Hello Group,

As if there were'nt enough confusion with plain rosacea. One of the
problems that we encounter is that we often lay off facial skin
cleansers to let the blood vessels and nerves calm down. In doing
so, you also increase the chance significantly that yeast may over
produce within the sebaceous gland -- causing even greater
sensitivity and papules/pustules. Instead of sitting around trying
different cleansers, go to a derm and get a quick test for yeast
proliferation.

Regards,

Geoffrey
______________________________

Dr. Geoffrey Nase
Ph.D. Neurovascular Physiologist
http://www.drnase.com
______________________________




Arch Pediatr Adolesc Med. 2005 Jan;159(1):64-7. Related Articles,
Links


Pityrosporum folliculitis: diagnosis and management in 6 female
adolescents with acne vulgaris.

BACKGROUND: Pityrosporum folliculitis is a common inflammatory skin
disorder that may mimic acne vulgaris. Some adolescents with
recalcitrant follicular pustules or papules may have acne and
Pityrosporum folliculitis simultaneously. Clinical response is
dependent on treating both conditions. OBJECTIVES: To demonstrate
the similarity in clinical manifestation between acne vulgaris and
Pityrosporum folliculitis, the benefit of potassium hydroxide
preparation, and the benefit of appropriate antifungal therapy.
PATIENTS: We describe 6 female adolescents with concurrent
Pityrosporum folliculitis infection and acne vulgaris. INTERVENTION:
A potassium hydroxide examination was performed on all 6 patients
from the exudate of follicular pustules exhibiting spores consistent
with yeast. All patients were treated with oral antifungals, and 5
of the 6 patients were also treated with topical antifungals.
RESULTS: Six of 6 patients improved with antifungal treatment. All
patients also required some ongoing therapy for their acne.
CONCLUSIONS: These patients demonstrate that follicular
papulopustular inflammation of the face, back, and chest may be due
to a combination of acne vulgaris and Pityrosporum folliculitis, a
common yet less frequently identified disorder. Symptoms often wax
and wane depending on the patient's activities, time of the year,
current treatment regimens, and other factors. Pityrosporum
folliculitis will often worsen with traditional acne therapy and
dramatically respond to antifungal therapy.