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I have been afflicted by TV of the thorax to varying degrees for the past 12 years. I believe my condition has almost completely resolved but I am uncertain. I have noted small patches of TV in various areas of my chest BUT they are only noticeable under PARTICULAR LIGHTING CONDTIONS. The dry skin I have been accustomed to seeing associated with the patches is very faint. It appears that these various patches have a somewhat GLOSSY appearance to them when viewed under certain lighting. I was curious to know whether this observation is common and what it most likely represents. My dermatologist informed me that there was "nothing more that he could do to help" and suggested using oral Nizoral twice a day(400mg, once a week as a prophylactic treatment. Any suggestions
In Reply to: TV? posted by matt on March 08, 2002 at 00:34:06:
Hi, Matt.
What have you learned from the TV archives?
Walt
In Reply to: Re: TV? posted by Walt Stoll on March 08, 2002 at 11:44:55:
Dr.Stoll,
I understand that you are NOT in favour of using oral antifungals and are of the opinion that topical versions of the same medication work AS EFFECTIVELY. However, I did not note any reasoning to support your belief. Could you please elaborate.
Furthermore, I was unable to find any information on the characteristics I specified in my initial posting. I am interesting in learning whether the form of the condition I have previously described is common. Having been afflicted by the infection for over a decade I am familiar with the patches of dry skin but not with the glossy areas I described.
As for treatment, I have found that the topical cream Nizoral has not been effective in COMPLETELY eliminating the disease (I still have some glossy patches which have not darkened upon exposure to the sun)despite having applied the cream daily for LONGER THAN THE RECOMMENDED 4 WEEK PERIOD. Actually, I believe I have utilized the cream on a number of occasions for periods of time varying from 2 to 10 weeks over the past year with significant success but WITHOUT complete resolution of the problem.
I did learn the I SHOULD NOT WEAR ANY ITEMS OF CLOTHING TWICE WITHOUT WASHING "IN THE HOTTEST WATER" and that "I SHOULD REPLACE MY BEDSHEETS". I have just initiated this protocol this week-end, however, I am not convinced that this will benefit ME given the fact that the affected skin IS NOT NOTICEABLY DRY. I have also begun to use "A TERRYCLOTH" rag in the shower to exfoliate any dead skin.
I appreciate your advice and any thoughts or recommendations you might have regardings my problems and concerns.
Thanks,
Matt
In Reply to: Re: TV? posted by matt Illes on March 10, 2002 at 02:50:47:
Hi, Matt.
I am not "out of favor" with ANY approach. I only think that the individual should be totally informed about the effectiveness and the risks of ANY approach before using it.
I firmly believe that, with "fully informed consent", most people are competent to make the right decision for themselves. That means carefully reading the package insert of any prescription antifungal systemic medication BEFORE buying it.
Personally, I would never take any systemic antifungal since there are many as effective and MUCH safer alternatives to the dangerous internal options. However, there are people braver (or more foolish) than I who would choose to do systemic. That needs to be their choice--ONCE THEY KNOW WHAT THEIR OPTIONS ARE AND ARE FULLY COGNIZANT OF THE RISKS.
I think your terrycloth exfoliation efforts will make a bigger effect than changing the sheets but even that will take at least months to starve the little buggers out.
Improving your general immunity (wellness) is also a very effective way to resolve stubborn cases.
Hope this helps.
Walt
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