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Tom Busby

Member Since 23 Feb 2013
Offline Last Active Yesterday, 01:34 PM

Posts I've Made

In Topic: Male - Huge Breakout After Waxing My Body, What Do I Do?

09 August 2014 - 09:41 PM

Sorry to hear that antibiotics are not helping, and seem to be making it worse.  Has your doc ruled out a fungal reaction to the waxing?  Itraconazole is the most effective systemic anti-fungal drug allowed in the US so you could ask for that and see what your doc says.

In Topic: My Self-Esteem Is Pretty Much Ruined. Could This Be Folliculitis Instead Of A...

29 July 2014 - 03:10 AM

It looks like seb derm induced by malassezia, and the follicular variety.  This is very hard to treat but not impossible.  The best method for a differential diagnosis is to use an effective antifungal for two weeks and see if there's any change.  Try Nozoral 1% shampoo (OTC but web-order only) and Lotrimin Ultra cream (not the AF kind).  These are not the best treatments in the world but they are easy to buy in the US.  If you have some positive results, Hegor 150 shampoo is 1.5% climbazole and more effective, but it contains SLS so it's irritating and not ideal -- that's sold only on eBay.


I think the wax got into your pores and incited an allergic reaction.  It's possible that the wax is stuck there and still feeding the malassezia.  I know another guy who had exactly the same problem after waxing -- red bumps everywhere.


It's easiest to understand the problem as a skin allergy and a fungal overload. Use an antifungal product to control the fungal overload and use an oil that cannot be metabolized by malassezia.  All commercial lotions have oils that malassezia can metabolize, so about all that you can use is MCT oil, which is carbon lengths 8 and 10, which malassezia cannot metabolize.  It's too oily to use on your face but it might soften up the residual wax on your arms and chest -- that will be a long shot though.  You can buy MCT oil at Hi-Health and Whole Foods, or on the web.  The "NOW" brand is sold all over the web.


Doctors in the US are apparently ignorant of this fungal allergy/problem but it's better understood in other parts of the world.  All antibiotics will make the fungal overload worse, and good lord how many months have you taken them with no positive results?  Time to stop, IMO.  Vitamin D3 and magnesium supplements will help a little too.  All treatments take a very long time, and probably need to be used every day forever, because the problem is actually an immune system deficiency.


Look back at everything I've ever written here or at rosacea.org and send me a PM when you have enough posts to do that.  I've had all the same problems you are experiencing, but my similar condition was bigger than a single follicle, and consisted of itchy red plaques, that slowly flaked off.  Both forms of malassezia-induced problems have the same causative agents.  I've researched this as much as I can because health care professionals were no help at all.


FYI "Tinea" means fungal and the next word describes where it's located on the body.  The word is a useless misnomer, chosen by ancient Romans because it means "worms," which is what the non-scientific medical world thought the causative agent was, 2,000 years ago.  Why it persists is a mystery to me.  You can't get very far researching tinea because it doesn't describe the cause, but merely where it is and what it looks like.

In Topic: I Don't Know How To Diagnose What's On My Chest

18 July 2014 - 03:53 AM

I believe it's called keratosis pilaris, because each hair follicle has a small bump at the opening of the follicle.  Some people have treated it with coconut oil.

In Topic: Oily Forehead And This Weird Texture:

11 July 2014 - 09:02 PM

I think you're seeing plaques formed by the reaction between malassezia and your skin, because malassezia is capable of forming a biofilm from your own skin components.  The skin is slightly thickened, and is less flexible, so the texture looks odd.  Chicken texture is an good description, or a wrinkly sort of super thin cellophane stuck to the top of your skin.


You may see some inflammation too, as your body's immune system recognizes the fungal biofilm as "not self" while you are slowly dissolving the fungal cell walls with Nizoral.   You could also try Hegor 150 (1.5% climbazole) shampoo because it's more effective than Nizoral -- buy it off eBay or from baroness.co.   Or try Lotrimin Ultra (not the AF kind) -- it's a cream so you'll have something more long-lasting than a shampoo.


The problem is like a skin allergy, and it's chronic and relapsing.  It doesn't go away with age like acne usually does.  Biofilm plaques and folliculitis are 2 different forms this skin allergy can take.

In Topic: Almost All Moisturisers Make My Face Red

09 July 2014 - 06:13 PM

Just a possibility, but the Nivea product probably contains piroctone olamine -- it's dissolving malassezia cell walls, and then your immune system is recognizing the dissolved fungal cell walls as "not self" and activating the immune system, the first result of which is inflammation, or redness.  You may be getting a positive diagnosis for seb derm induced by malassezia, which is essentially a skin allergy to a fungal overload.  It can be treated but not cured.  It doesn't go away with age, either.


Try an additional antifungal, with climbazole for example, in a shampoo form, to help control a fungal overload.  Try adding Nizoral 2% ketoconazole cream.  Ketoconazole is only somewhat effective, but you can't buy the more effective Lotrimin Ultra (not the AF kind) in AUS.


Nivea makes "Men's Sensitive After Shave Balm" with piroctone olamine in the US, which is the primary basis for my opinion, and also because people with a malassezia skin allergy are generally more "red" than other European-type people. It's often misdiagnosed as acne.


The other reason that all commercial moisturizers make malassezia-skin red is because malassezia metabolizes oils that have a carbon chain length longer than C11.  The only oil that is shorter than this is "medium chain triglyceride" oil, sold as "MCT Oil" at health food stores and on the web, for about $25 per liter.  It's edible and used by bodybuilders.  MCT oil is C8 and C10 and an excellent moisturizer.  Used neat it's too much oil though, because it's shiny, etc.  If you can find someone local to you who makes lotion, they could make a liter for you.  15% or 16% MCT oil in a lotion would feel good IMO.  The only commercially made MCT lotion is sold by Dermalogica (Active moisture Lotion) but it's super expensive, about $40 for 50 ml, which in my opinion is not a viable option.  Maybe "New Directions Aromatics," an AUS-based company, can help you out too, as they sell lotion making products.