I've been struggling with PF for about 10 years now after I battled glandular fever and was put on a ridiculous range of antibiotics over about a 6 week period. It's started off mild (pimples on my back that would never go away) but a year ago completely exploded over my chest, neck, inner thighs and even my feet after two round of steroids for my chronic sinusitis.
I was desperate for a solution that wasn't just temporary and was scouring the forums trying to get answers. In the end I stumbled upon an article that highlighted a link between PF and Candida Overgrowth so I did a lot more research and realised that what was the actual root of my PF was the candida fungus that had overgrown in my gut so badly it had penetrated the cell walls and tissues in my body and come through my skin. Consequently I researched every cure, tried all the wives tales and then resorted to a very strict candida diet for 3 months which involved me cutting out anything that the fungus feeds off (carbs, starch, wheat, vinegar, 98% of the sugar and dairy) in order to starve it and kill it.
I knew I couldn't do longer than that because I love my food but I had tried everything and this was my last hope. My PF flared up more for the first few weeks but after a month I noticed a bit of an improvement (less postules and less need to use my topical treatments) at the two month mark my skin was really showing signs of improvement and the PF on everywhere except my chest and neck had gone away. By 3 months I was 95% clear with only small spots and no puss. Through this whole period I was taking a probiotic a day which I'm absolutely convinced made a huge difference in helping my body clear out everything in my gut.
So I went back to my normal quite high carb diet (still on the probiotics though) scared that it would all come back. But the wonderful news is that it's been 6 weeks now and I am absolutely delighted to say my skin is now all clear everywhere on my body. Pimples under the skin on my face which I thought were just pimples have even gone which tells me I had PF pretty much all over and my chest is the clearest it has been in a decade.
If you are looking for a solution, you absolutely have to do it through diet. The topical treatments will never be able to clear up fungus that's internal and once it is in your cell walls, antifungals won't clear it up either.
I urge you if you are suffering with PF to Google 'Candida Overgrowth' find the strictest diet you can and stick to it for 3 months. It's 12 weeks of going without all the stuff you like eating for a life with CLEAR skin.
I wanted to comment on this thread because I remember feeling so hopeless and frustrated as I scoured the Internet for a solution and no one ever wrote a comment that said 'I fixed it' unless they were health obsessed and were controlling it by being on some super strict awful diet for life (which is impossible to maintain).
So please try a Candida Diet just for 3 months and you will be so thankful you did! It 100% worked for me and I had PF to varying degrees for 10 years.
Interesting you went 3 months. I went to a herbalist and he told me just 6 weeks of just fruits and vegetables. I did it for 2 weeks and my skin was like a baby's again. The weight loss afterwards is too much though.
So, yes it is one's diet but it can come back from the times I've cheated and skipped a serving of vegetables or had some flatbread and pasta. I think what really made it come back were the almonds in some kashi cereal a friend let me have on a weekend trip. It;s weird though since I can drink Almond milk and never have signs, but when I eat raw or roasted almonds that are in put in a meal., it makes me break out. Cashews are no problem.
I agree the probiotics does help and cutting out refined and processed sugars is great
I've gotten rid of it by using Selsum Blue and will try Nizoral as well and don't live in humid climates (for sure) . Cold weather seems to keep it from coming even if you do cheat on food once in a while.
Oh, one time the derm gave me some ketaconozale tablets and those worked wonders but they said I cannot take it long term as it would really affect one's liver.