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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Skin Problem On Feet, Diagnosed As Eczema. Not Recovering Yet. Malassezia ?

hello. I have a recurring skin problem on my feet. It was first diagnosed as eczema and the treatment that was given was steroid injections on the part that was infected with some tablets and cream. Since it kept recurring after the effects of the injection wore off I went to another skin specialist. He too did the same thing. Then I decided to go to an allergy clinic. So I was allergic to a host of substances but not much improvement even though I took the medication and applied the cream. I then went to a homeopath in India. She diagnosed it (after sending me to a skin specialist for confirmation) as a mix of eczema and psoriasis, which she said is not curable. I was also advised to take an comprehensive blood test to test for allergies. Anyways, I took the medication. I was posted in France soon after and I started getting itchy under my armpit and other places. I saw a skin specialist there and he suggested some cream and medication. After seeing that there was improvement with the cream he did not continue with the medication. He diagnosed it as eczema (no psoriasis). But i still had the condition in my feet and no more cream left. In Indonesia, where I live, I was advised to put a Chinese cream called pi kang shuang which i did. Also to wash my feet with betadine soap and clean with Dettol. Which i did as well. Then i went to India and my sister-in-law suggested that i use Cosvate (clobetasol) and pasitrex together and this combination helped me a lot. Within a month the lesions had disappeared. But i started wearing socks very often to avoid dust mites and dust particles because I was convinced that that was the substance that was causing my allergy. Now i have it on my soles and the heels of my feet. I have been using the cosvate and pasitrex and it has improved a lot. I consulted another allergist and he took other tests and found out that it is a colony of malassezia. He gives me some amniotic liquid which i have to apply once or twice a day, salicylic powder, brm capsules and anti-histamine in case of severe itching. Please advise what exactly is malassezia and what more can i do to get rid of it completely? Thankyou.
Mon, 16 Sep 2013
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Dermatologist 's  Response
Hi malassezia is a fungus which usually causes tinea versicolor.i do not think it fits in this condition.it think u are suffering from hypertrophic eczema.regular moistersing and applicayion of propysalic ointment.use atarax 25 mg at night and antibiotic curesc the condition .avoid regular washing of hands frequently..a pply moisteriser regularly cures it
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Recurring Skin Problem On Feet, Diagnosed As Eczema. Not Recovering Yet. Malassezia ?

Hi malassezia is a fungus which usually causes tinea versicolor.i do not think it fits in this condition.it think u are suffering from hypertrophic eczema.regular moistersing and applicayion of propysalic ointment.use atarax 25 mg at night and antibiotic curesc the condition .avoid regular washing of hands frequently..a pply moisteriser regularly cures it