Hello Group,

As we are finding out we have a considerable overlap with rosacea
and other skin disorders. Mainly……the rosacea allows for these
other disorders like seb derm, folliculitis, and demodex to set in.
In trying to simplify things, you must first understand the
different aspects of these disorders. Also, it is just wise to
understand that the underlying rosacea may allow these other
disorders to set in. Rarely will you ever get the `great' derm who
will diagnose the multiple disorders that may be present. That is a
problem. Literally several hundred people have emailed me that they
were diagnosed with rosacea and have been resistant to all treatment
modalities. These particular people described in their emails clear
signs of seb derm. After one or two short courses of oral
antifungals or topical antifungals, they broke the vicious cycle and
were then able to successfully knock the rosacea beast back.

Put this in your memory bank. I have tried to order them in the
most frequent combination:

1. Rosacea and rosacea dermatitis
2. Rosacea and seb. derm
3. Rosacea and folliculitis/keratin plugs
4. Rosacea and demodex infestation

Now, if you have symptoms outside the facial areas like the arms,
tops of the shoulders, inner thighs, feet then it is quite possible
you have:

1. Rosacea with eczema
2. Rosacea with atopic dermatitis

Below is an excellent article on the recurring seb derm in rosacea
sufferers. The oral antifungals take care of the seb derm of the
face and blepharitis; while reducing sebum output and irritating
lipase.

Regards,

Geoffrey
______________________________

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


Dermatol Clin. 2003 Jul;21(3):401-12. Related Articles, Links


Seborrheic dermatitis.

Gupta AK, Bluhm R, Cooper EA, Summerbell RC, Batra R.


Seborrheic dermatitis is present in 1% to 3% of immunocompetent
adults, and is more prevalent in men than in women. Seborrheic
dermatitis may be seen in conjunction with other skin diseases, such
as rosacea, blepharitis or ocular rosacea, and acne vulgaris.
Malassezia yeasts have been associated with seborrheic dermatitis.
Abnormal or inflammatory immune system reactions to these yeasts may
be related to development of seborrheic dermatitis. Treatment
modalities for seborrheic dermatitis include keratolytic agents,
corticosteroids, and more recently, antifungal agents. Antifungal
agents do not carry a risk of skin atrophy or telangiectasia with
prolonged use, and it is more prudent to consider antifungals than
corticosteroid preparations. The wide range of antifungal
formulations available (creams, shampoos, or oral) provides safe,
effective, and flexible treatment options for seborrheic dermatitis.