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Author Topic: Eczema  (Read 6666 times)

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BobF

  • Guest
Eczema
« on: November 12, 2008, 07:09:39 PM »
Hi .... I was diagnosed today with severe eczema after having had some skin biopsies.   I've had raised red, scaly marks on my chest, back, arms, and legs.   Since my HIV diagnosis I've also been treated for chronic fungal infections on my face and use a Ketaconazole cream for that as needed.

Does anyone know if HIV causes or contributes to eczema or have any suggestions on treatments?   All the Doc's can offer is another prescription ointment, and indicate that it is likely to recur -- tho the current flare-up continues with new spots appearing daily.    :(

Thanks, in advance, for any info ......

Offline markaj

  • Member
  • Posts: 80
Re: Eczema
« Reply #1 on: November 13, 2008, 12:50:22 AM »
Pre existing skin conditions, including eczema and psoriasis can certainly worsen if you have HIV.  Topical steroids and emollients really are the only treatments, along with identifying triggers and avoiding them.  I suffer with rosacea and seborrhoea dermatitis and have definitely got more flare ups since I was diagnosed with HIV.  The only cream that works for me is Tri-acdortyl which is a mix of hydrocortisone and anti-fungal stuff. Everything else just aggravates my skin even more. Tri-acdortyl is a steroid cream and is probably doing more harm than good on my face but there is nothing else.  Aqueous cream is supposed to really help with eczema, either use it as a cleanser or as a moisturiser.  I really would try and stay off steroid creams if you can, but I know exactly what you're going through.  Quite often I avoid going out because of everybody seeing how bad my skin is.
Infected Jan 08 / diagnosed Feb 08
Feb 08 - CD4 230 (9%) VL 3.5 million
Mar 08 - CD4 440 (6%) VL 660.000
Apr 08 - CD4 420 (11%) VL 3 million
Jun 08 - CD4 200 (7%) VL 3 million
Started Kaletra/Truvada Jul 08
Jul 08  - CD4 250 (14%) VL 23.893
Aug 08 - CD4 410 (15%)  VL 4.313
Switched to Sustiva/Truvada Aug 08
Switched to Reyataz/Norvir/Truvada Sep 08
Diagnosed with Hep C, HIV meds stopped for a bit
Nov 08 - CD4 414 (12%) VL 500.000+
Started Isentress/Truvada Nov 2008
Dec 08 - CD4 381 (17%) VL 1.116
Jan 09 - CD4 534 (20%) VL <50
Started Interferon/Ribavirin Jan 09
Feb 09 - CD4 407 (24%) VL <50
Mar 09 - CD4 360 (28%) VL <50
Apr 09 - CD4 279 (30%) VL <50
Jun 09 - CD4 298 (36%) VL <50
Aug 09 - CD4 303 (35%) VL <50

Offline Rural_oz

  • Member
  • Posts: 47
Re: Eczema
« Reply #2 on: November 14, 2008, 12:36:26 AM »
Hi BobF, my doctor warned me that starting meds and kicking my immune system into working order may awaken some old sleeping dogs.  I have suffered from Fungal Infections on and off all my life and sure enough, they have flared up in the last couple of weeks.  I am treating it with normal 'over-the-counter' anti-fungal treatment, but have also learned a couple of tricks from long experience . 

NEVER use soap, buy a non-soap natural PH cleanser for the affected part (and all over to be honest). 

I also use a natural product available here in Australia called Tea Tree Oil (similar to eucalyptus oil).  It is a natural antifungal and antbacterial that helps a lot.  This is something that works for me, but take this advise purely as non-professional.

I hope you find something that works for you.

Offline pozattitude

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  • Posts: 909
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Re: Eczema
« Reply #3 on: November 14, 2008, 11:45:55 AM »
I have been dealing with this for a decade now and really nothing that will "cure" it.  Like Rural Oz said..use mild soap only, regular soaps will dry out your skin and agravate the flare up.  I only use glycerin soaps because they are mild, low PH and it is a moisturizer.  I notice that when I get those flare ups are usually winter which is the time of the year when I eat the most sweets...wonder if there is a relation to sugar intake and the flare ups?  Tea Tree Oil is also good and available here in the US.

rich
POSITIVE PEDALERS... We are a group of people living with HIV/AIDS, eliminating stigma through our positive public example.

BobF

  • Guest
Re: Eczema
« Reply #4 on: November 17, 2008, 04:13:57 PM »
Thanks for the feedback - I appreciate it.   It sure seems odd that these skin issues all have come about post-infection and while on HAART.

I also had my first CD4 blip/downturn occur this quarter .... a drop from 501 to 372, but my viral load remained undetectable so my Doc isn't concerned.   We'll just watch the trend.   Hopefully the Atripla I've been on since 9/07 is still working well.

Bob

Offline scottred

  • Member
  • Posts: 8
Re: Eczema
« Reply #5 on: November 20, 2008, 07:44:51 PM »
I've been poz for 11 years now and really the only problems I've ever had are skin problems... but that's been even since before I was poz. I've always had really sensitive skin and the drugs/hiv seem to ramp that all up. I really like Cetephil products. I assume you can find them all over the place. Usually in Walgreens or CVS type places. They make cleansers and moisturizers and sun screen... all kinds of sensitive skin products... a little expensive, but they tend to go a long way. I'd try some... at the very least, I'll bet your skin feels better.
The other thing I've tried and seems to do some good is Deadsea Mineral Salts. You can buy them online or at most health food places. You can buy them in varying size tubs... I started using this after I noticed a real improvement in my skin after swimming in a pool that uses the new kind of salt-clorination system. If I had one of those near by, I'd be in it everyday, but I don't, so I take a bath in these salts. Don't confuse this with Epsom salts - I wouldn't recomend epsom salts for skin problems n general... soaking in epsom is goopd for some things, like trying to heal a wound or open sore, but for all over skin troubles I haven't found them to be any good.
One last thing... do your own research on this one, some people think I'm nuts, but coconut oil is probabluy my favorite thing for skin... moisturizer, anti fungal properties.... I even use it for a lube for jacking off with  ;D. I love the stuff... you have to get the stuff form a health care store usually, and make sure it's cold pressed. the heated stuff has all the good stuff boiled out of it. The smell is a little odd at first, but I've asked people if they smell it on me an theh say they can't. You can kind of smell what you think coconut smells like, but it has a cleaner smell than that (we get so used to artificial flavors and odors, that sometimes we really don't even know what things really smell like). You can even eat it or cook with it, which some people say does a lot of good too. Which brings me to one more thing... Omega-3  fish oil suplements... I think they help with skin problems.
So anyway, try some of this stuff out an lit me know waht you think. and if you can get to a pool that has the salt-chlorine systmem, soak in it every chance you get!
Good luck, and let me know if anything helps... and let me know if you find anything else....
Later dude
So anyway, try some of this stuff out

Offline catwoman

  • Member
  • Posts: 111
Re: Eczema
« Reply #6 on: November 22, 2008, 08:54:07 AM »
Oooh, I've had eczema all my life.  It seems the same since HIV though.  I'm going to try the coconut oil thing.  It's always worse in the cold.

Offline northernguy

  • Member
  • Posts: 1,347
Re: Eczema
« Reply #7 on: November 25, 2008, 02:37:57 AM »
Pre existing skin conditions, including eczema and psoriasis can certainly worsen if you have HIV.  Topical steroids and emollients really are the only treatments, along with identifying triggers and avoiding them.  I suffer with rosacea and seborrhoea dermatitis and have definitely got more flare ups since I was diagnosed with HIV.  The only cream that works for me is Tri-acdortyl which is a mix of hydrocortisone and anti-fungal stuff. Everything else just aggravates my skin even more. Tri-acdortyl is a steroid cream and is probably doing more harm than good on my face but there is nothing else.  Aqueous cream is supposed to really help with eczema, either use it as a cleanser or as a moisturiser.  I really would try and stay off steroid creams if you can, but I know exactly what you're going through.  Quite often I avoid going out because of everybody seeing how bad my skin is.

Have you tried Elidel or Protopic?  They are topical immunomodulators which essentially dampen the immune response that can cause eczema and seborhhea flares.  A bit odd to mute immune response when you have HIV, but it has worked for me (though not for the rosacea).  You should ask your dermatologist if they approve of it for Poz folks (mine does).
Apr 28/06 cd4 600 vl 10,600 cd% 25
Nov 8/09 cd4 510 vl 49,5000 cd% 16
Jan 16/10 cd4 660 vl 54,309 cd% 16
Feb 17/10 Started Atripla
Mar 7/10 cd4 710 vl 1,076 cd% 21
Apr 18/10 cd4 920 vl 268 cd% 28
Jun 19/10 cd4 450 vl 60 cd% 25
Aug 15/10 cd4 680 vl 205 cd% 27
Apr 3/11 cd4 780 vl <40 cd% 30
Jul 17/11 cd4 960 vl <40 cd%33
April 15/12 cd4 1,010 vl <40 cd% 39
April 20/12 Switched to Viramune + Truvada
Aug 2/12 cd4 1040, vl <40, cd% 38
Oct 19 cd4 1,110 vl <40 cd% 41

 


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