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Eczema and folliculitis?
Posted by s_mohler on September 25, 2022 at 3:56 amSoooo, I believe that I have been experiencing breakouts of eczema… patchy itchy dry skin but only in the creases of my skin so armpits and groin area. Recently, I have noticed a breakout of bright red bumps that also have white heads and are super painful on my legs. I believe that it is folliculitis… I was wondering if you could give me some insight on how to help these bumps because it seems they’re getting worse and worse… I also read that it could be staph, so I’m freaking out and possibly going to see a doctor this week, I just don’t want to get put on an antibiotic. I have tried gluten/dairy/processed sugar free in the past and wondering if I should go back to it, or try some sort of fungal/bacterial cleanse?Bernadette replied 1 year, 12 months ago 2 Members · 12 Replies -
12 Replies
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Hi – as a general rule of thumb for eczema, here is my checklist of what needs to be optimized:
• Vitamin D, A and RBC zinc (have you checked your levels?)
• Remove gluten & dairy, and very often grains too. (it can’t be a little here and there, it has to be 100% elimination for 6 months+ while address gut dysfunctions. Have you watched the Gut Health Masterclass yet?)
• Ensure detox pathways are open (is constipation an issue?)
• Heal intestinal lining (Gut Health Masterclass has a section on gut healing with many recommendations)
• Healthy fatty acid balance (omega-3 to omega-6 ratio). And realize that gallbladder health plays a role here too since we need bile to absorb our fats! If you haven’t yet watched the Fatty Acid Balance course or Gut Health Masterclass, please make time for those. It’s critical for cell membrane integrity and skin health.
• Remove any other food sensitivities. Need to calm the immune system. (if finance allows, consider a food sensitivity test)You can see that much of it goes back to the gut and immunity. Other than removing dairy/gluten/sugar, what else have you tried with regards to optimizing digestion and gut health so I can help you troubleshoot? Have you done any comprehensive functional stool tests?
You can also read through the Eczema fact sheet in the Symptom Dictionary if you haven’t seen that yet.
With regards to the skin bumps you’re experiencing, please go see a doctor to get a proper diagnosis, and please keep us posted!
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I did the GI map a little while ago before all this began because of my gut issues. I’m in the process of watching the gut health masterclass.
I am just worried that they’ll put me on an antibiotic and I don’t want to take it!! So I was wondering if you had a better way to deal with something like this. I will keep you posted though and once I have a diagnosis I hope we can figure it out.
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feel free to share your GI map test results here for us to take a look at.
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thanks for sharing. Please keep in mind that this test was taken almost 2 years ago, so we can’t really rely on this test anymore, but it does give us some important clues:
• Low Firmicutes. These are bacterial phyla that dominate the entire human digestive tract, including the mouth, nose, throat, and colon. A low result suggests “dysbiosis” – an imbalance in the normal microbes of the GI tract.Here are the suggestions from the GI map interpretative guide which I’ve shared in the Gut Health Masterclass:
» Use a broad-spectrum, diverse probiotic formula, 50–450 billion CFUs/day depending on findings. May contain: Lactobacillus acidophilus‚ Bifidobacterium bifidum‚ Bifidobacterium longum‚ Lactobacillus rhamnosus‚ Bifidobacterium breve‚ Lactobacillus
casei‚ Streptococcus thermophilus. (I like Klaire Labs Therbiotic Complete – which I’ve shared in the course as well)
» Increase dietary intake of vegetables and fibers (psyllium, oat bran)
» Remove dietary sugar and refined carbohydrates
» Prebiotic supplementation (resistant starch, xylooligosaccharide, inulin, beta-glucan, arabinogalactan)
» Fermented foods, if tolerated
» Reduce inflammation and address other imbalances on the GI-MAP
• A few opportunistic bacterial overgrowths. Goal is to support immunity to help keep the gut microbiome balanced. What are your vitamins A, D, and RBC zinc levels like? Check if you don’t know. Remove food sensitivities.
• Elastase-1 is suboptimal low. I like to see it > 500. This is a marker of pancreatic function and tells us the amount of enzymes you’re producing. The question in my mind becomes: is there a blood sugar issue affecting the health of the pancreas? Or is there a signaling issue due to hypochlorhydria (low stomach acid)? If the latter, then you have to dig deeper to find out why there might be low stomach acid. I share a home test that you can do in the Gut Health Masterclass to help determine if there’s low stomach acid. If so, then why? The test shows no H Pylori overgrowth – good! Is there thyroid hypofunction? Low zinc? Low B vitamins? High stress? Again, I have a section in the course to help investigate causes of low stomach acid.
• Anti-gliadin, a marker that can indicate a sensitivity to gluten (there are other reasons), is elevated more than I’d like to see. In these cases, I usually recommend 100% elimination of gluten.
• Calprotectin, is a marker of inflammation in the gut. It’s low, but it’s also not 0. And this was 2 years ago. What is the current status? Do you feel better or worse than you did 2 years ago?
• Zonulin. This is a protein that opens intercellular tight junctions in the gut lining (aka leaky gut). It was clinically high, which means the chances of developing food sensitivities and triggering immune reactions like eczema and skin bumps makes sense. Removing dairy and gluten, removing any other food sensitivities, while healing the gut lining is step 1. I really encourage you to watch the Gut Health Masterclass as it outlines the process clearly and will give you a lot more to work with.Hope this overview was helpful!
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So I went to the dermatologist and she was much better than my last one. But they took biopsy of the rash and said it looks like either eczema or psoriasis and gave me a prescription for Vtama it’s a topical not a steroid like the last doctor tried to give me. I will get the results of the biopsy by Friday, hopefully. Then we will know for sure! The little red spots are folliculitis and she recommends just to use an antibacterial soap and change my razor every time I shave. Sooo I’ll try that too. But I will let you know the biopsy results when I get them.
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glad you’re getting some answers. Yes, we’ll wait to hear from you.
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also, I am going to see a rheumatologist about autoimmune
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hopefully it hasn’t progressed to that, but do keep us posted. Please continue watching the gut health masterclass, as I explain the dynamics that create the perfect storm of autoimmunity – which almost always begin in the gut.
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Hi – just wanted to follow up. Any updates from your doctor?
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so it is contact dermatitis consistent with eczema and folliculitis. They gave me Opzelura, a non-steroidal topical which has helped. I still have the folliculitis and most of the itchiness is on the palms of my hands now and suboccipital area. I changed my laundry detergent and and body wash, but I don’t know if that did anything because I am using the medication. So I didn’t see a rheumatologist because it wasn’t psoriasis
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I’m glad that you were able to get some relief, but keep in mind that this is not addressing the root cause. Now that you have a proper diagnosis however, I encourage you to go back to my initial reply checklist of items to begin addressing:
• Vitamin D, A and RBC zinc (have you checked your levels?)
• Remove gluten & dairy, and very often grains too. (it can’t be a little here and there, it has to be 100% elimination for 6 months+ while address gut dysfunctions)
• Ensure detox pathways are open (if constipation is an issue, please watch this video for rapid relief recommendations)
• Heal intestinal lining (watch this video on gut healing therapies)
• Healthy fatty acid balance (most people don’t get enough omega-3 fatty acids compared to omega-6). And realize that gallbladder health plays a role here too since we need bile to absorb our fats! Please watch this video on liver/gallbladder support.
• Remove any other food sensitivities. Need to calm the immune system. (if finance allows, consider a food sensitivity test. Life Extension or KBMO (you’ll need my Physician Reference Number C-1903135)Let me know if you have any questions on the above.
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