[skin concerns] It IS pityrosporum! And something else as well. If you’re at your wirs end, I highly recommend getting a skin biopsy done! Now curious about your opinions.

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Update since this post.I posted countless questions on this sub, just check my post history. My derm was confused and so was I. After 2 years NOTHING has worked and my skin looks like all sorts of things - seb derm, acne vulgaris, eczema, rosacea, subtype 2 rosacea, PIE etcetcetcetcDuring my last derm visit I dropped the topic of pityrosporum possibility. She was reluctant and dismissive. I was fed up with everything she ever perscribed me with no improvement, so much money wasted on pills (I’m off of them after 18 months!) and appointments and perscriptions. I was doubtful since the beginning as she would diagnose me with just her eyesight. But I was done. She said she’d let me come in a week to have skin biopsy done to see the fungal possibilities.I WAS RIGHT!!! There has been pityrosporum found upon examining the sample of my skin under the microscope as well as demodex! These two fuckers are finally out in the light! It’s just step one but after 2-3 years of blind guessing and not being sure of the fuck was my skin so resistant to everything we finally know the cause!!Just PSA: the sampling was uncomfortable. I felt like the lab guy literally scraped my skin to the meat with his little knife. He scraped the inside of my cheek and the side of my nose to get the sample. I was told not to moisturize or use anything but cleanser three full days prior so the results would be accurate. I felt like my skin was bleeding and out in the open after the process - when I looked in the mirror it was slightly red and the small papule was minorly damaged so it was a relief!Now that I’m finallyyyyyyy sure of the root cause, I’m curious of your opinions on my perscriptions to treat pityrosporum and demodex my derm has given me. I’m supposed to use 20% miconazole cream and a topical antibiotic that I dont remember the name of for theee weeks on affected areas (inner cheeks and t-zone and wherever I possibly get a blemish), every night in turns. So mornings would be cleanse & moisturize (and spf if I’m out) and nights would cleanse & be those two things, one night miconazole, other night topical antibiotic for three weeks. Then I’ll have a checkup.Does that sound good? Tbh I’m scared as I’ve had no successes all this time from things perscribed by my derm, lots of which had fragrance and esters and other nonesense. I wasn’t told what to use after those three weeks, guess we’ll disciss that at the checkup. But I’m afraid to even start those two perscriptions. Do any of you have experiences with pityrosporum and/or demodex and miconazole/antibiotic to treat them?I thought about just getting sulfur self-initiatively. Either from the get-go (aka not even trying the perscriptions) or using it after thise 3 weeks for maintenence. Opinions??
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Submitted by klaudippidy