Have any of you considered the possibility of Rosacea Type 2? I just happened to come across it whilst reading about Sulphur soaps... I cant wait to get home now and try this Sulphur soap treatment, I have just given up moisturising also as a trial more than anything I cant help but think the moisturiser is somehow feeding the clogged pores!

On 8/6/2018 at 3:07 PM, jcbdigger365 said:

Have any of you considered the possibility of Rosacea Type 2? I just happened to come across it whilst reading about Sulphur soaps... I cant wait to get home now and try this Sulphur soap treatment, I have just given up moisturising also as a trial more than anything I cant help but think the moisturiser is somehow feeding the clogged

.

I havent personally had it done, I hear so many horror stories of Derms that I stayed away trying to figure it out with the wonders or Acne org and Reddit. 9 days until I get my sulphur soap! All Im doing at present is Nizoral morning and night for 30 seconds on face so I dont get to dry and tight, gave up moistures today and my skin is definitely tight around the mouth region but that may die down once skin adjusts.. the more I read about Sulphur the more I wonder how I missed it for all this time. No one in my family moisturisers and they all have perfect skin so I dont think its needed in hindsight typical to be the one family member with this annoying problem!

There is a studies showing how gram negative is controlled/cured with BP. BP is effective with consistent use and applying all over face or as wash because it treats current spots but also prevents that is why when only as a spot treatment it doesnt work as well.

To those using Ketoconazole (Nizoral) shampoo, how do you apply it? The correct way is supposed to be like this: put on face/affected area for 3-5 minutes 2 times a week for a period of 4 weeks. Afterwards apply every 2-4 weeks. Cheers

Quote

Acne vulgaris is a common chronic inflammatory disease that affects the pilosebaceous follicle. Its pathophysiology is complex and multifactorial, with strong evidence supporting the involvement of increased sebum production, abnormal differentiation of skin keratinocytes, bacterial colonization, and inflammation. Recent experimental studies have suggested that acne is influenced by insulin/ insulin-like growth factor-1 (IGF-1) -signalling and may be considered an IGF-1-mediated disease.
...
Moreover, IGF-1 can induce 5alpha-reductase in human skin fibroblasts, leading to an increased conversion of testosterone to dihydrotestosterone (DHT). It has recently been demonstrated that IGF-1 can increase lipid production in sebocytes in vitro via the activation of IGF-1 receptor through multiple pathways. Clinically, significantly higher IGF-1 levels have been described in women with acne compared with control subjects. The number of total acne lesions, inflammatory lesions, and serum levels of DHT are related with serum IGF-1 levels in women with acne. A correlation between the mean facial sebum excretion rate and serum IGF- 1 levels has been shown in postadolescent acne patients. Pharmacological down-regulation of insulin/ IGF-1 signaling has been demonstrated with metformin, oral isotretinoin, and zinc treatment. These are promising options for the treatment of acne vulgaris, and conditions with insulin resistence, and increased IGF-1 serum levels. Patients with persistent acne, and with endocrine disorders, especially those with genetic variations of the IGF1 gene expressing increased IGF-1 serum levels, may benefit from dietary modifications including a reduction of dairy and hyperglycaemic foods.

Acne and IGF-I: A fascinating hypothesis | Request PDF. Available from: https://www.researchgate.net/publication/281729546_Acne_and_IGF-I_A_fascinating_hypothesis [accessed Aug 07 2018].

they have tested me for gh/igf-1 secreting tumor but none was found in my head so i'm back to square one. This is the only blood test that comes wrong in my case. I dont have anything else.

Maybe that's causing your issue. Have you had pustules cultured? Have you avoided dairy andhyperglycaemic foods? Have you triedisotretinoin? Some people have experienced folliculitis after use ofisotretinoin. I read an article somewhere that it can increase staph aureus colonization in some people. I would request a culture before pursuingisotretinoin and consider all the cons associated with it. It's personally not something I'll try as I don't believe it will help my situation in the long-term. And doesisotretinoin impact IGF-1 in anyway? If it doesn't then it's a temporary solution in my opinion. Talk to your doctor and see what he/she suggests. Maybe your doctor willadvise lowering your IGF-1 to help your issue and provide ways to do so and possiblyisotretinoin to clear up your currentsituation.

12 minutes ago, Thinker5 said:

Maybe that's causing your issue. Have you had pustules cultured? Have you avoided dairy andhyperglycaemic foods? Have you triedisotretinoin? Some people have experienced folliculitis after use ofisotretinoin. I read an article somewhere that it can increase staph aureus colonization in some people. I would request a culture before pursuingisotretinoin and consider all the cons associated with it. It's personally not something I'll try as I don't believe it will help my situation in the long-term.

sure i had like a 10 culture tests, only returning normal bacterial flora (no aurues in nose or mouth)
did 2 courses of isotretinoin
haven't eaten dairy or gluten in 7 years already
too be honest i feel tried even writing on this thread, maybe because i did all the things u did 10 years ago and it seems like we are running in circles.

my best bet would be hormones and igf-1 that is all

@Maicon
i use Nizoral morning and night but since Ive stopped moisturising I can only leave it on for 20 seconds.. when I was moisturising I could leave it for a couple of minutes. My face is still pretty tight after using it for a good couple of hours. Its cleared my forehead completely even with 20 seconds use however the mouth area is more severe so I figure I wont judge to early. Im hoping the tightness subsides, its only because Ive stopped using moisturiser the Nizoral itself never made me overly dry.. it definitely helps like I said I havent had a pimple in my forehead since I started using it.

On 3/1/2018 at 12:14 PM, t0m said:

I have been using hibiclens 4% for the last 4-5 days or so. I never thought I would get so desperate to not use anything but chlorhexidine (from hibiclens) on my body. The first day I got it, I covered my entire body with it and left it on for atleast 2 mins. Every crack and crevasse!! Soaked my hair and scalp with it. Put it on thick safety Q-tips stuffed it up my nose and in my ears.

Every day since I've washed my entire head with it and my skin is healing from my last big break out. I've had no major pustules or spots appear since starting it. My face is still a mess from the last break out, so we'll see how it goes.

I'm not getting my hopes up. It usually finds a way to come back. I cannot get over how dismal this disease makes life.

Also I've been spraying everywhere with this Dettol spray - https://www.amazon.co.uk/Dettol-All-Aerosol-Household-Disinfectant/dp/B06WD83QHZ/ref=sr_1_3_a_it?ie=UTF8&qid=1519927830&sr=8-3&keywords=dettol+spray+disinfectant

I spray a mist over my bed when I wake up, making sure my pillows are covered and tops of my duvet. I spray my sofa, all door handles, coats and jackets, taps, fridge door(!), mouse/keyboard, headphones - everything that touches me I disinfect.

Hopefully if I do this a while, I can ease off and just do it once a week.

For now I will be washing my head/face etc every day.

Going all out nuclear on this shit!!

t0m - how's it going? Did the hibiclens help or still helping?

17 hours ago, UnusualClub said:

There is a studies showing how gram negative is controlled/cured with BP. BP is effective with consistent use and applying all over face or as wash because it treats current spots but also prevents that is why when only as a spot treatment it doesnt work as well.

Could you find and post those studies please ?!

Type in google gram negative folliculitis and bp. You are going to see a couple of studies of how it talks about the complications of antibiotics leading to folliculitis and how it was managed with bp succesfully. Im already clear and I wouldnt be saying this to mess with u guys. I understand the pain of this and I feel bad for not posting what worked for me since I could be helping someone. If u decide to try BP wash. Dont stop if u see dryness and irritation. That happened to me at first. What kept me going was that I didnt see any new pustules emerge. After a week or so my face stopped getting red and used to BP. My only issue now is that my face can get oily sometimes but I counteract this by splashing with water or just washing with BP morning and night imstead of just nightime. Im happy with having clear skin but my barrier is probably damaged forever since I dealt with this for over 5 years. This also controls the seb derm I had before. I tried nizoral and hibiclens before and they didnt work for me. Therefore it wasnt staph or fungal related. If you are struggling with this then try bp first for at least three weeks. If it doesnt work then hibiclens for at least 2 weeks. If it doesnt work then nizoral. At least u are ruling out whether its fungal, bacterial, or staph. If antibiotics worked for u then its bacterial and I would start with BP

This is how my face looks after using bp for a week. I use the wash in the morning and the gel at night. Still on the ancecide 5% wash and i bought 10% gel/cream on ebay.

i am much clearer, still a few spots near my cheeck. I wonder if i am going through a clearing stage where all the gunk in my face is being cleaned before clearing up.

Will update again next week.

27 minutes ago, Silverinca said:

This is how my face looks after using bp for a week. I use the wash in the morning and the gel at night. Still on the ancecide 5% wash and i bought 10% gel/cream on ebay.

i am much clearer, still a few spots near my cheeck. I wonder if i am going through a clearing stage where all the gunk in my face is being cleaned before clearing up.

Will update again next week.

Do you have before and after photos? I'M curious how they looked like before. 

Mine was way more severe than yours. Yours dont look inflamed. Best of luck

Omg! I could cry, I have these exact pimples. Made an account as soon as I saw this thread.
Just had a huge breakout, on my lips and around the nose/chin area. Sorry about the photo, they look so awful. Im going to have a big read on this thread for any advice - theyre just so painful & itchy and big and inflamed and pus filled, I just dont know what to do. Theyre on both sides. but just taken one side pic to show. Been on BP for the best part of 3 years and despite better times, the acne is just persistent - thinking it could be dairy related perhaps, so going to quit that now to see

Last five days, thought I was making progress then bam got some
more.. hoping this Nizoral is purging me but I doubt it! Really want to get home and try the sulphur soap, one week to go! Is it just me or do any of you constantly check ya face throughout the day.. I wake up and go sleep thinking about how I can sort this out. Ahhhhh!!!
I hope we can all sort this problem, imagine a world with clear skin! 

20 hours ago, jcbdigger365 said:

@Maicon
i use Nizoral morning and night but since Ive stopped moisturising I can only leave it on for 20 seconds.. when I was moisturising I could leave it for a couple of minutes. My face is still pretty tight after using it for a good couple of hours. Its cleared my forehead completely even with 20 seconds use however the mouth area is more severe so I figure I wont judge to early. Im hoping the tightness subsides, its only because Ive stopped using moisturiser the Nizoral itself never made me overly dry.. it definitely helps like I said I havent had a pimple in my forehead since I started using it.

Why you stopped moisturising? Sorry, I didn't read all the posts...
You can try the following toner:Rohto Hadalabo Gokujyn Hyaluronic Acid Lotion. Apply on face after washing and before moisturising. It's superhydrating. Check some videos on YouTube. For moisturising use a creme without fatty acids/oils/esters such asSebamed Clear Face Gel or CeraVe Cream.

I actually tried that Hada Lobo Lotion but it broke me out pretty badly. Does anyone know if Nizoral can cause a purge or is it just a reaction breakout? Everything is coming to the surface really quickly and goes in a day or so. Im not sure if this is purging or just a regular breakout due to irritation.. how do you determine which it is?
I feel that every moisturiser I try breaks me out, so Im just going cold turkey for a week or two to see what difference it actually makes, at the minute I dont think its the difference between getting pimples and not getting them.

Weird...
I don't know. I only useNizoral twice a week (as stated in the instructions). Maybe you use it too often?!

So.. an update.. stopped using Bactroban, it didn't seem to lessen the pustules..and decided to go to another Dermatologist.. I've been using Physiogel Dermo cleanser and applying Rozex gel morning and night and yes I did see a difference...oh and I am now on all veggie/fruit diet, no meat, no sugar, no dairy, no bread..

Hey guys I have this exact thing! I wanna post a pic, how do I get approved?

@UsefulMath18: Have you tried not consuming any sugar?
No sugar, no fructose, no glucose, no fruits, no juices, no soft drinks, no honey, no chocolate, no milk products, no processed foods.
Ideally also no or less grain (porridge, pasta, pizza, bread, corn).
Try it and I bet your skin will improve within a week. It's not a cure though, because the root cause is something different. But it's a start.

1 hour ago, UsefulMath18 said:

Hey guys I have this exact thing! I wanna post a pic, how do I get approved?

@Maiconis right.. try changing your diet.. you might see a difference. It worked for me. Been dealing with this for about 3 years now.

@Lazy@MaiconThanks so much guys! I dont know why, maybe because my derm/GP constantly saying diet has nothing to do with acne, that I just never considered it but starting yester day I am completely cutting out any processed sugar & dairy. Have you guys seen a big difference since cutting those foods? What do you think the root cause is, if it isnt diet? Fungal? Bacteria? Is it worth going back to the GP and enquiring about these things?

These are so so itchy and I wanna burst them but I know thatll make I to so much he worse. I Just cant even face leaving the house when i have a flareup like this.