Seborrheic Dermatitis

MeSci

ME/CFS since 1995; activity level 6?
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Location
Cornwall, UK
There is no evidence that it is caused from general inflammation. It is certainly caused by an overgrowth of the malassezia yeasts.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2923939/

No one is ever OK with too much of that yeast because it produces Anachiodinic Acid (an Omega 6 acid) on the skin as a waste product.

The idea why Biotin works is that it changes the lipid profile on the skin which stops feeding the yeast. Malassezia eats lipids to grow, but not just any lipids, triglycerides.
https://microbewiki.kenyon.edu/index.php/Malassezia_and_Human_Skin_Diseases

Note that Biotin reduces triglycerides:
http://www.ncbi.nlm.nih.gov/pubmed/16677798
I would be interested if @alex3619 has any thoughts on this, as he has studied arachidonic acid a lot, and I found from a search that he has also taken biotin.
 

alex3619

Senior Member
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Logan, Queensland, Australia
I would be interested if @alex3619 has any thoughts on this, as he has studied arachidonic acid a lot, and I found from a search that he has also taken biotin.
Biotin was part of my early protocol. I found it helps a small amount.

Biotin's primary role is the synthesis of native fats. For humans that would mean saturated fats and maybe some monounsaturated fats for the most part, though it might be involved in further processing of polyunsaturated fats.

I am waayyy out of date on this biochemistry. We have probably learned a lot in the decade since I last investigated this.

Biotin is also able to bind to a range of other chemicals. It might be that it binds to something on yeast or other infections and weakens the pathogen. It might also bind to molecules on our cell membrane, changing their properties and so interfering with pathogen interaction.

I want to comment on omega 3 fats before arachidonic acid. Most are unaware that omega 3 fats tend to promote inflammatory processes. The issue here is that they compete with omega 6 fats, via two different mechanisms at least, and are less inflammatory than omega 6 fats. So by having omega 6 metabolism suppressed the inflammation tendency decreases.

The balance of what arachidonic acid does in the body is dependent on many other factors, including things like nitric oxide or peroxynitrite levels. Each individual has to be assessed - there is no universal profile here. However too much arachidonic acid can be dangerous, just as too little is dangerous. The range of eicosanoids made from arachidonic acid, especially free arachidonic acid, go from blood thinning and vasodilation to severe inflammatory processes. Its the cells in the region that determine the outcome. Most of these eicosanoids have a half life of only seconds. They are local hormones, which probably means they have an effective range that is very small, maybe under a millimeter, though in fast moving blood it may be further.

Short chain omega 6 fats do not necessarily lead to arachidonic acid. A lot of it goes that way, but some goes into the PGE1 pathway, leading to vasodilation.

FInally, its worth mentioning that a lot of arachidonic acid can harm the mitochondria by creating oxidative bursts. In a chronic situation this may damage cells over time, decreasing their repair capacity. Alcohol is a known cause of this. So alcohol skin treatment might not be advisable long term.
 

IreneF

Senior Member
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1,552
Location
San Francisco
I used an antifungal shampoo with ketoconazole, called Nizoral, for a long time. It kept my itchy scalp under control, but did nothing for my oily skin. Then a dermatologist prescribed spironolactone (aldactone) for hair loss, and my skin dried right up. Didn't do anything for my hair, however.

Apparently your skin's sensitivity to androgens (male hormones) stimulates oil production, which allows the growth of microbes that cause the itching and flaking.
 

Hutan

Senior Member
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1,099
Location
New Zealand
Interesting discussion.

I have recurring itchy sores on my scalp that look much like the image that @Flo posted.
http://healthool.com/wp-content/uploads/2014/11/itchy-bumps-on-scalp-pictures-3.jpg
although hopefully not as bad.

When I am well rested, I often don't have any sores. When I have been over doing it, I can have a lot.

My dermatologist had me try medicated scalp washes - that did little.

The latest treatment is mometasone solution, applied to the sores twice a day. It works very well provided I am diligent about applying it.

I thought it was an antibacterial treatment but looking it up now I see it is a glucocorticosteriod.

From wikipedia:
Mometasone is indicated for the alleviation of inflammatory and pruritic manifestations (with stinging and itching) of dermatosis which respond to treatment with glucocorticoides such as psoriasis and atopic dermatitis (affection dermic chronic, characterized by the apparition of squamous eruptions, accompanied by itching).

So, I'm not saying mometasone is great long-term treatment but the fact that it works might help to explain what is happening. (And if the itching is really annoying or the sores are getting widespread it might be worth a try to get relief while sorting out a nutritional approach.)

From wikipedia again:
The inflammation is reduced in decreasing the liberation of hydrolace acids of leukocytes, the prevention of the accumulation macrophages in the sites of inflammation, the interference with adhesion of leukocytes to capillary walls, the reduction of the permeability of the capillary membranes and consequently edema, the reduction of complementary components, inhibition of histamine and kinin liberation, and interference with scar tissue formation.[14] The proliferation of fibroblasts and collagen deposits are also reduced. It is believed that the action of corticosteroid anti-inflammatory agents are bound to inhibitive proteins of phospholipase A2, collectively called lipocortins. The lipocortins, in turn, control the biosynthesis of potent mediators of inflammation as the prostaglandin's and leukotriens, inhibiting the liberation of the molecular precursors of arachidonic acid.
 
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MeSci

ME/CFS since 1995; activity level 6?
Messages
8,232
Location
Cornwall, UK
I think the cracked hands I get is neuroimmune induced as well. I will try biotin for my hands in the next week.

Thanks @Flo for posting this.
By 'cracked hands' do you mean the palms? I have had flaking, itching and sometimes painfully-split skin on my palms on and off for about 20 years (maybe more), but it cleared up with my dietary change plus supplements in 2012, only to return on and off recently, which I think followed administration of an antibiotic and antiviral. As my diet and supplements were aimed at the gut flora, I think that the recurrence was due to the flora being virtually wiped out by the medications. The palm dermatitis is on and off again at present. I tried topical treatments for years with no sustained improvement.
 

MeSci

ME/CFS since 1995; activity level 6?
Messages
8,232
Location
Cornwall, UK
For interest and possible ID/advice, here is a slightly-unclear photo of the disaster zone that used to be my crowning glory. :cry:

scalp dermatitis cropped.jpg
 

MeSci

ME/CFS since 1995; activity level 6?
Messages
8,232
Location
Cornwall, UK
I've decided that I am going to start biotin at a lower dose than I had stated, as I have read several Amazon reviews reporting adverse effects, and a few here too, and want to be ultra-careful. The tablets haven't arrived yet, but I'll see if they can be cut in half, and take the equivalent of less than 1 mg/1000 mcg per day.

We all have different tolerances for different things, and I for example can't tolerate d-ribose, Co-Enzyme Q10 or high-dose Vitamin D, but am fine with several other supplements that some others can't take.

Better safe than sorry, although I am impatient to cure my dermatitis (and if I can lose some fatigue that would be wonderful) but I'm not expecting miracles. I've had too many hopes dashed over the past 20+ years.
 

Flo

Messages
80
I've decided that I am going to start biotin at a lower dose than I had stated, as I have read several Amazon reviews reporting adverse effects, and a few here too, and want to be ultra-careful. The tablets haven't arrived yet, but I'll see if they can be cut in half, and take the equivalent of less than 1 mg/1000 mcg per day.

We all have different tolerances for different things, and I for example can't tolerate d-ribose, Co-Enzyme Q10 or high-dose Vitamin D, but am fine with several other supplements that some others can't take.

Better safe than sorry, although I am impatient to cure my dermatitis (and if I can lose some fatigue that would be wonderful) but I'm not expecting miracles. I've had too many hopes dashed over the past 20+ years.

I make no claims regarding the CFS, only the seb derm.

You cannot go by the reviews on Amazon because those people take it to grow hair. They are not taking it to get rid of seb derm plus some of those have multi ingredients.

Why not go by what the Mayo clinic says?
http://www.mayoclinic.org/drugs-supplements/biotin-oral-route/side-effects/drg-20062359

No side effects up to 10mg! That is 10000mcg.
 

MeSci

ME/CFS since 1995; activity level 6?
Messages
8,232
Location
Cornwall, UK
I make no claims regarding the CFS, only the seb derm.

You cannot go by the reviews on Amazon because those people take it to grow hair. They are not taking it to get rid of seb derm plus some of those have multi ingredients.

Why not go by what the Mayo clinic says?
http://www.mayoclinic.org/drugs-supplements/biotin-oral-route/side-effects/drg-20062359

No side effects up to 10mg! That is 10000mcg.
As some others have said, people with ME/CFS can be especially sensitive to drugs, supplements, foods, chemicals - anything. It may be that some Amazon reviewers have ME/CFS - indeed, I have posted some reviews there and not always mentioned that I have it. I only looked at supplements with biotin as active ingredient and nothing that I recognised as dodgy.

I did some searches here and found some people reporting adverse effects at high doses, and some people advising starting very low, which is recognised as a good general rule. Here are a couple of threads:

http://forums.phoenixrising.me/inde...helmed-by-symptoms-after-adding-biotin.32294/
http://forums.phoenixrising.me/index.php?threads/which-biotin-supplement-and-how-much.27627/
 

Valentijn

Senior Member
Messages
15,786
But the people who are taking it on Amazon are not looking at their genetics, I am, and you can too.
No, you're making unsubstantiated claims regarding genetics, supposedly based on what some friend of yours is saying.
I would not recommend Biotin to someone who does not have seb derm.
As we are not doctors, we probably shouldn't be recommending treatments at all. Especially when based on complete guesswork.
 

rosie26

Senior Member
Messages
2,446
Location
NZ
By 'cracked hands' do you mean the palms? I have had flaking, itching and sometimes painfully-split skin on my palms on and off for about 20 years (maybe more), but it cleared up with my dietary change plus supplements in 2012, only to return on and off recently, which I think followed administration of an antibiotic and antiviral. As my diet and supplements were aimed at the gut flora, I think that the recurrence was due to the flora being virtually wiped out by the medications. The palm dermatitis is on and off again at present. I tried topical treatments for years with no sustained improvement.
Yes I get cracks on the palms as well but mainly on the anterior side. So far I haven't had any problems with my scalp. I get dandruff about once or twice a year but that I have found is due to needing a change of shampoo and conditioner product. I feel I need a lot of variety in my diet. I haven't the bad gut that others get here. Although I do have gut problems but I think mine are more neuro toxicity upsets. Not a microbiota problem. I do have other areas though with microbiotic lining botch ups.

I thought this morning that I will start taking a B complex instead of biotin on it's own. I think I need to do a complex first to cover perhaps any problems that may occur by taking a single B own it's own. It's that sensible I wonder? I am guessing here. I will add biotin later on and see how it goes.
 
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Flo

Messages
80
No, you're making unsubstantiated claims regarding genetics, supposedly based on what some friend of yours is saying.

As we are not doctors, we probably shouldn't be recommending treatments at all. Especially when based on complete guesswork.

My doctor told me this. My friend confirmed it.

Google Dr. Barry Wolf
 

Flo

Messages
80
As some others have said, people with ME/CFS can be especially sensitive to drugs, supplements, foods, chemicals - anything. It may be that some Amazon reviewers have ME/CFS - indeed, I have posted some reviews there and not always mentioned that I have it. I only looked at supplements with biotin as active ingredient and nothing that I recognised as dodgy.

I did some searches here and found some people reporting adverse effects at high doses, and some people advising starting very low, which is recognised as a good general rule. Here are a couple of threads:

http://forums.phoenixrising.me/inde...helmed-by-symptoms-after-adding-biotin.32294/
http://forums.phoenixrising.me/index.php?threads/which-biotin-supplement-and-how-much.27627/

None of those people in those threads said they were taking it for seb derm. That is the crucial difference. I laid out the evidence fair enough, plus it fixed me. Plus the first woman had side effects from the potassium, not the biotin.

I am not saying you should start at 5000mcg, I am just saying you will not see changes till you get to at least that dose, that is what the doctor who invented the biotinidase test that is giving to infants told me personally.
 
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