Pityrosporum Folliculitis ?
#421
Posted 19 June 2009 - 04:35 PM
A friend casually mentioned that she had went to her Dr and was diagnosed with Pityrosporum folliculitis. She, too, had been fighting "acne". So she got the wheels to rolling and with a couple of google searches, I wound up on this thread. I also checked out online photos of this condition and they looked exactly like what I had!
I went the next day and bought some Nizoral and with the advice of my best friend, who is also a pharmacist, I also got some Lotrimin ointment. I have been using both for about 10 days and there is already an amazing difference. My forehead bumps that I have had for months were completely gone in about 7 days. My chest is about 95% clear, and not just that, but the texture and color of it look so much better. (I had been using benzymyacin on it and it always looked red and sunburned). I am so happy with the results so far and I have gotten so much information from this thread.
FYI: for first 7 days, I put the Nazoral on my forehead and chest and let it sit for about 15-20 minutes, then would rinse. No scrubbing, just gently rubbing in with my fingers. I lightly blotted with a clean towel to dry and then let the rest air dry. Then put the Lotrimin on. I did this morning and night. The past 3 days, however, I have just done this once, when I have my shower.
I am thinking I may p/u some Lamisil to use in place of the Lotrimin and switch it up a bit so that the yeast doesnt become immune to it.
Now, another question... is there one sunscreen that is better than another that I should try on my chest? I know nothing greasy, but I was using a Banana boat spray that said oil free and still broke out.(neutrogena was the absolute worst; I used it when I took a cruise about 6 months ago and my MIL thought I had sun poisoning! I thought it was acne but now know it was yeast. So I would try to avoid using that brand.) I hate to wear a t-shirt over my swimsuit at the pool just to avoid having to use a sunscreen but I am afraid to break out again. Any suggestions?
Thank you!!
#422
Posted 23 June 2009 - 06:35 PM
A friend casually mentioned that she had went to her Dr and was diagnosed with Pityrosporum folliculitis. She, too, had been fighting "acne". So she got the wheels to rolling and with a couple of google searches, I wound up on this thread. I also checked out online photos of this condition and they looked exactly like what I had!
I went the next day and bought some Nizoral and with the advice of my best friend, who is also a pharmacist, I also got some Lotrimin ointment. I have been using both for about 10 days and there is already an amazing difference. My forehead bumps that I have had for months were completely gone in about 7 days. My chest is about 95% clear, and not just that, but the texture and color of it look so much better. (I had been using benzymyacin on it and it always looked red and sunburned). I am so happy with the results so far and I have gotten so much information from this thread.
FYI: for first 7 days, I put the Nazoral on my forehead and chest and let it sit for about 15-20 minutes, then would rinse. No scrubbing, just gently rubbing in with my fingers. I lightly blotted with a clean towel to dry and then let the rest air dry. Then put the Lotrimin on. I did this morning and night. The past 3 days, however, I have just done this once, when I have my shower.
I am thinking I may p/u some Lamisil to use in place of the Lotrimin and switch it up a bit so that the yeast doesnt become immune to it.
Now, another question... is there one sunscreen that is better than another that I should try on my chest? I know nothing greasy, but I was using a Banana boat spray that said oil free and still broke out.(neutrogena was the absolute worst; I used it when I took a cruise about 6 months ago and my MIL thought I had sun poisoning! I thought it was acne but now know it was yeast. So I would try to avoid using that brand.) I hate to wear a t-shirt over my swimsuit at the pool just to avoid having to use a sunscreen but I am afraid to break out again. Any suggestions?
Thank you!!
Whatever works to get rid of this stuff, do it. But I bet you you're wasting your time with the lamisol and lotrimin. Just see what happens by only using nizoral, maybe every three or four days. It's possible that alone would do the trick.
#423
Posted 29 June 2009 - 11:18 PM
A friend casually mentioned that she had went to her Dr and was diagnosed with Pityrosporum folliculitis. She, too, had been fighting "acne". So she got the wheels to rolling and with a couple of google searches, I wound up on this thread. I also checked out online photos of this condition and they looked exactly like what I had!
I went the next day and bought some Nizoral and with the advice of my best friend, who is also a pharmacist, I also got some Lotrimin ointment. I have been using both for about 10 days and there is already an amazing difference. My forehead bumps that I have had for months were completely gone in about 7 days. My chest is about 95% clear, and not just that, but the texture and color of it look so much better. (I had been using benzymyacin on it and it always looked red and sunburned). I am so happy with the results so far and I have gotten so much information from this thread.
FYI: for first 7 days, I put the Nazoral on my forehead and chest and let it sit for about 15-20 minutes, then would rinse. No scrubbing, just gently rubbing in with my fingers. I lightly blotted with a clean towel to dry and then let the rest air dry. Then put the Lotrimin on. I did this morning and night. The past 3 days, however, I have just done this once, when I have my shower.
I am thinking I may p/u some Lamisil to use in place of the Lotrimin and switch it up a bit so that the yeast doesnt become immune to it.
Now, another question... is there one sunscreen that is better than another that I should try on my chest? I know nothing greasy, but I was using a Banana boat spray that said oil free and still broke out.(neutrogena was the absolute worst; I used it when I took a cruise about 6 months ago and my MIL thought I had sun poisoning! I thought it was acne but now know it was yeast. So I would try to avoid using that brand.) I hate to wear a t-shirt over my swimsuit at the pool just to avoid having to use a sunscreen but I am afraid to break out again. Any suggestions?
Thank you!!
Whatever works to get rid of this stuff, do it. But I bet you you're wasting your time with the lamisol and lotrimin. Just see what happens by only using nizoral, maybe every three or four days. It's possible that alone would do the trick.
Thanks for the reply. I am going to try just using the Nizoral every other day for the next week then try cutting down to once every 3 days. So far, I am still clear. Wish me luck!
#424
Posted 01 July 2009 - 01:19 AM
I am so thankful to have found this forum and most especially, this really informative and helpful thread!
I have been suffering from moderate but very persistent acne for a very long time - I've been on several long courses of antibiotics (oral and topical) to help with this before embarking on two courses of Accutane. With each course, I was hoping and praying that what SEEMED like really bad acne/comedones on my bum would go away. Much to my dismay, Accutane did not clear it at all.
After reading up on folliculitis, I am starting to believe that this is what I have. Some sources say:
"PF often is mistaken for acne vulgaris; however, no comedones or cysts are associated with PF"
........while others say that PR is often accompanied by acne. I seem to have almost all the symptoms of PR on my bum but I also get really painful 'underground' cysts there as well (sorry for being gross!).
I'm really at my wits end with this really embarassing problem (I'm even too embarassed to show my derm! I feel as though my long-term use of oral antibiotics has played a major role in this because as far as I can remember, I didn't have this problem before antibiotics. I have led myself to believe that another reason it might be PR is because Accutane did not help one bit with it, whereas it has tremendously helped with my bacne. I also find the itchiness, cysts and pimples increase when I exercise (I guess from sweating).
I'm finally in control of my acne (back and face) but this area just doesn't want to clear up. It really brings me to tears; it has been a great obstacle for me...I'm so self conscious, I know that some argue that as opposed to face acne/PR, that area is rarely visible but I find that I don't want to go swimming, be intimate with my SO and this has been a great problem. I feel so embarassed to have such a problem in such an area!
Could be possible that I have PR in that area despite the pimples and cysts? I shouldn't rule out PR just because of the cysts I'm getting?
Any insight or comments would be greatly appreciated! Thanks so much!
#425
Posted 01 July 2009 - 05:02 AM
I am so thankful to have found this forum and most especially, this really informative and helpful thread!
I have been suffering from moderate but very persistent acne for a very long time - I've been on several long courses of antibiotics (oral and topical) to help with this before embarking on two courses of Accutane. With each course, I was hoping and praying that what SEEMED like really bad acne/comedones on my bum would go away. Much to my dismay, Accutane did not clear it at all.
After reading up on folliculitis, I am starting to believe that this is what I have. Some sources say:
"PF often is mistaken for acne vulgaris; however, no comedones or cysts are associated with PF"
........while others say that PR is often accompanied by acne. I seem to have almost all the symptoms of PR on my bum but I also get really painful 'underground' cysts there as well (sorry for being gross!).
I'm really at my wits end with this really embarassing problem (I'm even too embarassed to show my derm! I feel as though my long-term use of oral antibiotics has played a major role in this because as far as I can remember, I didn't have this problem before antibiotics. I have led myself to believe that another reason it might be PR is because Accutane did not help one bit with it, whereas it has tremendously helped with my bacne. I also find the itchiness, cysts and pimples increase when I exercise (I guess from sweating).
I'm finally in control of my acne (back and face) but this area just doesn't want to clear up. It really brings me to tears; it has been a great obstacle for me...I'm so self conscious, I know that some argue that as opposed to face acne/PR, that area is rarely visible but I find that I don't want to go swimming, be intimate with my SO and this has been a great problem. I feel so embarassed to have such a problem in such an area!
Could be possible that I have PR in that area despite the pimples and cysts? I shouldn't rule out PR just because of the cysts I'm getting?
Any insight or comments would be greatly appreciated! Thanks so much!
No you shouldn't rule out folliculitis, but I think you should consider that it's probably not Pityrosporum Folliculitis, but some other type of folliculitis. Pityrosporum Folliculitis usually appears on the upper body and not on the buttocks.
#426
Posted 05 July 2009 - 01:27 AM
I am stumped...is it just some minor acne, or PF? I doesn't itch but what was on my chest didn't either.
Also, i now have 3 spots on my chest and I can't figure out if it is acne or not. They felt like acne, looked like acne, but again, nothing comes out of them...
Is there any way to tell a difference between acne and PF short of going to a dermatologist?
I don't have acne on my face except for a few blackheads but really nothing to complain about. I haven't ever had acne on my arms (and these new spots are bigger than what my PF spots were, but not huge...aggghh I cant describe it. They just look like little papules.)
We are leaving for vacation in a few days and I was really hoping to clear them up. I hate my skin! It looked so good a week ago!
#427
Posted 11 July 2009 - 03:14 PM
#428
Posted 12 July 2009 - 10:32 AM
I am stumped...is it just some minor acne, or PF? I doesn't itch but what was on my chest didn't either.
Also, i now have 3 spots on my chest and I can't figure out if it is acne or not. They felt like acne, looked like acne, but again, nothing comes out of them...
Is there any way to tell a difference between acne and PF short of going to a dermatologist?
I don't have acne on my face except for a few blackheads but really nothing to complain about. I haven't ever had acne on my arms (and these new spots are bigger than what my PF spots were, but not huge...aggghh I cant describe it. They just look like little papules.)
We are leaving for vacation in a few days and I was really hoping to clear them up. I hate my skin! It looked so good a week ago!
That's fantastic news if your rash cleared up on your chest. That means it probably was pf and the nizoral cleared it up. Continue to use nizoral on your shoulders, upper arms, chest, wherever the acne is. If it goes away then it's probably pf. If it goes away and comes back it's also probably pf. Remember, for most of us there doesn't seem to be a cure. You just arrest it by keeping it in check when it comes back.
I sometimes get anxiety and get depressed when pf keeps on coming back even though I completely clear it up. But then I remind myself that if all I have to do is use nizoral once or twice a week on my body to clear up then it's not too serious for me. Just continue to use nizoral and report back here if it clears it up. I wouldn't go to a dermatologist for this if you can keep this arrested by using nizoral. A dermatologist isn't going to do anything more then charge you lots of money and still not cure pf. If you're using nizoral and it's never clearing up then you might want to see a dermatologist. But if you're clearing it up with nizoral and it keeps coming back then I wouldn't see them. Both dermatologists I saw told me that the treatment they were using wouldn't clear it up forever and that it could keep coming back. What made it more frustrating is these dematologists never cleared it up in the first place yet charged me hundreds of dollars on creams that didn't work. And they never once brought up otc shampoos to help clear up pf.
#429
Posted 14 July 2009 - 08:25 AM
I am so thankful to have found this forum and most especially, this really informative and helpful thread!
I have been suffering from moderate but very persistent acne for a very long time - I've been on several long courses of antibiotics (oral and topical) to help with this before embarking on two courses of Accutane. With each course, I was hoping and praying that what SEEMED like really bad acne/comedones on my bum would go away. Much to my dismay, Accutane did not clear it at all.
After reading up on folliculitis, I am starting to believe that this is what I have. Some sources say:
"PF often is mistaken for acne vulgaris; however, no comedones or cysts are associated with PF"
........while others say that PR is often accompanied by acne. I seem to have almost all the symptoms of PR on my bum but I also get really painful 'underground' cysts there as well (sorry for being gross!).
I'm really at my wits end with this really embarassing problem (I'm even too embarassed to show my derm! I feel as though my long-term use of oral antibiotics has played a major role in this because as far as I can remember, I didn't have this problem before antibiotics. I have led myself to believe that another reason it might be PR is because Accutane did not help one bit with it, whereas it has tremendously helped with my bacne. I also find the itchiness, cysts and pimples increase when I exercise (I guess from sweating).
I'm finally in control of my acne (back and face) but this area just doesn't want to clear up. It really brings me to tears; it has been a great obstacle for me...I'm so self conscious, I know that some argue that as opposed to face acne/PR, that area is rarely visible but I find that I don't want to go swimming, be intimate with my SO and this has been a great problem. I feel so embarassed to have such a problem in such an area!
Could be possible that I have PR in that area despite the pimples and cysts? I shouldn't rule out PR just because of the cysts I'm getting?
Any insight or comments would be greatly appreciated! Thanks so much!
Hey there Aurora,
I too suffer from the EXTREMELY embarrassing breakouts on my tush, and I completely understand the humiliation, especially with my SO. Though he's understanding, it makes me feel less than desirable. I have diagnosed myself with PF, even though it does not typically occur on the buttocks. I also get the occasional underground cyst-but feel it is just a result of itching or picking at the spots.
There is another type of Folliculitus you may want to look into that occurs on the extremities and the buttocks. It's called " Perforating folliculitis" . Here are descriptions of the varying types you may want to check out as well. Though after seeing pictures myself, I definitely do not have this. I am hoping to try out the ZNP bar soon ( If I can ever find the darn thing in Canadian stores!) and Nizoral. I will update on my progress. Here's hoping it works! Good luck!
Types of Folliculitis
#430
Posted 14 July 2009 - 11:58 PM
It's not perfect and it's not cured. But I've gone from not being willing to wear a sleeveless shirt to wearing a string bikini in a water park.
Now, I think I do have both acne and PF. I still use the Retin in the evenings. I typically shower in the morning, and every other day I've been using the H&S. I also use PanOxyl 10% BP wash-I use the BP first, let it sit for a minute, then wash my hair and clip it back up, and then use the H&S and let it sit for several minutes. And I use Gold Bond powder when I remember. I did try using the ZNP bar, which I found locally in an independent, non-chain pharmacy, and it stung less; but I had a nasty set of massive pustules and a couple of cysts pop up about ten days later just above mid-back. I think I had trouble reaching there with the bar/washcloth combo where the shampoo runs down for me.
#431
Posted 16 July 2009 - 01:32 PM
I never considered fungus to be a possible source of folliculitis. I"ve been diagnosed with keratosis pilaris, but the problem is that the bumps I have (red, small and raised) have no "core" or what should be "grain" (hard and sandy), because my youngest son has that condition all over his arms and legs. In his case, Glytone and Betamethasone have helped.
It isn't the case with me. Short of excoriations due to self-multilation
My dermatologist have sprayed my problem areas with nitrogen aerosol, and after flattening out the problem areas, they would flare up still from time to time. Yes, Betamethasone has helped, but even that is a hit-and-miss. I also was instructed to lay off it from time to time because overuse can potentially damage the liver.
Well after reading this site last (I'm not done reading yet by the way), I decided to rub the big problem areas on my arms with Clotrimazole and followed it up with my Betamethasone.
The result was fantastic! So fantastic I emailed my dermatologist. I'm waiting to hear back from her, but if I have found a pathway here, she may prescribe Lotrisone for me.
I also have been reviewing Feet Accompli made by Dermadoctor because it also addresses the kind of problem I seem to have. It is encouraging and will try it out.
I've used Dermadoctor's KP Duty because of the KP diagnosis I was first given, but that did little for me, too, although it did wonders for the softness I got from it for my arms.
Anyway, I just wanted to share my little discovery because I have been encouraged by this topic so much. At some point, I also want to give Mandelic Acid a try, but with some research, it has more anti-bacterial properties than it has anti-fungal. It wouldn't hurt though because our skin does have a normal flora of both bacteria and fungus.
I just believe now that I've addressed the bacterial part more than the fungal one that I have more of the latter now. I've just never considered it before.
Thanks everyone for all that you've written. This forum is wonderful!
#432
Posted 16 July 2009 - 04:23 PM
I never considered fungus to be a possible source of folliculitis. I"ve been diagnosed with keratosis pilaris, but the problem is that the bumps I have (red, small and raised) have no "core" or what should be "grain" (hard and sandy), because my youngest son has that condition all over his arms and legs. In his case, Glytone and Betamethasone have helped.
It isn't the case with me. Short of excoriations due to self-multilation
My dermatologist have sprayed my problem areas with nitrogen aerosol, and after flattening out the problem areas, they would flare up still from time to time. Yes, Betamethasone has helped, but even that is a hit-and-miss. I also was instructed to lay off it from time to time because overuse can potentially damage the liver.
Well after reading this site last (I'm not done reading yet by the way), I decided to rub the big problem areas on my arms with Clotrimazole and followed it up with my Betamethasone.
The result was fantastic! So fantastic I emailed my dermatologist. I'm waiting to hear back from her, but if I have found a pathway here, she may prescribe Lotrisone for me.
I also have been reviewing Feet Accompli made by Dermadoctor because it also addresses the kind of problem I seem to have. It is encouraging and will try it out.
I've used Dermadoctor's KP Duty because of the KP diagnosis I was first given, but that did little for me, too, although it did wonders for the softness I got from it for my arms.
Anyway, I just wanted to share my little discovery because I have been encouraged by this topic so much. At some point, I also want to give Mandelic Acid a try, but with some research, it has more anti-bacterial properties than it has anti-fungal. It wouldn't hurt though because our skin does have a normal flora of both bacteria and fungus.
I just believe now that I've addressed the bacterial part more than the fungal one that I have more of the latter now. I've just never considered it before.
Thanks everyone for all that you've written. This forum is wonderful!
Just an update: My dermatologist wrote back to say:
"If the clotrimazole/betamethasone combo is working, keep using it.
It is safe (as long as you are not pregnant/breast feeding)."
Just FYI ... I got the Clotrimazole over-the-counter. Only the Betamethasone is prescription, although I'm apt to believe hydrocortisone cream should work, too, in place of betamethasone. I still plan to add Feet Accompli from DermaDoctor (they have a website and can also be purchased from Sephora stores and online). Or I could alternate between Clotrimazole and Feet Accompli.
As for the scars and hyperpigmentation, my doc has said to use a cream that contains salicylic acid followed by hydroquinone as the last two steps. Realistically speaking, I should expect the scars to improve within 6 months.
#433
Posted 18 July 2009 - 07:25 AM
ive also noticed that im getting it on the left side of more face more then i am on the right, i also sleep on the left side of my face, a week ago i did change my bedding, including pillow cases. I have considered that this was the problem however, im only getting these "rashes" on my neck and jaw and chin. Ive also considered that it could have been caused by shaving not so long ago, but again, im not outbreaking in rashes around my sideburns where i also shave.
after reading through this topic i'm not sure if i want to go get this diagnosed.. after hearing so many people are wrongly diagnosed which makes the matter worse. Im going to keep an eye on this rash closely, but for now just leave it. If in a couple of days or so the rash is only getting worse, what should i do?
oh and also, ive continued using the same moisturizer ive been using for years, but knowing that pf thrives on oily skin im not sure if i should keep using it or stop and see what happens, i wash my face twice a day, and my skin can become very dry
should i continue using the moisturizer, stop using it all together or just use less?
#434
Posted 31 July 2009 - 01:34 PM
White Fox - I can't promise photos because my camera is crap, but I will try.
How did your appointment go?
Thanks for asking. It went OK. He told me it's not fungal. When I asked how he knew he said because it didn't look fungal to him and he said something about 30 years of experience telling him as well. He told me again he believes it's from being on the Solodyn. He said the Ampicillin should help and that I needed to give it more time. Two months. When I asked what kind of folliculitis it was he didn't say, just that it was a folliculitis. I forgot to ask if it was pityrosporum folliculitis, but I know he would have said no. He said to use benadryl cream for the itching (which thankfully has subsided). When I expressed concern about it spreading he didn't seem to think it looked any worse than last time. When I expressed concern that the antibiotics could be making it worse he didn't think so. He just seemed firm in what he was saying was correct. I really hope he's right. I am putting a lot of faith and trust in his professional expertise. We'll see. Thanks for checking in though. I appreciate it.
.
Edited by carrie54, 04 June 2011 - 09:59 AM.
#435
Posted 27 August 2009 - 05:36 PM
I'd say I have a few hundred whiteheads with red blotches all over. I'm 30, no kids (yet), and prettyish, were I to not have this problem. I tend to be a pincher, sometimes out of grossed-out compulsion and sometimes to lessen the severity of the white-dot PF appearance.
I'll update everyone on my progress. I'm just really glad to have a community that understands what I've gone through for so long. I want to feel pretty in front of my partner! I want to wear a tanktop! I want to see healthy skin in the mirror, not red and blotchy skin with zillions of whiteheads all over. I want to feel smooth skin, not bumps.
Any suggestions, questions or comments are encouraged! Nizoral, here I come!
#436
Posted 05 September 2009 - 12:39 AM
#437
Posted 08 September 2009 - 08:38 PM
#438
Posted 15 September 2009 - 08:01 AM
#439
Posted 16 September 2009 - 12:25 PM
He was on accutane for 8 months about a year ago.Been completely clear. NOW THIS.He is so upset. Im very upset and not sleeping over worry. Everything I read said it will never go away for good. Then I got scared on websites that said his hair could fall out!!! Is this for real???
Please help us.
Kerry
#440
Posted 19 September 2009 - 11:34 AM
He was on accutane for 8 months about a year ago.Been completely clear. NOW THIS.He is so upset. Im very upset and not sleeping over worry. Everything I read said it will never go away for good. Then I got scared on websites that said his hair could fall out!!! Is this for real???
Please help us.
Kerry
Yes, from what I understand, PF can occur on the scalp as welll. Did his derm recommend any particular treatment? You might have him try shampooing with Nizoral Shampoo - the 1% should be available in drugstores and I think you can order the stronger 2% off the nizoral website.
Another option that might work is a mandelic shampoo. Mandelic is antifungal and antibacterial and it has worked better for my body folliculitis than any other treatments. Vivant is the only company I know that makes a mandelic shampoo - its actually really nice, cleans well, doesn't stink or smell medicated.
With either shampoo - I'd have him use it either every day or every other day (maybe start with every day, and see if it clears - if it does, he could reduce it to just a few times a week). Lather, and leave the shampoo on the scalp for 5 min or so, then rinse.
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