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Pityrosporum Folliculitis ?


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#641 boomx

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Posted 03 April 2013 - 09:57 PM

I am using extra virgin coconut oil. so far no big difference. I had some guacomole & onions the other day and that was wrong. I got a flare up. I got rid of it for a month in mid December to January after seeing a chinese herbalist and taking some concocted drink for 10 days morning and night, (plus no fried foods or sugars), & maybe the b/c the weather was cold. I thoughtt I was cured until It came back with a vengeance when I had walnuts in a cake bread 1 month later. The banana bread was not the issue, it had to be the walnuts.

Anyway, I am going back to a full detox. No sugar, no breads, no carbs, no fruits, no gluten, no antibiotics. Certain fruits do become sugar inside of you so I am just doing raw veggies (broccoli, chinese peas, carrots, no potatoes or starches), lentil and vegetable soups, almond milk, extra virgin cocounut oil, teas, garlic, shelled fish b/c it has lots of zinc (shrimp, oysters, crab), oat bran (it is gluten free), green tea capsules, magnesium zinc suppements, and "no meat or protein unless I know it is not fed hormones or antibiotics". Otherwise, you are still taking antibiotics orally. So, no more feeding this p.o.s disease.

 

This is what I did to get rid of it 98% on my body, (chest, back, a couple on the arm and upper legs) along with some special herbs a chinese herbalist made that I took for 10 days. Now it has crept up on my neck and looks hideous and wants to get on my face but I apply bacitracin on it and it quickly disappears there but the neck is persistent and very noticeable.

 

Additionally, I am using selsun blue 1%, where can I get the 2.5% yellow?

I will get some more tea tree oil soap. Is this effective if I wash it off whiel showering, or should I leave it on after showering & let it dry?


Edited by boomx, 03 April 2013 - 09:58 PM.


#642 boomx

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Posted 29 April 2013 - 08:37 AM

I did it for 4 weeks. Just green veggies and organic meats. I splurged and had a gluten free organic pizza, some organic pumpkin, and gluten free, no GMO rice chips. wrong move!. those %^&$#ers came back in spots that were receding in 1 day. I was looking pretty clear.
 

So, I am back on the boring diet (no sugar, no salt (himalayan sea salt is OK), no fruit sugar (except lime or lemons), no starchy vegetables that turn into sugar and using selsun blue washes, topical peroxide splashes and vitamin e (topical).
 

What was your 1st experience with these?

I got about 100+ pustules over a 3 day period all over the upper trunk, face and scalp of body and we thought it was adult chickenpox. So, I applied vitamin e and aloe vera daily and it went away in a few months. Anyone else get something close to that effect? 

 

As of now 9 months later, it is just clusters below the mouth (around 5 or 6 tiny raised white pustules) and unhideable larger red spots (again 5 or 6 some with white heads) on my neck (these are fugly)

 

Uusing selsun blue (helps but don't leave on > 15 to 30 min or skin will discolor)

sing sulfur soap by grisi from CVS (it dries out the skin a lot)

Using tea tree oil soap,, (leave on to dry; it helped somewhat while on the diet)

using hydrogen peroxide splashes (helps somewhat with the small ones as they reduce in diameter)

100% EVCO - oral  (not sure how the caprylic acid helps besides make me go to bathroom hours later)

vitamin e (topically off and on; this seems to help but it takes time)

 

My culture was negative according to the head derm but he believes I have bacterial (or staph) folliculitis. So sugar  (even fruit and vegetable sugar) and breads can make it worse. Perfect. Now my typical healthy diet is over and I am on a highly restricted diet. This is not living not to mention all the stares I get at my neck while in the grocery line.


Edited by boomx, 29 April 2013 - 11:37 AM.


#643 Scooter1970

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Posted 30 May 2013 - 09:11 AM


I have tried Nizoral and Sulfur shampoos for PF and have had no improvement. I also have been on the Candida diet for almost 2 months and have seen no improvement. I'm ready to try Mandelic Acid?  Where do you purchase this from?  Im in the U.S.

Thanks for any info!



#644 johnny28

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Posted 10 July 2013 - 01:29 PM

This thing is driving me crazy; I'm getting a couple of bumps on my chest at a time and I've had it for few years. Oral antibiotics always clears it up but it comes back anyway. I tried anti-bacterial soaps for long time but no success. Could this be PF anyway? My doc had me on uvb therapy for 4 months (weekly) but it hasn't helped. She asked my to try terbinafine gel and I did but with limited success. I asked for Ketoconazole tablets and now I'm on them for 10 days (only).

 

What bothers me is that it's only limited to a small area (mid-chest) and rarely I get them elsewhere. Occasionally one or two on my back or upper chest. I also often get jock itch but never ever athlete's foot. Anyhow that's why I suspect PF since I also tend to sweat on my torso.. However, if antibiotics (oral) always clear up the bumps.. does it mean I can't have PF?

My derm also suggested propylene glycole. Here it's available as a mositurizer 20%. Is it effective against bacteria and fungi?



#645 Tom Busby

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Posted 11 July 2013 - 05:51 PM

Butenafine Hydrochloride 1% (sold as Lotrimin Ultra), has been found to be effective on malassezia, although it is an off label use.  You can buy this anywhere and the manufacturer’s website has a $2 off coupon.  Try it for 2 weeks and see if it works.

 

The way to diagnose malassezia is to take a skin scraping with a razor blade and look at it on a KOH treated slide under a microscope at 100X, as described here: http://www.youtube.c...40107E&index=36

 

Many doctors can’t diagnose malassezia because it is difficult to culture and the human body has numerous microbiota that will contaminate the culture.  Plus, this yeast won’t grow at all unless oil is added to the petri dish, which may not have been done.  Did you ask about the culture technique, if oil ahd been added, or can you get a copy of the test results?

 

Ketoconazole tablets should be taken with a slightly acid stomach, like if you drink a Coke or a glass of lemon juice, and then wait an hour, and then go exercise and sweat for an hour or two so the drug is delivered to the skin.  Did your doc tell you that?



#646 johnny28

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Posted 12 July 2013 - 05:47 AM

Ketoconazole tablets should be taken with a slightly acid stomach, like if you drink a Coke or a glass of lemon juice, and then wait an hour, and then go exercise and sweat for an hour or two so the drug is delivered to the skin.  Did your doc tell you that?

 

Is it necessary? The drug should get into the blood stream and to the skin. Otherwise topical ketoconazole would be enough.

My doc didn't tell me anything.. I just asked for the drug and he was clueless (as they usually are). You're supposed to take blood tests but he had no clue about that either. Anyway, I'm also using topical Clindamycin on the spots so that I won't get a secondary infection. Perhaps not that smart as I won't have a clue what worked..

 

Ps. This is a good site with information about the different types of folliculitis.

http://www.parkhurst...12_folliculitis

Apparently there're more than one type of fungal folliculitis with different treatments.


Edited by johnny28, 12 July 2013 - 06:03 AM.


#647 Tom Busby

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Posted 12 July 2013 - 10:33 AM

Here’s a doc who advises an acidic stomach and sweat.  http://www.pioneerva...uts/tinea.shtml

 

The link you found is out of date.  Since about 2005, scientists agreed that malassezia is the correct name, not pityrosporum.  The name-problem resulted because the yeast exists in both a hyphae and a yeast form.  (Tinea versicolor is the result of the hyphae, and seb derm or folliculitis is the result of the yeast.)

 

After DNA genome sequencing was available, it was clear that there was only one yeast, and there was a general agreement formed in 2005 to 2008 to call it malassezia instead of pityrosporum.  I’m pointing this out, not to be a jerk, but because there is a lot of out-of-date information, and the quickest way to recognize the old research is to see if they write malassezia or pityrosporum.



#648 Yellowcutter

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Posted 19 September 2013 - 04:04 PM

Hello!

 

I believe I have malassezia folliculitis that affects mainly my scalp. Ocassionally I get some pustules on my chest/back but my scalp is always affected.

Alongside this I have seborrheic dermatitis which I've been able to keep at bay. My face/scalp can get a bit oily and flaky but I haven't had a serious outbreak for a long time.

 

The pustules on my scalp however have been terrorizing me for the last years. I've been to the doctor but nothing they've prescribed me with has helped. It wasn't until recently through some searching on the internet that I found out about malessezia folliculitis. I'm going back to the doctor to see if I can a diagnosis of this.

 

Since then I started taking oil of oregano and turmeric orally which I believe has helped a little bit. My scalp feels less itchy and so far I believe the amount of pustules have been reduced although new ones keep popping up.

 

Does this condition cause hairloss? Sure male pattern baldness runs in my family but I've lost most of my hair and I'm fairly young.

Some say it's diet related. I've been on a low carb/sugar and dairy/gluten free diet before for weight loss reasons and it didnt really help my seb derm/folliculitis though there was some cheating involved from time to time.
Is it worth going on a strict yeast free diet or is that just a waste of time? The problem with such a diet is that I can't see myself commiting to it for the rest of my life.

 

Some of the stuff I've tried are

Selsun
ketoconazole shampoo

salicylic acid

head and shoulders with 1% pyrithione zinc

pyrithione zinc creams

various antiseptic creams

virgin coconut oil

tea tree oil

 

I also take supplements everyday so my body gets all the vitamins/minerals it needs.



#649 Tom Busby

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Posted 19 September 2013 - 08:55 PM

Hi yellowcutter, seb derm is generic term and malassezia is the specific yeast (fungus) that causes the incomplete immune response, which results in the red bumps you describe.  Diet has nothing to do with it.  It's a genetic conditon that affects some individuals in all mammals no matter what their diet is -- carnivores, herbivores, and omnivores like us.  The key principal is that it's lipid dependent, which means it metabolizes oil.  There's no way to eliminate body oils, so you have to use a shampoo and a lotion.  One without the other doesn't work.

 

I review all the current OTC treatment options here: http://www.acne.org/...acne-bacterial/

Long story short, buy 30 grams of Lotrimin Ultra (not the AF kind).  You'll need a lifelong treatment regimen because it's an immune reaction, similar to an allergy. Nizoral 1% shampoo can be mail ordered from any online drug store, or Hegor 150 climbazole shampoo can be found on eBay and it's more effective and smells better too.



#650 Nordener

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Posted 22 April 2014 - 01:37 PM

Hi,

 

I also had this Malassezia (pityrosporum) folliculitis and get rid of the superficial pimples after 3 months by using itraconazole and Polypropylene glycol 50 %

 

The problem is that I am left with white dots or pimples under my skin that will not vanish and as I have understand from reading on the internet this is some kind of acid that can not get pigmented that is left in the follicles after the Malassezia (pityrosporum) folliculitis pimples.

 

As this hypipigmented marks or pimples are deep down in the sking no topical treatment works as schampoos, oils and creams

 

I been taking itraconazole five times now for 2 weeks each time but it only helps little bit and that is temporarily, after I finish the itraconazole the white dots recurs and my chect and neck looks like chicken skin.

 

I have tried all kind if treatments included laser hair removal but nothing helps, one doctor told me to stay in the sun to get this hypopigmented dots pigmented in the sun, but it just looks worse as the healthy skin gets tanned leaving the white spots more visible.

 

I read somewhere that you need to eat 400 mg of itraconazole daily together with some orange juice or coke and after one hour you should go to some exercise and sweat so the itraconazole gets out in the skin. This must be done daily for 3-4 months and also eat some ecological coconut oil that kills fungus and bacteria in the body.

 

When they speak about Malassezia (pityrosporum) folliculitis, do they only mean the pimples or also the deep infection in the skin after the pimples are gone?



#651 Tom Busby

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Posted 02 June 2014 - 03:51 PM

Hi Nordener, I've found that adding 2% niacinamide (Vitamin B3), 1% dl-panthenol (Vitamin B5) and 5% Glycerin to help with tinea versicolor.  I have hyperpigmentation tinea versicolor, although I suspect this will work on hypopigmentation too.   The process is slow, although some results are visible in as little as three days.  After trying this for two months, I've about some success, where about 20% of the brown spots turned white and flaked off. By extrapolating, ten months would be necessary for me to heal all of the spots. 

 

I'm a "2" on the Fitzpatrick Scale.  I think that people who are "3" or more on this Scale have hypopigmentation from malassezia, but I'm not sure if this is true.  My best guess is that malassezia has several different mechanisms to adjust it's environment, via some kind of photosynthesis-reaction, and that's why some have light spots and others have dark spots.

 

On the other hand, if you have KP, aka chicken skin bumps, then topical coconut oil will treat that in a month or so.  Watch out though, because if you have a problem with malassezia, topical coconut oil will make everything much worse, in 3-4 days.  Coconut oil is one way to do a differential diagnosis for KP versus malassezia.





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