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Thread: biopsy results

  1. #1
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    Default biopsy results

    Back in dec. of 2010 i broke out in pimples not like acne but red bumps( I guess p&p's) so I was given minocycline 100 mg didn"t seem to help.

    Then I went on doxy. 20mg 2x a day. Now for some reason or another I eventually cleared up, for about a month than all hell broke loose again. Went back to derm. and he took a biopsy and prescribed prednisone for about 5 days, which helped.

    Less than a week later, you guessed it I broke out again. I got a call today with the biopsy results and he told me it came back an allergic reaction not rosacea.

    Now he wants me to use a topical cortisone cream (he said it new) can't remember name now but I asked if it had a rebound effect and he said yes for rosacea but no for allergic skin condition.

    Just a little back round. I have had rosacea almost all my adult life. Redness, flushing and dry skin, but never p&p's. So now I am confused, am I developing the next stage of rosacea or is my derm. right in saying its an allergic reaction?

    By the way I only break out on my forehead with p&p's.

  2. #2
    Senior Member Mistica's Avatar
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    Did you have the biopsy before or after you started using ZZ cream?
    Previous Numerous IPL.
    Supplements: Niacinamide, Vit K2, low D3, Moderate Dose Vit C, Iodine, Taurine, Magnesium. Very low dose B's. Low dose zinc (to correct deficiency).
    Skin Care: No Cleanser, ZZ cream mixed with Niacinamide gel 4% and LMW HA.

    Treating for gut dysbiosis under specialist care. (This is helping).
    Previous GAPS diet. Testing tolerance of resistant starch.
    Fermented Foods. 2 to 3 days per week, Intermittent fasting -16-18 hours.

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    There is nothing in a skin biopsy to establish rosacea, nor is there anything found in a biopsy to reveal an allergy, unless the allergy they are speculating is caused by a fungus, bacteria, or mites.


    What is this doctor telling you? If I had a skin biopsy, and my doctor told me it came back as an allergy, I would probably just laugh at him.

    If you have something checked, it should be for a fungus or mites. Of course, you could also have a bacteria culture done, but I would just try real experts in rosacea and related skin diseases.

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    I'm not certain it would be an allergic reaction either. My biopsy came back perivascular inflammation, something to do with inflammation around the blood vessels. Probably linked to Accutane or Rosacea progression... but who knows. I wonder if IPL might be beneficial to you??
    Shantelle

    31 Year old female from NZ

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    Senior Member Brady Barrows's Avatar
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    You might ask what the biopsy tested? He might have tested for a demodex mite density count, found it normal and then concluded that it was dermatitis. Tests sometimes are done to rule a condition out. There are, of course, other skin biopsy tests, so it would be good to ask the doc about the test and why he concluded that you have dermatitis? A good physician usually takes the time with a patient to explain the diagnosis.
    Brady Barrows
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    It would be nice to gain some further insight from a biopsy, but depending on what the doctor is looking for, it might require several biopsies to gain any real insight into the problem. Unless the doctor has expertise on rosacea and demodex, I would not trust random doctors calculating demodex density (Dd). You could have a few mites in the first biopsy, and then 100 in the next a few centimeters away. This is the same thing as taking a patch of grass and finding a few worms, and then taking another patch a foot away and finding many. For this reason, you need someone that has been doing this for many years.

    If your doctor found something that outright doesn't belong there, then of course a single biopsy will be sufficient. But the fact that your doctor is saying that it "came back rosacea" or "came back an allergy"... I would probably not find this to be credible. I personally would start asking about what microorganisms were found in that biopsy, as I would feel the doctor did not sufficiently explain why he/she came to such a conclusion.

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    He gave me results over the phone. I questioned him about the results but all he said was it was an allergic contact dermatitis and not from food because it would show up in other area's.

    He would not elaborate any further, it was at the end of the work day and seemed like he just wanted to get off the phone.

    At the time of the test I was on zz cream for a few days and my skin was flakey from the cream. I did mention mites and he just wrote it off.

    I go back in 2 weeks so I will ask more questions. He actually took a section of one of my papules and took over a week or so to form a scab ans start to heal.

    He put me on protopic (tacrolimus ointment) .1% 2x a day. A little foot note, he is very young and I think he has been out of med. school a few yrs. The reason I went there is the main Dr. has had a practice for almost 30 yrs, but now has very limited office hours, never there after 2:00pm and very dificult to get an appointment.

    I would think this young dr would have to consult with the more experienced dr when making a diagonsis, correct? I also said to him I am concerned about using a cortisone daily but he said since its for an allergic contact derm it would be ok.

    The frustrating thing is these bumps seem to spread instead of a random pimple here and there, unlike anything I had before. I am totally confused.

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    One more thing I did ask him if he was testing for a parasite and he said no.

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    Senior Member Mistica's Avatar
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    I have had a violent reaction to zz cream. I dotted it on the skin between my ear and outer cheek. More nearer the ear. I also dotted it on my cheek, forehead, on two individual pustules/papules.
    I put a finger print area on each upper cheek.

    I developed neuropathy, which rapidly spread and now my face is a swollen, engorged football.
    This is FAR WORSE than the brimonidine hell.
    My upper cheeks seem to be the hub, but the pressure is so great in there, there are violent surges of blood/flushing and each time I fall asleep and can't attend it by pacing about and icepacks, I get 100 times worse. Between last night and this morning, after 2 hours sleep, I am 1000 times worse. My entire face is involved now. I can't feel my face on the surface, due to the neuropathy, but I can certainly feel the burning, pulsating pain below.
    I have gone on to develop polyneuropathy.

    I see my doc this afternoon, but I doubt there is anything he can do.

    In addition I have side effects from the antibiotic regime I am on, (since stopped) but after a mad investigation by several people, it appears the zz cream is the worse culprit.

    That is why I asked if you had the biospy while on zz cream.
    Previous Numerous IPL.
    Supplements: Niacinamide, Vit K2, low D3, Moderate Dose Vit C, Iodine, Taurine, Magnesium. Very low dose B's. Low dose zinc (to correct deficiency).
    Skin Care: No Cleanser, ZZ cream mixed with Niacinamide gel 4% and LMW HA.

    Treating for gut dysbiosis under specialist care. (This is helping).
    Previous GAPS diet. Testing tolerance of resistant starch.
    Fermented Foods. 2 to 3 days per week, Intermittent fasting -16-18 hours.

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    Quote Originally Posted by billybob63 View Post
    I questioned him about the results but all he said was it was an allergic contact dermatitis and not from food because it would show up in other area's.

    Surely a biopsy wouldn't really aid in a diagnosis of allergic contact dermatitis. Unless of course he was ruling something out, I'm not sure what the initial goal was with this biopsy here.

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