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Author Topic: Dermatitis  (Read 2767 times)

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Offline lucbr

  • Member
  • Posts: 17
Dermatitis
« on: November 23, 2017, 03:10:35 pm »
Hey guys, so... I already had seborrheic dermatitis before i get hiv... but since i was diagnosed the episodes became more intense and hard to manage. Before it was only in the beard and on the scalp, but ever since it's coming to my face, nose, forehea... I used to manage it with ketoconazole shampoo, now it does nothing and i can barely trust a sulfur soap that get rids of it in a first moment...but my main problem it's that IT'S EVERY DAY.

I know this is a usual condition on plhiv, so do you guys have some advice? Do you have an interesting way of handle these flaky skin? Change the diet, i don't know...

I am gonna seek medical treatment, but i wanted to read what you have to say before that.

Thank you again <3

Offline CaveyUK

  • Global Moderator
  • Member
  • Posts: 1,642
Re: Dermatitis
« Reply #1 on: November 23, 2017, 04:07:46 pm »
I have an ongoing battle with seb term that I really need to stay on top of, especially when it comes to the face.

I use the medicated shampoo but it's effectiveness does seem to be on the wane. I've found using some over-the-counter anti fungal creams (usually designed for athletes foot/jock itch) can calm it down quickly - things like Clotramizole...basically any ...azole.

Also hydrocortisone 1% helps. I know you are not supposed to use on the face, but my doc says it's okay as long as you are not using it all the time.

It's a pain in the backside though. For many people it gets better when the CD4 count rises, but it's not for me - which leads me to suspect that either it is nothing HIV related at all (most likely) or whatever immune cells I had that were programmed to attack the yeast overgrowth have been demolished by HIV so there are no new ones replicated (less likely but more scary).

I can just about keep it under enough control that it doesn't impact me too much or be ultra obvious, but it's tiring work...

Anyway, best of luck
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Offline 2tcells

  • Member
  • Posts: 259
Re: Dermatitis
« Reply #2 on: November 24, 2017, 03:47:03 am »
 hydrocortisone works best for me, I don't even see a difference when using  ketoconazole. I still get flaky red skin on my eyebrows, scalp, and facial hair areas but I just have a beard (if I shave its worse). when my cd4 was real low I got it all over my nose, eye lids, ears, groin, legs, neck and shoulders but now its mostly just on my scalp. it dose act up on my beard and eye brows when the weather changes mostly hot to cold in winter. if I use the hydrocortisone when it first starts it helps a lot! also as for diet you are supposed to avoid soda, shell fish, and red meat to make it better
7-4-13 diagnosed   cd4- 2      vl-220,600
8-3-13                     cd4- 4      vl- 448
9-3-13                     cd4- 40    vl- ud
11-3-13                   cd4- 54    vl-ud
1-9-14                     cd4- 62    vl- 43
4-3-14                     cd4- 110  vl-ud
8-5-14                     cd4- 95    vl-ud
9-23-14                   cd4- 97    vl-ud
1-22-15                   cd4- 156  vl-ud
4-14-15                   cd4- 122  vl-ud
6-12-15                   cd4- 148  vl-?
8-15-15 start stribild
9-3-15                     cd4- 152 vl-ud
11-25-15                  cd4- 211 vl-20
2-17-16                   cd-4 194 vl-ud
4-1-16 start genvoya
5-10-16                   cd-4 220 vl-ud
9-19-16                   cd-4 182 vl-ud
12-2016                  cd-4  267!vl-ud
2018 cd4 187 switching meds

Offline lucbr

  • Member
  • Posts: 17
Re: Dermatitis
« Reply #3 on: November 24, 2017, 01:27:11 pm »
I can just about keep it under enough control that it doesn't impact me too much or be ultra obvious, but it's tiring work...

Yeah, the same here. I wish i could understand how it how it was developed, because it's so random.
Thanks for the advice <3 the best for us.

hydrocortisone works best for me, I don't even see a difference when using  ketoconazole. I still get flaky red skin on my eyebrows, scalp, and facial hair areas but I just have a beard (if I shave its worse).

Oh gosh, you make it look really bad D:
I hope it gets better. If only i could have a week or two without any symptom...
Thanks for everything!

 


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