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Pro-Derm Stem Youth Serum (50 ml) Peter Thomas Roth Viz-1000 Intensive Hydrating Serum (30 ml / 1 floz) NuFace Gel Primer (5 fl oz / 148 ml)
Bacterial Issue - Advice Requested
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pandaman
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Mon Sep 19, 2005 3:36 pm      Reply with quote
Hi all,

I wonder if someone can give me some advice since the doctors – whilst sympathetic – haven’t been able to help so far. I am based in the UK, so perhaps some medical names may be different elsewhere.

Approx five weeks ago, I developed a large red acne-like area around both sides of the nose, the base of the nose, and the cheek area around the nose. I assumed it was acne but when my benzyl peroxide based cream failed to have any affect, I went to the doctor. He prescribed Eryacne, although he suggested it was actually staphylococcus, not acne. The medication had no affect – understandable since it is designed for acne, not bacterial problems.

A different doctor pointed out that he said it was staphylococcus, simply because it is the most common form of bacterial infection.

Since then I have been prescribed Fusidic acid 2% and Fusidic acid 2% with hydrocortisone 1%. No much has changed, although the texture has become smoother, although the redness is the same. In the past, I have used hydrocortisone for other skin conditions, and it has worked very quickly.

Obviously, my concern is that the problem has been there now for about five weeks, and three different creams and oral antibiotics namely Aknemin 50 – minocycline 50mg - have failed to work.

I will have to visit the doctor again, and, of course, they are not experts in skin issues.

1. Considering it appears to be a bacterial problem rather than acne, can anyone suggest what creams might work? (The Eryacne worked fine on my acne, confirming that the problem described above is not acne).

2. For readers in the UK: might it be sensible to go to a specialist dermatologist? I am prepared to pay, if necessary but have no experience of looking for dermatologists. Can anyone provide reputable ideas or places that have worked for them?


Thanks; much appreciated.
lily
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Mon Sep 19, 2005 4:20 pm      Reply with quote
When I was in my early teens I had something similar on my nose area. Went through same line of treatments (antibiotics, cortisone, etc.). Finally someone suggested I go to a naturopath and it turned out it was from allergies! When I avoided wheat, dairy, sugar they went away without any other treatment and never came back. I had no real other typical "allergy" symptoms.
rosebud
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Mon Sep 19, 2005 6:45 pm      Reply with quote
I am with Lilly on this one. Also you might want to see a homeopath, homeopathy worked really well on clearing my acne.
For you to develope this kind of acne out of the blue it sounds like a hormonal imbalance or like Lilly said an intollerance to certain foods.

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oily/acne prone - acne scars on chin area/Large Pores in winter. Oily in Summer. Fair, nuetral/cool complexion, burn easily. Early 20s
SusieQ
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Mon Sep 19, 2005 7:10 pm      Reply with quote
I've had a similar situation, not too long ago, where my cheeks and chin were burning and red all the time. It was not diagnosed as rosacea. My doctor prescribed a formulation of (60)Cetaphil cleanser Clindamycin 2% compound. I used it twice a day with a mild cleanser, actually at the time Cetaphil. My skin healed perfectly. I used no other skin care, for about 15 days. Good luck!
Stardustdy
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Fri Sep 23, 2005 1:51 am      Reply with quote
I'm wondering on the naturopath treatment. What does the treatment do? How does it work? Does anyone mind sharing? Thanks!! Smile
hpjrt
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Fri Sep 23, 2005 5:51 am      Reply with quote
How discouraging for you!

While I certainly agree that you should get at least another opinion on treatment ... either homeopathy or another dermatologist ... you could try Oil of Oregano on it.

Oil of Oregano is a powerful anti-bacterial, anti-fungal, and has been shown to be useful in the treatment of a host of skin disorders. It could be that it would work for you.

I'd also explore the allergy route. Allergies of any sort can cause some of the most peculiar reactions in people. It may or may not be food related ... although food is the first thing that I'd consider ... unless, like over here in North America, this is a particularly bad allergy season. [We have a bumper crop of ragweed in my area ... which has made my hay fever miserable this year!]

Good luck in conquering this problem!

Mary
TAMgirl99
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Fri Sep 23, 2005 12:07 pm      Reply with quote
Pandaman - Is the area sensitive/burn/itch? I had a similar issue as well and it turned out to be perioral dermatitis. They had misdiagnosed me (with rosacea)and gave me steroid creams for it. 6 months later (after trying several steroid creams) it was worse than when it started.

So I started researching it on my own and the only thing it was consistent with was perioral dermatitis. I just happened to be having a physical done around that time and mentioned it to my OB/GYN. Well, she immediately knew that it was indeed perioral derm and told me that steroid creams actually just irritate it more instead of helping. So she gave me metro-gel and sure enough within a week or so it was completely gone and has never returned. My symptoms were similar to yours, except the area felt very chapped, particularly after the use of the creams.

I would do an internet search to read more and see pics for better identification of facial skin conditions. It always helps me to compare something like that to other pics. I immediately knew from looking at the pics of Rosacea that I had been misdiagnosed. My OB/GYN said that perioral is almost always misdiagnosed. Rolling Eyes
pandaman
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Sun Sep 25, 2005 2:51 pm      Reply with quote
I should perhaps mention I am male! So, although perioral dermatitis can occur to men, it seems veru unlikely, but thanks for the advice.
TAMgirl99
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Mon Sep 26, 2005 10:06 am      Reply with quote
I didn't know that perioral dermatitis was uncommon in men. Since they aren't sure what causes it, I figured it wouldn't be gender specific. I guess it would make sense though b/c men tend to have less sensitive skin, but I wouldn't call my skin sensitive at all.

Have you made any progress with your condition?
System
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Tue Aug 20, 2019 10:13 am
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Pro-Derm Stem Youth Serum (50 ml) Peter Thomas Roth Viz-1000 Intensive Hydrating Serum (30 ml / 1 floz) NuFace Gel Primer (5 fl oz / 148 ml)