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Thread: seborrhoeic dermatitis or rosacea?

  1. #1
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    Default seborrhoeic dermatitis or rosacea?

    After been diagnosed rosacea one month ago I went to an allergist to find out whether I had some sort of allergy to certain foods. To my surprise, after having a look at my face through a kind of rectangular magnifier (with a blue light) with light turned off, he said that I didn't have rosacea but seborrhoeic dematitis.
    The problem is that In 4 months I've seen two dermatologist and this allergist who have diagnosed me three different things: Acne, rosacea and now Seborrhoeic dermatitis.
    The allergist seemed to be quite sure ruling out rosacea, and despite being relieved about that diagnosis I still don't trust completely that diagnosis because he is 'just' an allergist and not a dermatologist.
    Has anyone had this experience? How can dermatologist make so serious mistake? I don't know who believe and now I have to stop using the medicines I had been using til two days ago and start with new one.
    Please help me! thanks

  2. #2
    Senior Member GiGi.'s Avatar
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    Quote Originally Posted by pier01980 View Post
    After been diagnosed rosacea one month ago I went to an allergist to find out whether I had some sort of allergy to certain foods. To my surprise, after having a look at my face through a kind of rectangular magnifier (with a blue light) with light turned off, he said that I didn't have rosacea but seborrhoeic dematitis.
    The problem is that In 4 months I've seen two dermatologist and this allergist who have diagnosed me three different things: Acne, rosacea and now Seborrhoeic dermatitis.
    The allergist seemed to be quite sure ruling out rosacea, and despite being relieved about that diagnosis I still don't trust completely that diagnosis because he is 'just' an allergist and not a dermatologist.
    Has anyone had this experience? How can dermatologist make so serious mistake? I don't know who believe and now I have to stop using the medicines I had been using til two days ago and start with new one.
    Please help me! thanks
    Hi,
    I am not surprised, I have seen five different dermatologists, and each came up with a different diagnosis.
    (Dermatologist no. 4 and no. 5 I had seen within two weeks.)

    1. Dermatologist: Seborrhoeic Dermatitis
    2. Dermatologist: Acne Vulgaris
    3. Dermatologist: Rosacea
    4. Dermatologist: Rosacea and Acne Vulgaris
    5. Dermatologist: Rosacea and Seborrhoeic Dermatitis

    I agree with the diagnosis by dermatologist no. 5, as I definitely never had any signs of Acne vulgaris.
    If your allergist is right or not, we obviously can't tell you... in the end you have to judge yourself which dermatologist comes across as the most professional/knowledgeable. If you are in doubt, don't hesitate to get further opinions.

    Bests,

  3. #3
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    HI Gigi,

    I had mild acne when I was teenager and starting from 21 (or at least I believe so) I started to experience what it seems now to be seborrhoeic dermatitis. The thing is that the two dermatologist made their diagnosis just after 30 seconds ( and that did upset me a little bit) whereas the allergist spent much more time visiting me and explaining the reasons why he believed that I don't have rosacea.
    My main concern is whether an allergist can really understand when a patient has got rosacea or seborrhoeic dermatitis or even both. This is a big problem because sometimes what is best for one is not advisable for the other one. for instance, if I have Sebborhoeic D. taking the sun is advisable whereas if I have rosacea I have to avoid it or at least to apply powerful sun block cream.
    I think the only way to understand it is to ask a further opinion, but from an another dermatologist this time.
    Thanks!

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    It can be difficult to distinguish between early stage rosacea, seb eczema and perioral dermatitis, though this is not a good reason to stop yourself getting a firm diagnosis. Accurate diagnosis will lead to the correct treatment. This article explains how the three conditions can be difficult to distinguish between at an early stage:
    http://www.ncbi.nlm.nih.gov/pubmed/7560350

    You'd be best off going to see a dermatologist who specialises in rosacea specifically to rule out rosacea, or a dermatologist who specialises in seb derm to rule that out. The main thing that is likely to distinguish rosacea from the other two conditions is rosacea often causes flushing (the blood vessels expanding and the skin going red) in response to various external factors (e.g. sunshine, hot showers, certain food intake etc).

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    one thing to notice, SB comes along with acne as a result or vice versa.

    I have diagnosed with Seb derm(rulling out), rosacea and acne. But my dermatologist said that it is not a definite diagnosis as I need Biopsy, but it will lead to 3 mm wide scarring and this needs to be done on my cheek. i believe this will be my last on a checklist.

    If u have this three way skin condition there is no complete cure. I hope u don't spend to much money treating.
    I am 27 male and just starting to live with it and don't spend to much time worrying.

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    I got diagnosed with egzema...then a new derm said rocasea and Serb.

    I'm having a hard time dealing with rosacea but I just keep reading.





    Quote Originally Posted by roseigy View Post
    one thing to notice, SB comes along with acne as a result or vice versa.

    I have diagnosed with Seb derm(rulling out), rosacea and acne. But my dermatologist said that it is not a definite diagnosis as I need Biopsy, but it will lead to 3 mm wide scarring and this needs to be done on my cheek. i believe this will be my last on a checklist.

    If u have this three way skin condition there is no complete cure. I hope u don't spend to much money treating.
    I am 27 male and just starting to live with it and don't spend to much time worrying.

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