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Pityrosporum Folliculitis ?


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#581 Tbone2000

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Posted 01 April 2012 - 10:36 PM

<p>i think salicylic acid is the best bet. first, it is unlikely for your skin to get immune to it. second, it seemed to work for me, although not overnight.&nbsp;</p>
<p>&nbsp;</p>
<p>despite using terbafinine, travocort, and canesten on my face in rotation, the pf still stays (it does clear up a bit) and is pretty stubborn. i just let it sit there now, and slap some SA on it.&nbsp;</p>
<p>&nbsp;</p>
<p>i even resort to taking chinese meds, which cleared up my acne but not pf. eventually, i declared white flag towards PF. the fact that i had bad acne and pf is no coincidence i feel. your skin does become weak with all the inflamed stuff.&nbsp;</p>
<p>&nbsp;</p>


What salicylic acid product are you using?

#582 HapaMommy

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Posted 05 April 2012 - 05:49 PM

I recently started using M2 Exfoliating Cleanser and Refinishing Serum with Mandelic and Malic Acids. It's only been a few days so I can't say how well it's working yet.


I like the looks of that stuff, I just wish it wasn't so expensive...


I found a website that had it on sale called shimmerskincare.com. Check it out and see. It was the cheapest I found M2.

Also, I have still not been able to completely fight off the PF 100%. Went back to the derm today and they recommended using Neutrogena Body wash with SA after every workout. They also put my on Fluconazole (generic for Diflucan). I was afraid of oral antifungals but this is a milder one. This sounds gross but they're having me take one pill and hour before a workout. After I workout and sweat I have to sit in my sweat for 12 hours before showering. They said this way the antifungals can work from the inside out. I have to wait a week and repeat. I'll let you know how this goes. So far the M2 has been doing great and helps minimize PIH and gets rid of old PIH. It helps heal the active spots of PF but doesn't do much to prevent new ones. The serum also is improving my skin tone. It's more even and I don't even need foundation I just spot conceal. I love it because unlike Differin I can go out in the sun without feeling like my skin is itchy or needles are shooting through my pores.

#583 NothingToFear

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Posted 08 April 2012 - 03:19 PM

That's an interesting idea...maybe I will move my anti-fungal back to before my workout. Thanks!

#584 Tbone2000

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Posted 15 April 2012 - 09:25 PM

So the PF that I have has gotten extremely bad lately. It's all over my back, chest, stomach, and arms. It itches like hell and is not responding to any type of anti-fungal topical treatment. I have used 2% ketoconazole shampoo, 2% selenium sulfide shampoo, 2% zinc pyrithione, 2.5% coal tar shampoo, and I even broke out the secret weapon, 1% ciclopirox shampoo. This recent breakout has not been responding to anything at all. It's literally everywhere, itches like crazy, and looks absolutely awful.

I hate to say it, but this condition is seriously affecting my life. I can't work out without it flaring up and breaking out all over my upper body. I can't tan without breakout all over my upper body. I have had 4 different women who I have been seriously dating pose pretty awkward questions that I can't answer: "What is that on your chest? Is it acne? Do you have measles? Do you have shingles? Oh my god do you have bedbugs???" I can't really tell them the correct answer either, which is "Don't worry baby, it's just a yeast overgrowth" which is pretty much the last thing a woman who is getting intimate with you wants to hear. And the final question is the killer which is: "Is it contagious?" which no one seems to have an answer to.

I don't know what to do. This is really absolutely demoralizing, more than my adolescent acne ever was. It's destroying my self esteem, my health, and my dating life. It's not something I can just ignore either - I need to find a way to cure or control this or else I'm going to lose it.

Please - everyone share what you can about this disease. I need to find something to stop it soon.

#585 Mandy F

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Posted 15 April 2012 - 10:16 PM

Up until last year my acne was fairly mild on my face (thanks to Differin) and on very rare ocassions I would break out on my back or chest. A few months ago my face went haywire and I began getting cysts on my chin. So, my Derm put me on 100mg Doxycycline which I've been taking for the last 3 weeks. My face is much better. But, my chest is filled with these tiny red bumps that sometimes itch (especially when I get out of the shower) and my back is a total wreck, as well. I'm wondering if it is Pityrosporum Folliculits or just acne. I'm scheduled to go back to the derm next week. Should I ask for a biopsy? It's difficult to see the detail in this pic. But, does anyone have an opinion on what this could be? I'm so frustrated!!!ick.jpg

#586 HapaMommy

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Posted 24 April 2012 - 08:51 PM


I recently started using M2 Exfoliating Cleanser and Refinishing Serum with Mandelic and Malic Acids. It's only been a few days so I can't say how well it's working yet.


I like the looks of that stuff, I just wish it wasn't so expensive...


I found a website that had it on sale called shimmerskincare.com. Check it out and see. It was the cheapest I found M2.

Also, I have still not been able to completely fight off the PF 100%. Went back to the derm today and they recommended using Neutrogena Body wash with SA after every workout. They also put my on Fluconazole (generic for Diflucan). I was afraid of oral antifungals but this is a milder one. This sounds gross but they're having me take one pill and hour before a workout. After I workout and sweat I have to sit in my sweat for 12 hours before showering. They said this way the antifungals can work from the inside out. I have to wait a week and repeat. I'll let you know how this goes. So far the M2 has been doing great and helps minimize PIH and gets rid of old PIH. It helps heal the active spots of PF but doesn't do much to prevent new ones. The serum also is improving my skin tone. It's more even and I don't even need foundation I just spot conceal. I love it because unlike Differin I can go out in the sun without feeling like my skin is itchy or needles are shooting through my pores.


Unfortuantely, it worked but only for a couple days and then I had a PF outbreak worse than before. Thanks to the M2 I don't get PF my face but as for my body it's coming back. Went back to the derm and the last resort is low doses of Accutane. She has only patient much worse than me (her back and chest were completely covered with PF) and one month of Accutane cleared her. I had to do this whole government pledge thing and must wait 30 days to begin once I get government approval. I basically have to promise not to get pregnant because of the noted side effects on unborn babies. I'll be starting mid May. I'll let you know if it works out. Supposedly, this is the cure. We'll see.

#587 matt f

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Posted 25 April 2012 - 04:50 AM

I think I may have this condition on my chest...however mine never really itches. Hopefully I can get it diagnosed next week.

#588 wll37

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Posted 06 May 2012 - 05:23 AM



I recently started using M2 Exfoliating Cleanser and Refinishing Serum with Mandelic and Malic Acids. It's only been a few days so I can't say how well it's working yet.


I like the looks of that stuff, I just wish it wasn't so expensive...


I found a website that had it on sale called shimmerskincare.com. Check it out and see. It was the cheapest I found M2.

Also, I have still not been able to completely fight off the PF 100%. Went back to the derm today and they recommended using Neutrogena Body wash with SA after every workout. They also put my on Fluconazole (generic for Diflucan). I was afraid of oral antifungals but this is a milder one. This sounds gross but they're having me take one pill and hour before a workout. After I workout and sweat I have to sit in my sweat for 12 hours before showering. They said this way the antifungals can work from the inside out. I have to wait a week and repeat. I'll let you know how this goes. So far the M2 has been doing great and helps minimize PIH and gets rid of old PIH. It helps heal the active spots of PF but doesn't do much to prevent new ones. The serum also is improving my skin tone. It's more even and I don't even need foundation I just spot conceal. I love it because unlike Differin I can go out in the sun without feeling like my skin is itchy or needles are shooting through my pores.


Unfortuantely, it worked but only for a couple days and then I had a PF outbreak worse than before. Thanks to the M2 I don't get PF my face but as for my body it's coming back. Went back to the derm and the last resort is low doses of Accutane. She has only patient much worse than me (her back and chest were completely covered with PF) and one month of Accutane cleared her. I had to do this whole government pledge thing and must wait 30 days to begin once I get government approval. I basically have to promise not to get pregnant because of the noted side effects on unborn babies. I'll be starting mid May. I'll let you know if it works out. Supposedly, this is the cure. We'll see.

I don't mean to discourage. I tried accutane before for my misdiagnosed PF (the derm thought it was a usual back acne). Nothing happened. accutane just made my skin burned because I have sensitive skin. my skin is itchy, dehydrated and burned. But, people are different (it didn't work for me, it may work for you). what works for me is daktacort and 2.5 % selenium sulfide selsun for my PF if it comes back.

#589 NothingToFear

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Posted 07 May 2012 - 06:51 PM

Careful with Accutane - some not-so-good stories on the web. Haven't used it myself.

#590 WildGo0se

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Posted 11 May 2012 - 09:04 PM

Up until last year my acne was fairly mild on my face (thanks to Differin) and on very rare ocassions I would break out on my back or chest. A few months ago my face went haywire and I began getting cysts on my chin. So, my Derm put me on 100mg Doxycycline which I've been taking for the last 3 weeks. My face is much better. But, my chest is filled with these tiny red bumps that sometimes itch (especially when I get out of the shower) and my back is a total wreck, as well. I'm wondering if it is Pityrosporum Folliculits or just acne. I'm scheduled to go back to the derm next week. Should I ask for a biopsy? It's difficult to see the detail in this pic. But, does anyone have an opinion on what this could be? I'm so frustrated!!!ick.jpg


My chest looks exactly like that! Did you find out if it is indeed Pityrosporum Folliculitis?

Does anyone have it on their abdomen? I have a lot of these tiny red bumps there. There are also just some red marks with no bump at all.

Also, I notice that if I touch/rub the bumps, the whole area stays red for a while. This is really weird. Also before, I checked my chest because it has been under my jacket for a while and there was this marble-patterned red rash all over my chest. What the hell is this?!?!

#591 NothingToFear

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Posted 12 May 2012 - 07:04 PM

Yep that's what my chest looks like, too.

The Metronidazole (sp?) didn't do anything for my seborrheic dermatitis, but it did keep any acne away, which is nice. I haven't had a huge problem with that anyway since I came up with a decent regimen and ended my dairy intake (it gives me cystic acne at random on the chest, arms, shoulders, face, neck, and back).

I now have Ketoconazole Cream, 2%. It was prescribed for jock itch (awesome, huh?), but I will be using it in the fight against the malasezzia as well. Wish me luck...

Oh and I don't remember if I posted about this, but I tried the Metronidazole on my chest a few times. I broke out in folliculitis.

#592 rachel80

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Posted 13 May 2012 - 11:23 PM

from wikipedia:


"Pityrosporum folliculitis[1] or Malassezia folliculitis is a skin condition caused by infection by pityrosporum yeast.[2]:314
The skin of the upper trunk area like the back, upper arms and sometimes the neck is often affected and this condition is often seen in young to middle aged adults. Its diagnosis is based on the pruritic (itchy) papulopustules found in a follicular pattern in these regions. "

#593 NothingToFear

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Posted 15 May 2012 - 09:45 PM

Yup, and when it's on my cheeks, it's only on the area that I shave.

Never once has it been found on my nose, to the sides of the nose, or the forehead.

#594 Mandy F

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Posted 17 May 2012 - 02:15 PM


Up until last year my acne was fairly mild on my face (thanks to Differin) and on very rare ocassions I would break out on my back or chest. A few months ago my face went haywire and I began getting cysts on my chin. So, my Derm put me on 100mg Doxycycline which I've been taking for the last 3 weeks. My face is much better. But, my chest is filled with these tiny red bumps that sometimes itch (especially when I get out of the shower) and my back is a total wreck, as well. I'm wondering if it is Pityrosporum Folliculits or just acne. I'm scheduled to go back to the derm next week. Should I ask for a biopsy? It's difficult to see the detail in this pic. But, does anyone have an opinion on what this could be? I'm so frustrated!!!ick.jpg


My chest looks exactly like that! Did you find out if it is indeed Pityrosporum Folliculitis?

Does anyone have it on their abdomen? I have a lot of these tiny red bumps there. There are also just some red marks with no bump at all.

Also, I notice that if I touch/rub the bumps, the whole area stays red for a while. This is really weird. Also before, I checked my chest because it has been under my jacket for a while and there was this marble-patterned red rash all over my chest. What the hell is this?!?!


I haven't gone in to see my Dermatologist yet. But, I'm scheduled to next week. However, I've been using Phisoderm's Acne Body Wash with Salicylic Acid and it has improved my chest some. (Not to the point where I feel comfortable wearing a tank-top though) I'll let you know when I see my doctor next week!

#595 direstr8s

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Posted 29 May 2012 - 12:08 AM

hi guys,

originally i posted in the 'vitamin D' threads, thinking i had been cured...but after being miserable (a bit less miserable after extra vitamin D intake though) I found out that I have PF.

for those of you who have tried every PF-killing product out there, i wanted to share something that i haven't seen mentioned in this thread yet: if you are taking any kind of oral corticosteroids (especially those related to asthma inhalers), or have gone through chemotherapy, or have taken all kinds of antibiotics that knock the wind out of your immune system, your PF is going to be really hard to get rid of no matter what you do.

this is a really good article.
(http://archpedi.jama...issue=1&page=64)

i have had PF all my life and have been mistakenly & unsuccessfully treated for acne by every single doctor i've come across. i really wish i had known this at least ten years ago. if you are taking corticosteroids and can't reduce/quit that treatment, then you are going to have to deal with recurring PF. i do agree with one previous contributor regarding correcting yourself from the inside out, eating probiotics to try to balance your pH levels inside. that includes drinking apple cider vinegar diluted with a big glass of water too, and reducing your grains and sugars intake (see MarksDailyApple.com). my advice is to avoid any and all antibiotics as these not only kill the bad guys in your body but the good guys too, thereby weakening you and opening your body to more problems.

in regards to corticosteroids (which i have been taking daily for the past 25 years of my life), long term usage is related to immunosuppression, thinning of the skin, PCOS (polycystic ovary system) and related hormone imbalances, worsening eyesight, loss of bone density, etc. where PF is concerned, the suppressed immune system and thinning of the skin are where it hits you - your body and skin just aren't strong enough to fight off the yeast bacteria.

sunlight + vitamin D are most definitely your friends (sunscreen, oils, and lotions are not) - adding daily vitaminD to my system brought me up to about 50% skin clarity (marksdailyapple also has great reading on vitaminD and sun, and how sunscreen is not necessarily your friend). strengthen your body from the inside so it can fight the yeast that causes PF, and continue your external regimen to aid it. i found that topically applied tea tree oil, vinegar, or salycilic acid creams did not work well because this is just adding moisture to the affected area, which is what the yeast needs to thrive. i have noticed the most dramatic results when i used Nizoral or Head & Shoulders shampoo scrubbed with a loofah into the areas after opening the pores with a hot shower or bath, letting it sit for about 5 minutes, lightly rinsing off and then using a hair drier to really dry out the skin. sounds funny reading this but if your skin is ruining your life like it has been ruining mine, you'd try anything. don't apply any creams or lotions - spend a week just drying your skin out as much as possible to kill the yeast, then consider reintroducing some very light lotions.

i'm still working on my treatment, but i have noticed such a huge change in such a short time. i will update here though in the next few weeks to see how it progresses. (i'm not affiliated with marksdailyapple but it has sincerely changed my life, switching to a no-grain diet has helped me nearly eliminate all asthma medication that i have been dependent on for my entire life)

PS: i love dairy, and switching to goat's milk has also improved my overall skin & health enormously (check out why cow dairy is bad for you: homogenization issues, digestivity) , also substituting full fat coconut milk works like delicious magic.

Edited by direstr8s, 29 May 2012 - 12:17 AM.


#596 NothingToFear

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Posted 30 May 2012 - 03:22 PM

Guys, read this!

http://www.earthclin.../jock_itch.html

I will be heading to the pool soon. There is still hope!

#597 NothingToFear

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Posted 02 June 2012 - 08:32 AM

direstr8s, are you suggesting people not use sunblock? You do know you are going against all current medical advice from dermatologists and medical professionals?

#598 NothingToFear

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Posted 02 June 2012 - 11:43 AM

I need sunblock or else I burn. I also want to prevent premature aging of the skin and lower my exposure to the rays that promote cancer growth.

One thing I'm not sure of. If I go swimming in a chlorinated pool to attempt to kill a skin fungal infection, will a waterproof sunblock, which stays on the upper layers of the skin, block the chlorine from reaching the infection? I'm not sure if anyone has the answer to this.

Edited by NothingToFear, 02 June 2012 - 11:44 AM.


#599 direstr8s

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Posted 02 June 2012 - 09:22 PM

well, I'm no doctor, but unless you live in Australia, sun is good for you! People burn when they hang out in the afternoon sun (strongest rays), which are the ones you should avoid anyway. also, going out in the sun after putting on acne lotions/gels, doublecheck if that causes any adverse reactions in your skin, it might weaken your skin and make it easier to burn, or cause PF to scar darker, i've had problems like that before.

check out these links:

http://www.drbriffa....-of-sunscreens/

http://www.marksdail.../#axzz1wh5vGHXy

http://www.dailymail...ancer-rise.html

to MandyF: yes that does look like PF to me, which I bet is a result of you being on Doxycycline (a broad-spectrum antibiotic, which killed all the good cells and bacteria in your body). Try going off the Doxycycline, change your diet for a month (no sugars, no grains, non-cow dairy, yes probiotics, yes raw foods, yes ACV), and you probably won't even need to take Differin anymore. For the time-being, wash your chest and back with H&S or some other anti-dandruff cleanser, leave it on for a few minutes, rinse and then dry off. Don't put any creams or lotions on these areas. Don't scratch/pick these areas and then touch another area of your body because you will transfer the bacteria.

to NothingtoFear: try sterilizing your shaver between shaves (or wipe it with a cotton bud dipped into swabbing alcohol or something), or scrub your cheeks with anti-fungal cleanser after shaving and dry well. maybe because the metronidazole is a gel, it is keeping the area too moist? not sure about that.

myself: tried Nizoral this past week, scrubbing over affected areas, letting sit for 5 minutes before rinsing off. seemed to have the same or bit less effects than H&S, but made me feel way more nauseous for some reason. everytime i have gone in a chlorinated pool, my skin has turned bright red in the PF areas and seems to get worse, almost like i'm allergic - i dont' know why because i used to swim daily with no problems before i developed PF.

#600 Tbone2000

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Posted 10 June 2012 - 08:25 PM

I've actually found a couple things that have helped a ton combating PF. I started using a brand new body towel and hand towel every day in the shower. In addition, I change my undershirt halfway through the day. I've been doing this for 2 months and my PF has improved remarkably just from doing this. I think I was "reinfecting" my upper body/torso by using the same body and hand towel 7-8 times in a row before washing the towels in the laundry.

I had a bad run in with sunscreen and PF this weekend. I used some Coppertone SPF 15 lotion on my chest and the PF has flared up extremely badly, the worst in has been in months. I'm pretty sure this was caused by the sunscreen lotion as opposed to the sun exposure. The pool I was swimming in was not chlorinated, although I'm interested in exploring some chlorine treatment of the PF in the future.

What's the ideal time that people have found to leave anti-fungal washes on the skin? I have experimented with 5-10 minutes. 10 minutes seems to be the ideal time.

Edited by Tbone2000, 10 June 2012 - 08:25 PM.




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