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Hi all-

I have a 58 yo female patient with some skin changes that originally presented on her face last July. She had very slightly red patches of rougher skin on her upper eyelids, her right cheek, and right lower chin. The rest of her skin on her face and her body looked perfectly healthy. There was no scaling, discharge, itching, burning, irritation, or other sensation- she just noticed the roughness more than anything. If she hadn't pointed the patches out, I doubt I would have noticed them on my own since they didn't look that different from the rest of her skin- the texture was the only real difference.

She had come back from India in March and she noticed the " rash " for the first time in April. She thought it was triggered by starting to drink wine again, but there hasn't been a clear correlation. Since then, it has come and gone on it's own and nothing she's done internally or topically has seemed to make a difference. In July, other than being constipated, she didn't have any other physical symptoms. We began by working with her GI, and she has become much more regular and all her SEAMMs are good. She's cut her HRT in half (on her way to stopping it), continued her BTGs, is faithful with her HMF, but there's been no change to her skin.

In December, it started showing up on her neck, interestingly over her thyroid (she is on thyroid and has + TPO antibodies). The patches are still irregular and she'll get a little peeling when the patches are quieting down, but again, nothing we've done has helped. She was eating a lot of soy so I had her cut that out and it seemed like things quieted down and then flared back up after she had some miso. Problem is, that she just had a another flare up last week and hadn't changed anything or had soy again. (Otherwise, her diet is great.) So I think the soy is definitely implicated, but there's something else going on. She tried an enzyme peels on her face and it didn't irritate the patches at all, which I found surprising. She uses all hypoallergenic products and has used the same brands for years. She also uses all natural detergents and cleaners, again same brands for years, so it's unlikely that it's something she's contacing.

The only other thing of note is that she has high levels of mercury. She had done significant detox years ago when she was in WA since her levels were off the charts. Now, her hair analysis shows normal mineral transport, high mercury, and very high platinum and silver. We haven't started working with the mercury issue because she was going to be travelling a lot and overseas and didn't want to try to do it then. It is our first priority when she gets back.

I'm wondering what else may be causing the " rash " . There really aren't any symptoms except the roughness and slight redness when they first flare up. I would expect something- itching, more redness, heat- if it were a skin infection. Her GI is working much better and has been for several months. We've done Ribes, Rosmarinus, Juglans, Nux Vomica (which was also her constitutional), topical castor oil and calendula, eliminated her major food allergen, the HMF and BTGs. There doesn't seem to be an obvious nervous system or stress component or a contact allergen. It may take time to rebuild her GI, but I'm puzzled by the flare ups and the fact that there doesn't seem to be a clear pattern. Any ideas?

Thanks-

Hindman, ND, LAc

Portland, OR

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Hi , Have you done any cell salts with her? Could it be a deficiency that is showing up? ...perhaps due to metals. I would be reluctant to say this if you hadn't already done all the other things. Calc Sulf cell salts come to mind for skin issues and her age, as well as Gammadyn S and Mo to help with mineral replacement. Jill ND Port Moody, BC Hindman <kjhindman@...> wrote: Hi all- I have a 58 yo female patient with some skin changes that originally presented on her face last July. She had very slightly red patches of rougher skin on her upper eyelids, her right cheek, and right lower chin. The rest of her skin on her face and her body looked perfectly healthy.

There was no scaling, discharge, itching, burning, irritation, or other sensation- she just noticed the roughness more than anything. If she hadn't pointed the patches out, I doubt I would have noticed them on my own since they didn't look that different from the rest of her skin- the texture was the only real difference. She had come back from India in March and she noticed the "rash" for the first time in April. She thought it was triggered by starting to drink wine again, but there hasn't been a clear correlation. Since then, it has come and gone on it's own and nothing she's done internally or topically has seemed to make a difference. In July, other than being constipated, she didn't have any other physical symptoms. We began by working with her GI, and she has become much more regular and all her SEAMMs are good. She's cut her HRT in half (on her way to stopping it), continued her BTGs, is faithful with

her HMF, but there's been no change to her skin. In December, it started showing up on her neck, interestingly over her thyroid (she is on thyroid and has + TPO antibodies). The patches are still irregular and she'll get a little peeling when the patches are quieting down, but again, nothing we've done has helped. She was eating a lot of soy so I had her cut that out and it seemed like things quieted down and then flared back up after she had some miso. Problem is, that she just had a another flare up last week and hadn't changed anything or had soy again. (Otherwise, her diet is great.) So I think the soy is definitely implicated, but there's something else going on. She tried an enzyme peels on her face and it didn't irritate the patches at all, which I found surprising. She uses all hypoallergenic products and has used the same brands for years. She also uses all natural detergents and cleaners,

again same brands for years, so it's unlikely that it's something she's contacing. The only other thing of note is that she has high levels of mercury. She had done significant detox years ago when she was in WA since her levels were off the charts. Now, her hair analysis shows normal mineral transport, high mercury, and very high platinum and silver. We haven't started working with the mercury issue because she was going to be travelling a lot and overseas and didn't want to try to do it then. It is our first priority when she gets back. I'm wondering what else may be causing the "rash". There really aren't any symptoms except the roughness and slight redness when they first flare up. I would expect something- itching, more redness, heat- if it were a skin infection. Her GI is working much better and has been for several months. We've done Ribes, Rosmarinus,

Juglans, Nux Vomica (which was also her constitutional), topical castor oil and calendula, eliminated her major food allergen, the HMF and BTGs. There doesn't seem to be an obvious nervous system or stress component or a contact allergen. It may take time to rebuild her GI, but I'm puzzled by the flare ups and the fact that there doesn't seem to be a clear pattern. Any ideas? Thanks- Hindman, ND, LAc Portland, OR Dr Jill A. Naturopathic PhysicianPort Moody Integrated Health2306 St. s StreetPort Moody, BC V3H 2A9TEL: 604.931.2225FAX: 604.931.2143

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I would think about parasites, esp as she is a traveler. Very common to show up with skin complaints. ND Seattle Hindman <kjhindman@...> wrote: Hi all- I have a 58 yo female patient with some skin changes that originally presented on her face last July. She had very slightly red patches of rougher skin on her upper eyelids, her right cheek, and right lower chin. The rest of her skin on her face and her body looked perfectly healthy. There was no scaling, discharge, itching, burning, irritation, or other sensation- she just noticed the roughness more than anything. If she hadn't pointed the patches out, I doubt I would have noticed them on y own since they didn't look that different from the rest of her skin- the texture was the only

real difference. She had come back from India in March and she noticed the "rash" for the first time in April. She thought it was triggered by starting to drink wine again, but there hasn't been a clear correlation. Since then, it has come and gone on it's own and nothing she's done internally or topically has seemed to make a difference. In July, other than being constipated, she didn't have any other physical symptoms. We began by working with her GI, and she has become much more regular and all her SEAMMs are good. She's cut her HRT in half (on her way to stopping it), continued her BTGs, is faithful with her HMF, but there's been no change to her skin. In December, it started showing up on her neck, interestingly over her thyroid (she is on thyroid and has + TPO antibodies). The patches are still irregular and she'll get a little peeling when the patches are

quieting down, but again, nothing we've done has helped. She was eating a lot of soy so I had her cut that out and it seemed like things quieted down and then flared back up after she had some miso. Problem is, that she just had a another flare up last week and hadn't changed anything or had soy again. (Otherwise, her diet is great.) So I think the soy is definitely implicated, but there's something else going on. She tried an enzyme peels on her face and it didn't irritate the patches at all, which I found surprising. She uses all hypoallergenic products and has used the same brands for years. She also uses all natural detergents and cleaners, again same brands for years, so it's unlikely that it's something she's contacing. The only other thing of note is that she has high levels of mercury. She had done significant detox years ago when she was in WA since her levels were off the

charts. Now, her hair analysis shows normal mineral transport, high mercury, and very high platinum and silver. We haven't started working with the mercury issue because she was going to be travelling a lot and overseas and didn't want to try to do it then. It is our first priority when she gets back. I'm wondering what else may be causing the "rash". There really aren't any symptoms except the roughness and slight redness when they first flare up. I would expect something- itching, more redness, heat- if it were a skin infection. Her GI is working much better and has been for several months. We've done Ribes, Rosmarinus, Juglans, Nux Vomica (which was also her constitutional), topical castor oil and calendula, eliminated her major food allergen, the HMF and BTGs. There doesn't seem to be an obvious nervous system or stress component or a contact allergen. It may take

time to rebuild her GI, but I'm puzzled by the flare ups and the fact that there doesn't seem to be a clear pattern. Any ideas? Thanks- Hindman, ND, LAc Portland, OR

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Hey ... what about an IgG test or carroll test? She may still be eating something that seems helahty and ok... yet may not be so right for her. I just got a test back for a patient that has been doing the AI diet and was still feeling mentally foggy, tired etc... we tested and white rice came up. wendy In health & happiness, R. Abraham, L.P.N., N.D. ~Naturopathic Physcian~Portland, Oregon

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Hey ... what about an IgG test or carroll test? She may still be eating something that seems helahty and ok... yet may not be so right for her. I just got a test back for a patient that has been doing the AI diet and was still feeling mentally foggy, tired etc... we tested and white rice came up. wendy In health & happiness, R. Abraham, L.P.N., N.D. ~Naturopathic Physcian~Portland, Oregon

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From what i understand, the skin patches sound more like dry rough

patches, not a rash? If this is the case, I think trying to improve

circulation and exfoliation with a washcloth (not a sponge/soft

brush) over the whole body in the shower daily will help. I know

this sounds simple, but most people I find do not scrub their skin

and also in older people, the circulation just isn't the same as it

used to be. This should make skin smoother, and also improve

fats/EFAs getting transported to every inch of skin.

Cheers, Sonya

>

> Hi all-

> I have a 58 yo female patient with some skin changes that

originally

> presented on her face last July. She had very slightly red

patches of

> rougher skin on her upper eyelids, her right cheek, and right

lower chin.

> The rest of her skin on her face and her body looked perfectly

healthy.

> There was no scaling, discharge, itching, burning, irritation, or

other

> sensation- she just noticed the roughness more than anything. If

she hadn't

> pointed the patches out, I doubt I would have noticed them on my

own since

> they didn't look that different from the rest of her skin- the

texture was

> the only real difference.

>

> She had come back from India in March and she noticed the " rash "

for the

> first time in April. She thought it was triggered by starting to

drink wine

> again, but there hasn't been a clear correlation. Since then, it

has come

> and gone on it's own and nothing she's done internally or

topically has

> seemed to make a difference. In July, other than being

constipated, she

> didn't have any other physical symptoms. We began by working with

her GI,

> and she has become much more regular and all her SEAMMs are good.

She's cut

> her HRT in half (on her way to stopping it), continued her BTGs,

is faithful

> with her HMF, but there's been no change to her skin.

>

> In December, it started showing up on her neck, interestingly over

her

> thyroid (she is on thyroid and has + TPO antibodies). The patches

are still

> irregular and she'll get a little peeling when the patches are

quieting

> down, but again, nothing we've done has helped. She was eating a

lot of soy

> so I had her cut that out and it seemed like things quieted down

and then

> flared back up after she had some miso. Problem is, that she just

had a

> another flare up last week and hadn't changed anything or had soy

again.

> (Otherwise, her diet is great.) So I think the soy is definitely

> implicated, but there's something else going on. She tried an

enzyme peels

> on her face and it didn't irritate the patches at all, which I

found

> surprising. She uses all hypoallergenic products and has used the

same

> brands for years. She also uses all natural detergents and

cleaners, again

> same brands for years, so it's unlikely that it's something she's

contacing.

>

> The only other thing of note is that she has high levels of

mercury. She

> had done significant detox years ago when she was in WA since her

levels

> were off the charts. Now, her hair analysis shows normal mineral

transport,

> high mercury, and very high platinum and silver. We haven't

started working

> with the mercury issue because she was going to be travelling a

lot and

> overseas and didn't want to try to do it then. It is our first

priority

> when she gets back.

>

> I'm wondering what else may be causing the " rash " . There really

aren't any

> symptoms except the roughness and slight redness when they first

flare up.

> I would expect something- itching, more redness, heat- if it were

a skin

> infection. Her GI is working much better and has been for several

months.

> We've done Ribes, Rosmarinus, Juglans, Nux Vomica (which was also

her

> constitutional), topical castor oil and calendula, eliminated her

major food

> allergen, the HMF and BTGs. There doesn't seem to be an obvious

nervous

> system or stress component or a contact allergen. It may take

time to

> rebuild her GI, but I'm puzzled by the flare ups and the fact that

there

> doesn't seem to be a clear pattern. Any ideas?

>

> Thanks-

> Hindman, ND, LAc

> Portland, OR

>

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