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Thread: I just can't understand what skin condition I have

  1. #1
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    Default I just can't understand what skin condition I have

    Hey guys, long time lurker here but this is my first post. I'll start with thanking everyone here for being such a helpful and supportive community.
    I am 22 years old and I have had this chronic skin condition for a long time now, as far as I can remember it started when I was around 11-12 so it's been going on for 10 years now, no flare ups and recessions, just always the same.
    I've been to numerous dermatologists over the years but honestly none of them really helped, some even gave contradicting diagnosis. Over the last few years, most doctors seem to think it is a combo of Rosacea and Seb Derm but I think there may be more to it. Currently I am using a moisturizer (2-3 times a day depending on how bad I feel) and Nizoral (twice a day).

    As far as how I feel, my face is constantly dry and red all around and if I dont apply a moisturizer I have a burning sensation. The areas at the side of the nose, the chin and the forehead do sometimes get worse than the rest of the face and I know that is a symptom of Seb Derm (also my chest itches slightly sometimes) but I dont seem to get much flaking and my skin isn't oily at all, to me it feels very dry (my hands are also very dry and flaky). The only flaking is like peeling from dryness, not the fatty scales that you see with SD, but I do also have dandruff (not a terrible case of it, but it is sometimes irritating). The peeling and dryness can happen anywhere on the face and not only in the usual Seb Derm areas which also makes me suspect that it is not a normal case of SD. The worst area seems to be around the mouth, on a bad day or if I don't apply moisturizer on time the whole area around the mouth gets very dry and flaky and drives me crazy until I wash it and apply some cream. Also, my lips tend to get dry. If I eat spicy food it can make the whole area around my mouth peel like crazy and go flaming red, needles to mention the itching and burning are unbearable when this happens.

    I have tried all different skin care products, cheap and expensive and the only conclusion I have is that the non oily type of moisturizers used for Seb Derm don't help me at all, they actually make things worse and make me peel even more (the last one I tried was Uriage DS Emulsion). The only products that offer me any comfort are the simple very oily and greasy moisurizers that are aimed at very dry skin, I currently use Neutrogena Ultra Nourishing Intensive Balm. I know that very oily creams are bad for SD but that is the only thing that can get me through the day, if I don't use it I simply can't function due to the itching and burning sensation (Even after I apply it my skin feels sensitive and can be a little itchy but it is a big relief). I dont think the Nizoral is really making any difference but currently I'm still using it, I've been using it for a month so far.

    As far as the Rosacea goes, the last doctor I saw said he thinks he could see demodex tails. My face is almost always red, even with the moisturizer and honestly I am more worried about dealing with the burning and itching than with the aesthetics currently. I did try Metronidazole in the past but it made my face didn't take it well so I stopped (it made my skin feel irritated). I should mention I also have irritation in the eyes and was told by an eye doctor that it could possibly be due to the Rosacea.

    The picture may look stupid but it can help me in explaining the condition: (It was taking after I applied the moisturizer so you cant really see any dryness)

    * Generaly, my whole face gets dry and sensitive, sometimes it's worse than others but it's always there.
    * The red areas get itchy and red sometimes and seem to be more problematic than the rest of the face. When these areas are itching sometimes the moisturizer doesn't even help much. The ears don't bother me as much as the itching isn't noticeable but they do get flaky sometimes.
    * The orange area (including the lips themselves) somtimes gets very very dry and starts peeling badly, it the worst part but the moisturizer helps.
    * The grey areas do get dry and peel sometimes but they are nowhere as bad and irritating as the other areas (I forgot to add my nose to this area, not the sides but the nose itself).
    * I also have very very dry hands and my chest itches sometimes.

    50310019_1309795342496437_3436163584160169984_n.jpg

    Has anyone get any idea what this condition could be and how I can treat it better? I know parts of it sound like SD but my skin is generaly dry and the only thing that gets me through the day is the greasy moisturizer and if SD was the case wouldn't that type of product just make things worse? Thats exactly the part I can't understand. As I said earlier, light creams used for SD don't help at all and just make things worse. This issue is really getting me down and I'm starting to lose hope, especially as all the doctors I've seen don't seem to help much.

    Thanks so much for reading, I would really appreciate hearing your opinions!
    Last edited by Dadavan; 22nd January 2019 at 08:46 PM.

  2. #2
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    This all sounds very familiar to me. I had very similar symptoms. Went to see many specialists. Had numerous diagnoses. Tried everything I could. Nothing worked and some things made it worse. I can't tell you what your issue is but I can tell you what mine was and maybe that will help?

    I have concluded after years of trouble, trials and tests that the issue was what in was putting on my face. The redness, itching, and dryness (but sometimes scaling) I believe to be a kind of allergic reaction that calmed sometimes but flared at other times but never went away. Who knows with it started but it did. What know is basically all preservatives in skin care products irritated my skin. Some were worse the others but all of them made it worse. That is he stuff in the face wash, shampoo, moisturisers etc. Also the limescale in the water made it worse and I live in a medium hard water area not even very hard! And if I did have seb derm the likely cause is the malassezia fungus which feeds off the fatty acids in most oils in moisturisers and face washes. So everything I was doing was making the problem worse. This is what I now do everyday and it has solved my skin issues - no more redness, no more itching, no more pain:

    1. I wash my face with water only. No soaps or face washes
    2. I use filtered water. You can buy a filter for your tap and shower very cheaply from Amazon
    3. I moisturise my face with capric/caprylic triglycerides. This is found in most moisturisers as a base. It is derived from coconuts but malassezia can't metabolize it, it is moisturizing (for me) and is non-sensitising. It is also cheap to buy. Any heath food shop sells it as mct oil (it is used as a food supplement) or you can buying from lotion making companies.
    4. I also take vitamin d supplements as it can't hurt and there is a lot of evidence that a lack of vit d causes problems for the skin

    That has worked for me. All cheap and easy solutions after I spends so much money looking for the answers! Hope this helps you out

    Sent from my SM-G930F using Tapatalk

  3. #3
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    Quote Originally Posted by donmattus View Post

    I have concluded after years of trouble, trials and tests that the issue was what in was putting on my face. The redness, itching, and dryness (but sometimes scaling) I believe to be a kind of allergic reaction that calmed sometimes but flared at other times but never went away. Who knows with it started but it did. What know is basically all preservatives in skin care products irritated my skin...
    Excellent post! This is exactly what I discovered too. One of the worst offenders is Methylisothiazolinone - a preservative that is very prevalent in personal care products these days.

    The best way to find out which substances you may be allergic to, and need to avoid, is by having a skin patch test.

  4. #4
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    Quote Originally Posted by donmattus View Post
    This all sounds very familiar to me. I had very similar symptoms. Went to see many specialists. Had numerous diagnoses. Tried everything I could. Nothing worked and some things made it worse. I can't tell you what your issue is but I can tell you what mine was and maybe that will help?

    I have concluded after years of trouble, trials and tests that the issue was what in was putting on my face. The redness, itching, and dryness (but sometimes scaling) I believe to be a kind of allergic reaction that calmed sometimes but flared at other times but never went away. Who knows with it started but it did. What know is basically all preservatives in skin care products irritated my skin. Some were worse the others but all of them made it worse. That is he stuff in the face wash, shampoo, moisturisers etc. Also the limescale in the water made it worse and I live in a medium hard water area not even very hard! And if I did have seb derm the likely cause is the malassezia fungus which feeds off the fatty acids in most oils in moisturisers and face washes. So everything I was doing was making the problem worse. This is what I now do everyday and it has solved my skin issues - no more redness, no more itching, no more pain:

    1. I wash my face with water only. No soaps or face washes
    2. I use filtered water. You can buy a filter for your tap and shower very cheaply from Amazon
    3. I moisturise my face with capric/caprylic triglycerides. This is found in most moisturisers as a base. It is derived from coconuts but malassezia can't metabolize it, it is moisturizing (for me) and is non-sensitising. It is also cheap to buy. Any heath food shop sells it as mct oil (it is used as a food supplement) or you can buying from lotion making companies.
    4. I also take vitamin d supplements as it can't hurt and there is a lot of evidence that a lack of vit d causes problems for the skin

    That has worked for me. All cheap and easy solutions after I spends so much money looking for the answers! Hope this helps you out

    Sent from my SM-G930F using Tapatalk
    Quote Originally Posted by Sally View Post
    Excellent post! This is exactly what I discovered too. One of the worst offenders is Methylisothiazolinone - a preservative that is very prevalent in personal care products these days.

    The best way to find out which substances you may be allergic to, and need to avoid, is by having a skin patch test.
    Thanks so much for your answers! So basically you think that although it seems to me that I just can't function without the moisutrizer, that could be what is causing the problem? like it's a short term relief but on the long term it's just making the problem presume?
    Also, what about the flaking on the ears, itchy chest and dandruff, aren't those signs of SD? Is it possible to have SD with dry skin? I always thought it happens to people with oily skin.

  5. #5
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    It is possible. I used moisturiser for ages thinking it was helping. I applied it a number of times a day to stop the itching until I look back now and realise that applying moisturiser more than the morning and night is probably a sign it isn't working somehow and my guess is that as the ingredients sink into your skin it reacts causing more itching. It is a theory and maybe it isn't right but I am sure it is right for me. There are so many allergens and irritants in modern skin care products and using them doesn't give your skin a break. When your skin is irritated it can react to anything you put on it, so you need to give it time to settle and calm with. I have to have some barrier to soothe my skin and finding one that didn't irritate my skin took a long time. Capric/caprylic triglycerides didn't solve the problem over night but over a couple of weeks things calmed down. Squalane is another oil that in theory should work but it didn't work for me.

    Basically, if you use any product with water in it, it needs a preservative (most are not good for your skin and the ones most companies use are dreadful). If you have water in your product you need to out some oil in to make it moisturise for longer. To make water and oil mix you need other products to keep them from separating. What you end up with is a list of ingredients that aren't designed to help your skin but actually cause problems for lots of people. So stick with oilonly products as they don't need preservatives or emulsifiers. But then soneoils are not good for SD. In fact most could feed the fungus and in the long run make it worse. If you think you've got SD caused by malassezia then you can eliminate it with climbazole, which you can buy on the internet pretty cheaply. I bought some and experimented with it looking of the simplest way to put it on my skin (just look at the ingredients in off the shelf products with climbazole in!). I found you can dissolve climbazole in CCT oil at 97C and it stays in for a number of weeks if kept in a glass bottle. Simple. I then carried using CCT oil as my moisturiser afterwards and I have No more SD symptoms.

    You can get oily and dry SD. People say they indicate different things but I'm not so sure? You have to experiment and see. The dry scaling could be SD. But it could be irritated skin. It could be limescale reaction or even chlorine in your tap water? Have youbtested your water for those things. Best to check and eliminate one thing at a time.

    Sent from my SM-G930F using Tapatalk

  6. #6
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    Quote Originally Posted by donmattus View Post
    It is possible. I used moisturiser for ages thinking it was helping. I applied it a number of times a day to stop the itching until I look back now and realise that applying moisturiser more than the morning and night is probably a sign it isn't working somehow and my guess is that as the ingredients sink into your skin it reacts causing more itching. It is a theory and maybe it isn't right but I am sure it is right for me. There are so many allergens and irritants in modern skin care products and using them doesn't give your skin a break. When your skin is irritated it can react to anything you put on it, so you need to give it time to settle and calm with. I have to have some barrier to soothe my skin and finding one that didn't irritate my skin took a long time. Capric/caprylic triglycerides didn't solve the problem over night but over a couple of weeks things calmed down. Squalane is another oil that in theory should work but it didn't work for me.

    Basically, if you use any product with water in it, it needs a preservative (most are not good for your skin and the ones most companies use are dreadful). If you have water in your product you need to out some oil in to make it moisturise for longer. To make water and oil mix you need other products to keep them from separating. What you end up with is a list of ingredients that aren't designed to help your skin but actually cause problems for lots of people. So stick with oilonly products as they don't need preservatives or emulsifiers. But then soneoils are not good for SD. In fact most could feed the fungus and in the long run make it worse. If you think you've got SD caused by malassezia then you can eliminate it with climbazole, which you can buy on the internet pretty cheaply. I bought some and experimented with it looking of the simplest way to put it on my skin (just look at the ingredients in off the shelf products with climbazole in!). I found you can dissolve climbazole in CCT oil at 97C and it stays in for a number of weeks if kept in a glass bottle. Simple. I then carried using CCT oil as my moisturiser afterwards and I have No more SD symptoms.

    You can get oily and dry SD. People say they indicate different things but I'm not so sure? You have to experiment and see. The dry scaling could be SD. But it could be irritated skin. It could be limescale reaction or even chlorine in your tap water? Have youbtested your water for those things. Best to check and eliminate one thing at a time.

    Sent from my SM-G930F using Tapatalk
    Thanks again for your help, you've really given me some hope here.
    I have a few questions:
    1. Is there a difference between capric and caprylic acid as far as skin treatment goes? (I'm assuming MCT oil and CCT oil are the same?)
    2. Would C8 be better than C10 in MCT oil or doesn't it matter?
    3. Just in case the MCT oil doesn't work, is there any moisturizer that you could recommend that fits the guidlines you mentioned or are pure oils the only option?

  7. #7
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    Hi,

    Mct oil usually has C12 in it, which is food for malassezia. CCT oil is just C8 and C10 which isn't. So cct oil is a safer bet even though the C12 in mct oil is only small. Otherwise they are the same and act the same in terms of moisturizing the skin.

    If the aim is to not feed malassezia then you are limited to things that don't have fatty acid carbon chain lengths C12 to C24, which removes all naturally occurring oils and many other substances. CCT oil and mct oil are extracted by man from coconuts. Petroleum jelly, silicone gel and other man made/created substances won't feed it but they aren't good for your skin as it won't let it breathe but you can try them. There are plenty of products with them as a base. I read a blog once with a list of products and I'll see if no can find it. My problem with all the products however was the preservatives in it or other irritants, hence why I settled on cct oil - but that took weeks for my skin to calm and not react to it and then it was fine. The only reason it won't be ok for you is if you are sensitive to coconut derived products, which can happen.

    Sent from my SM-G930F using Tapatalk

  8. #8
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    Found it https://simpleskincarescience.com/pi...lassezia-cure/

    This is worth a read and has some suggested products you may want to look at. But it assumes the reader knows the issue is malassezia and it isn't always easy to know that. SD can be caused by lots of things, it is just inflammation of the top layer of skin.

    Sent from my SM-G930F using Tapatalk

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