causes for the redness/flushing/extreme response and

pain caused by any type of heat and sun? The nurse was pretty

quick to discount the yeast theory (saying that normally would

not appear on the face), and was a proponent of the idea that the

low WBC count could be at least partially to blame. My Primary

care said its perfectly ok for a regular, healthy person to have

an unusually low WBC count, and didn't think that was a problem

at all. He said the acneform part of my problem looked like some

type of folliculitus, possibly caused by yeast/fungus, since it

didnt start until well after I began the antibiotics. They both

seemed unclear as to what, if any, role the dermatographism might

be playing in my facial flushing. Its pretty obvious i'm on my

own here, since they just keep passing me off from one to the

other, but I don't know where to go from here.

Any suggestions?

Thanks

Adam

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