Podcasts about malassezia

Joya Griffin, DVM, DACVD, is an Ohio native and graduated from Cornell University College of Veterinary Medicine in 2006. While attending Cornell, she earned numerous awards, including the Dermatology Service Award for her aptitude in clinical dermatology and her research on Malassezia otitis externa. After graduation, she completed an internship at the VCA Berwyn and Aurora animal hospitals in the Chicago area, where she was awarded the Intern Abstract Award for her presentation on methicillin-resistant Staphylococcus aureus. Griffin returned to Cornell in 2007 for a residency in dermatology and, after completing her residency training program, served 1 year as an instructor of dermatology, teaching fourth-year clinical students and lecturing to underclassmen on bacterial, fungal, and immune-mediated skin diseases. Griffin became a diplomate of the American College of Veterinary Dermatology in August 2010 and joined the Animal Dermatology Group. She has a special interest in fungal and immune-mediated skin diseases, as well as feline and equine dermatology. She enjoys lecturing to fellow veterinarians, mentoring residents, and teaching the veterinary students who extern with her. Griffin also stars in the Nat Geo WILD television series Pop Goes the Vet With Dr Joya, which highlights the challenging and mysterious cases she encounters in veterinary dermatology. Griffin always strives to care for her patients as if they are her own pets and loves building a long-lasting relationship with their pet parents. Outside of work, Griffin enjoys spending time with her family and pets. She is married to Forrest Cummings, DVM, DACVIM (SAIM), a veterinary internal medicine specialist, and they have 3 children: Caden and boy/girl twins Coby and Carter. They have a kitten named Donut and 2 dogs, Guri and Magic. Griffin loves traveling, eating the delicious meals her hubby cooks for her, and working out. 

Hoy tenemos un programa muy interesante, en la primera parte del programa hablaremos del “El Hospicio de San Jacinto” con Rodrigo Merino. Y el MVZ Raúl Ocádiz nos hablará de: “Malassezia el hongo que nunca se va.” No te lo pierdas en una emisión más de Mascoteando por El bienestar animal.

Chapter 1: "The Dermatological Agent: Ross's Malassezia Mission"   02.42 - John begins by welcoming Ross to the Skinflint podcast and acknowledges Ross's expertise in "Malassezia." He asks Ross to share his background and explain what Malassezia is.   Ross introduces himself as a professor of veterinary dermatology, detailing his experience in farm practice and later transitioning to small animal practice. He pursued further studies and a Ph.D. specifically focusing on Malassezia, and so has been interested in them for more than 30 years.   03.44 - John asks Ross to elaborate on Malassezia, describing it for listeners who might not be familiar with the term.   Ross explains that Malassezia is a group of yeast found naturally on the skin of various mammals and birds, thriving in lipid-rich environments. It typically exists as a commensal organism on the skin but can become an opportunistic pathogen, leading to dermatitis and otitis in dogs and occasionally in cats and horses.   05:27 - Sue asks if Malassezia is the same across different species or if there are variations.   Ross explains that there are 18 known species of Malassezia, each potentially adapted to a specific host. He discusses examples like M. cunicui in rabbits, M. caprae in goats, and M. equina in horses. He notes M. pachydermatitis as the dominant species in dogs, which is unique as it can grow on routine culture media, unlike other species requiring lipid supplementation. In contrast, cats may have different species like M. nana and M. slooffiae, among others, leading to variations in yeast colonisation. There's a discrepancy between what's identified molecularly and what's observed in cultures, particularly in dogs, highlighting an unexplained scientific disparity.     Chapter 2: "Species Confidential: Malassezia's Breed of Intrigue"   8.44 - John asks Ross about the location of Malassezia on animals.   Ross mentions that, in dogs, Malassezia is predominantly found in web spaces (75-80%), lip fold regions (similar proportion), and ear canals (about one-third). Lower levels are detected on the trunk, axilla, groin, and dorsum due to their warm, moist nature.   10.00 - John inquires about identifying Malassezia in cytology with dermatology tests like tape strips or impression smears.   07:35.54 - Ross confirms that Malassezia has a characteristic peanut-shaped morphology, identifiable under microscopy, usually abundant in specimens obtained from areas like a friendly basset hound's ear wax or neck fold wax, which are good teaching examples.   08:17.63 - Sue asks Ross about determining the relevance of Malassezia presence in ears or skin. Ross explains breed-specific variations in normal yeast population, how certain breeds might have high yeast counts without causing issues, and that the anatomical site also influences yeast populations. He notes that there's no clear clinical cut-off for relevance; treatment response often helps assess its significance, as excessive yeast might not always correlate with clinical symptoms.   14.39 - John asks Ross about the clinical signs indicating an overgrowth of Malassezia.   Ross explains that signs like inflamed or greasy skin, particularly in folded areas, ears, neck, or groin, are indicative of a potential Malassezia issue, especially in predisposed breeds (he names some).   16.48 - Sue asks Ross about Malassezia as a primary or secondary disease and its relation to underlying issues. Ross mentions that Malassezia is a commensal yeast and when it causes disease, it's often secondary to an underlying problem, involving immune system imbalances or hypersensitivity responses. Ross confirms that even in breeds prone to Malassezia, like Basset Hounds, there's usually an underlying cause for yeast proliferation. He mentions high Malassezia colonisation in mucosal populations of Basset Hounds, indicating more than just skin folds contributing to the issue.     Chapter 3: "Fungal Intrigue and Secret Signs: Unravelling Malassezia's Plot"   20.33 - John discusses the common misconception regarding skin folds and Malassezia issues in certain dog breeds with Ross. They touch upon the possibility of Malassezia hypersensitivity, its occurrence in certain dogs, and its association with atopic dermatitis.   Ross explains that while Malassezia hypersensitivity exists, its clinical presentation might not always correlate with immediate hypersensitivity reactions. He discusses intradermal testing in Bassett Hounds and the presence of IGE reactivity in some dogs, especially those with atopic tendencies.   25.19 - Sue asks Ross about primary care veterinary surgeons' preferred methods for diagnosing Malassezia dermatitis. Ross recommends simple techniques like ear swabs, tape strips, and microscopic examination for diagnosing Malassezia in primary care settings.   26.21 – John asks about whether this can be transferred between pets and humans.  Ross discusses the potential for Malassezia transfer between pets but emphasises that transferring Malassezia Pachydermatitis from pets to healthy owners is quite unlikely. He mentions instances in neonatal care units where Malassezia-related infections traced back to pet dogs have been observed, emphasising the importance of handwashing in preventing transmission.   28.18 - John inquires about treatment recommendations for Malassezia infections. Ross emphasises the accessibility of Malassezia yeasts for topical treatment and discusses the practical challenges in applying topical therapy to dogs with dense hair coats. He highlights the efficacy of 2% miconazole/2% chlorhexidine and 3% chlorhexidine shampoos based on consensus guidelines, alongside systemic treatments like itraconazole and ketoconazole.     34.29 - Sue asks Ross about the role of steroids in managing chronic Malassezia otitis and skin infections. Ross explains the importance of oral prednisolone for reversing stenosis in the ear canal and discusses the use of steroids in chronic Malassezia dermatitis, particularly in cases with allergic components, thickened skin, and hyperpigmentation.   39.44 - Ross provides a summary of the approach to Malassezia otitis externa and skin infections, suggesting a varied approach depending on the severity of the condition. He highlights situations where combining prednisolone with antifungal treatment may be necessary.   Sue and John express their gratitude to Ross for his expertise and wealth of information on Malassezia. They acknowledge the complexity of the subject and appreciate the insights shared during the discussion.

Today we've not only got a fan favorite back on the show, we are going to talk about a topic that I've only had ONE other guest talk about- perioral dermatitis. I know firsthand from a handful of clients I've worked with that perioral dermatitis is not only frustrating because it's hard to diagnose and find the root cause, but it's embarrassing because it is a lot of times on the face. So, let's dive in! Today's guest is Dr. Julie Greenberg is a licensed Naturopathic Doctor (ND) and Registered Herbalist RH(AHG) who specializes in integrative dermatology. She is the founder of The Center for Integrative & Naturopathic Dermatology Inc, a holistic clinic that approaches skin and hair problems by finding and treating the root cause. She is also the founder of RootCauseDermatology.com, a medical education website that trains functional medicine practitioners on how to treat dermatological conditions using her cutting-edge approach. Dr. Greenberg holds degrees from Northwestern University (BA), Stanford University (MBA) and Bastyr University (ND). Her research on the gut microbiome of acne patients has been published and presented at multiple conferences. She teaches dermatology classes at naturopathic medical schools and is a highly sought after speaker at conferences across the U.S. If you've ever had perioral dermatitis, how long did it take to get a diagnosis and did you find relief?  Tell me what worked for you or what didn't in the comments below! In this episode: What exactly is perioral dermatitis and why does getting a diagnosis seem so unclear? Some root causes + triggers of perioral dermatitis Why Dr. Greenberg might treat perioral derm patients similar to acne patients How Malassezia, parasites, and demodex mites could be involved in PD Should you stop using fluoride or look into your oral microbiome? Some natural treatment options to consider Quotes "Malassezia is a fungal organism. It's a yeast, which is a single-celled fungal organism. It's on everybody, but sometimes it can cause skin disease. And in the acne section, we talked about acne can be both bacterial acne, that kind of classic cutibacterium acne, but it can also be fungal acne, which is like a Malassezia folliculitis." [07:42] "I have recommendations for toothpaste, mouthwash, tongue scraper, and dental flosses, because whatever's in the mouth, that oral microbiome, it is going to come out and affect around the mouth." [25:02] Links Find Dr. Greenberg online | Instagram | take her courses Healthy Skin Show 173: Malassezia: The Bug Behind Many Fungal Skin Problems w/ Dr. Julie Greenberg Healthy Skin Show 149: How Staph Aureus Wrecks Your Skin w/ Dr. Julie Greenberg Healthy Skin Show 220: The Gut Microbiome Of Acne [NEW RESEARCH] w/ Dr. Julie Greenberg Healthy Skin Show 225: Topical Steroid Withdrawal (TSW)- Is It Just A Waiting Game? w/ Dr. Julie Greenberg Healthy Skin Show 243: Functional Approach to Alopecia Areata w/ Dr. Julie Greenberg Healthy Skin Show 136: Alternative Solutions For Rosacea w/ Dr. Peter Lio Try Risewell for some great toothpaste and oral care products (no fluoride). Use HEALTHYSKINSHOW for 10% OFF!

Skincare is vital for our faces, but we have skin all over our bodies, even on the top of our heads! Scalp health is essential and can impact the health of our hair growth and appearance. So how often should you wash your hair to ensure its maintenance, and what other healthy habits should you practice to nourish and protect your scalp?The Skin Report is a podcast created to educate listeners on methods to improve skin health for people of all ethnicities and ages. On this episode, host Dr. Sethi addresses misconceptions and misinformation about scalp health. She reviews proper cleansing routines and shares her thoughts on trends like double cleansing, hair oiling, and more. Listeners will also gain her insights on various common scalp conditions, including dandruff, Malassezia, and build-up!As the founder of RenewMD Beauty Medical Spas and a woman of color, Dr. Sethi knows the importance of properly caring for your skin. So expand your skincare knowledge by tuning in to this informative episode! Also, follow along on TikTok @SkinByDrSethi for more skincare content!Follow and DM a question for Dr. Sethi to answer on The Skin Report Podcast: RenewMD Beauty Instagram:https://www.instagram.com/renewmd_beauty/RenewMD Beauty Medical Spas, California:https://renewmdwellness.com/Skin Cycling Duo Special Offer 20% off Promo Code: SKINREPORT20

Peanuts... Snowmen... Yeasty Beasties! All things Malassezia on this week's episode of The Derm Vet podcast!

In part 1 of this series, we discussed how probiotics, supplements, patch testing, UV exposure, or vitamin D help with eczema. In part 2 of this series, you'll learn so much more, including: - What is Malassezia, and how can it cause flares? - How can certain oils cause eczema flares? - How can we keep the skin hydrated & avoid transepidermal water loss (TEWL)? - How to cure Malassezia around the mouth and eyes without using steriods? - What face mist formula is eczema-friendly? - How can hypochlorous acid help eczema flares? - Do bleach baths help with eczema & TSW?  - Prebiotics-Pesticides Dilemma Our guest on today's show, Dr. Matthew Zirwas, MD, is an American Board of Dermatology certified physician. He is a nationally known expert in allergy patch testing, psoriasis, and eczema. He is one of the few specialists on adult atopic dermatitis. Dr. Zirwas also founded the Bexley Dermatology Research Clinic in 2017. ------- Book a free eczema breakthrough call here if you need help conquering eczema.   Watch my FREE training here: on the top 3 biggest mistakes stopping your eczema from healing. For more eczema tips, follow Abby on: Facebook Instagram  YouTube   Website  Want helpful eczema products?  Shop my Conqueror line of products to help your skin find relief here. *Use the code PODCAST10 for 10% off your order here.

Today's topic discusses patch testing, UV exposure, Malassezia, and what the best probiotic strains are (with Dr. Matthew Zirwas, a dermatologist who specializes in eczema). In this episode, you'll learn about: - What probiotic strains help eczema the most? - How can L-Histidine and Oral Ceramides help eczema & TSW? - What supplements can help your eczema the most? - How can patch testing vs. prick testing help your eczema?   - Why are Vitamin D and sun exposure important for eczema? - How can Malassezia affect your eczema flares? Our guest, Dr. Matthew Zirwas, MD, is an American Board of Dermatology certified physician. He is a nationally known expert in allergy patch testing, psoriasis, and eczema. He is one of the few specialists on adult atopic dermatitis. Dr. Zirwas also founded the Bexley Dermatology Research Clinic in 2017. ------- Book a free eczema breakthrough call here if you need help conquering eczema.   Watch my FREE training here: on the top 3 biggest mistakes stopping your eczema from healing. For more eczema tips, follow Abby on: Facebook Instagram  YouTube   Website  Want helpful eczema products?  Shop my Conqueror line of products to help your skin find relief here. *Use the code PODCAST10 for 10% off your order here.

#AskDrJohnWatts Satyanarayana asks: Sir, why do we get dandruff? Is there any permanent solution to dandruff? How can we permanently solve the dandruff problem? Please explain. In his response, Dr John Watts informs Satyanarayana that dandruff is a fungal attack by the likes of Malassezia globose on the scalp. It could get triggered due to a wet or oily scalp. “These fungi propagate through spores,” informed Dr John Watts. For a permanent solution, Dr John Watts advised taking a daily head bath with a mild shampoo. Though some people have doubts on taking a daily head bath can lead to hair fall, Dr John said that such beliefs are unfounded. “If that is so, face wash brings your moustache and beard hair into contact with water every time. Do you lose hair?” he asked. In case of severe dandruff, Dr John asked Satyanarayana to consult a dermatologist for treatment. “There are anti-fungal treatments available for dandruff control. Ketoconazole and Zinc Pyrithione anti-dandruff shampoos may be prescribed in such cases by a dermatologist,” he said.

Enfermedades de la piel en perros: imágenes y diagnóstico En este artículo repasaremos las siguientes enfermedades de la piel en perros: dermatitis alérgica a la picadura de pulga, pioderma, sarna sarcóptica, dermatitis atópica y dermatitis por Malassezia. Dermatitis alérgica a la picadura de pulga (DAPP) Pioderma Sarna sarcóptica Dermatitis atópica Dermatitis por Malassezia Visita nuestro blog: https://www.affinity-petcare.com/vets... Síguenos en nuestros canales oficiales: 👉🏽 LinkedIn: https://www.linkedin.com/showcase/vet... 👉🏽 Twitter: https://twitter.com/VetsAndClinics

Enfermedades de la piel en perros: imágenes y diagnóstico En este artículo repasaremos las siguientes enfermedades de la piel en perros: dermatitis alérgica a la picadura de pulga, pioderma, sarna sarcóptica, dermatitis atópica y dermatitis por Malassezia. Dermatitis alérgica a la picadura de pulga (DAPP) Pioderma Sarna sarcóptica Dermatitis atópica Dermatitis por Malassezia Visita nuestro blog: https://www.affinity-petcare.com/vets... Síguenos en nuestros canales oficiales: 👉🏽 LinkedIn: https://www.linkedin.com/showcase/vet... 👉🏽 Twitter: https://twitter.com/VetsAndClinics

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Do you have gut problems and also any form of acne? On today's show we are talking all about rosacea vs seborrheic dermatitis plus many other gut-skin conditions (and what to do about it all)!I have shared my own journey with perioral dermatitis many times.Each time I do, the amount of women who message me their own story is astounding. But it's always more than PD (perioral dermatitis). There are many other skin conditions with similar symptoms, GI issues being one.So I want to dig more into the topic.Rosacea vs Seborrheic Dermatitis (+ other gut-skin issues): Podcast Episode 48ResourcesToxic Beauty with Beth Walker (podcast episode 5)BeautycounterMad Hippie (I get it through Grove Collaborative HERE)Primally Pure (Use my code “AGUSTYGIRL10′ at checkout to save 10% off your entire FIRST purchase.)Lori on Instagram HEREContact Lori (nfo@lwskincare.com)Lori's website HEREThe Beauty of Dirty Skin (Dr. Whitney Bowe)What is Leaky Gut?Small ChangesLiver CleanseChronic Skin Issues and the Gut Connection (Episode 31 with Jennifer Fugo)“It's not just skincare; what is really going on?” – LoriDon't Miss These ThoughtsWho is Lori Ward?Why do so many people with gut issues have skin problems and vice-versa?Digging in more on common chronic conditions. For each, we'll expand more upon the specific condition and then also more on specific gut problems that typically co-exist….RosaceaSeborrheic dermatitisPerioral dermatitisEczemaAcne vulgarisPsoriasisAny others of notable mention?Where does Lori start when someone goes to her with an acne concern?Foods that are healing for both acne and gut problems.What is epigenetic hair scanning, and how does Lori use it in her practice?More on RosaceaDo you have a dominant red face? It could be Rosacea.Rosacea is a common skin condition that appears as red skin, blushing and flushing of the face.Lori mentions that, in addition to the facial color change, symptoms of rosacea may include visible blood vessels and puss-filled bumps.Rosacea breaks down into these four typesErythematotelangiectatic rosaceaPapulopustular rosaceaPhymatous rosaceaOcular rosaceaDepending on the type, the symptoms might look different.According to the American Academy of Dermatology, here are the common clues (they say “clues” not causes, as they don't have an actual cause):Runs in families.Immune system plays a role.H. Pylori is common in those with Rosacea.A mite that lives on everyone's skin, demodex, may play a role.Cathelicidin, a protein that normally protects the skin from infection, may cause the redness and swelling.LEARN ALL ABOUT H. PYLORI HEREAnd according to Lori, here are 3 common triggers and causes she typically finds in those with Rosacea:Fungal infectionParasitesLeaky GutWhen it comes to the treatment of rosacea, treatment options will always depend on who you work with.Lori's approach is definitely an anti-inflammatory diet immediately to quell the inflammatory response.Other ways include:Sun protectionManaging personal triggersUsing appropriate skincare methodsLaser and light-based treatmentsCreams and topical steroids (caution on these because they do not come without adverse effects)More on Seborrheic DermatitisUnlike Rosacea, which mainly affects the face – inflammation of the skin, Seborrheic Dermatitis affects different areas of the body – namely the scalp. However, the upper back and nose can also be highly affected.According to the National Eczema Organization, An inflammatory reaction to excess Malassezia yeast, an organism that normally lives on the skin's surface, is the likely cause of seborrheic dermatitis. Lori says that when she dials it in deep with her clients, the root cause is always the same.Common triggers of Seborrhoeic Dermatitis (according to the National Eczema Organization) include:stresshormonal changes or illnessharsh detergents, solvents, chemicals and soapscold, dry weathersome medications, including psoralen, interferon and lithiumTriggers vs CausesRemember not too long ago when I read from Day 5 from A Gutsy Girl's Bible: a 21-day approach to healing the gut?The topic was: Diagnosis, Root Causes, and Triggers.They are not the same, and understanding the differences between all three is very important on your healing journey. Of course, the context for the book and this conversation was surrounding the gut, but the same applies for any and all parts of the body, including skin.Listen in to revisit the conversation.These are some things which are triggers (not causes) of skin issues; acne, rosacea, etc.:dry skinoily skinsensitive skingreasy scalesgeneral disturbances to any areas of the skinspicy foodswarm water (or cold water)change of seasonsstress of any typeCauses, like triggers, are also plentiful.And the only way to truly know the cause is by testing.Finding health care providers who will understand that usually skin issues like these are not just surface-deep.Topical antibiotics, while they can and do work, are not the final answer. Your underlying cause is not a deficiency in whatever topical antibiotic you're prescribed.Inflammatory Skin DisordersGetting a correct diagnosis is important when it comes to medical conditions of the skin.While it's tempting to treat only the affected area (I know because I tried that for years with my PD), you'll only prolong the issue, turning mild cases into a higher risk for something worse.It's also important to remember that, while you're not always likely to find it from a medical journal, gut issues are not only just possible causes but almost always part of the root cause.I fought that idea for years.When it came to my PD, as soon as the SIBO cleared, it also went away for good.Clear skin is possible, but rarely can it exist without a strong microbiome.More from A Gutsy GirlWant to learn even more about the gut and ways to heal it?Learn all the secrets via my signature book, A Gutsy Girl's Bible: a 21-day approach to healing the gut. Grab your copy on Amazon HERE. Welcome to A Gutsy Girl PodcastHang out on InstagramBFF's on YouTubeFree resource: The Master Gutsy SpreadsheetRated-G Email ClubWrap UpTime to wrap this up. As always, a huge goal for this show is to connect with even more people. Feel free to send an email to our team at podcast@agutsygirl.com. We want to hear questions, comments, show ideas, etc.Did you enjoy this episode? Please drop a comment below or leave a review on Apple Podcasts.Lori Ward's BioLori Ward, a Licensed Esthetician, Skincare Formulator and Integrative Health Practitioner, is empowering teens and adults who've been failed by conventional medicine to beat chronic acne and sneaky underlying gut challenges.She specializes in Acne and Gut health and founded and formulated her own skincare line specifically for people struggling with chronic skin problems, while using Integrative, Nutritional and Ayurvedic lifestyle changes to heal internally. Frustrated with her own children's Acutane journey, Lori's story began when she joined her daughter in Esthetics school at age 42 and soon became fascinated at the connection between skin, gut and the brain.For many who suffer from skin conditions, root causes are often silenced and ignored by traditional methods – which could be harming more than helping. Her approach is very different from the typical Estheticians path of working with chronic skin conditions! If you liked this episode on Rosacea vs Seborrheic Dermatitis (+ other gut-skin issues), you might also enjoy:Perioral Dermatitis Home Remedies {How I Healed My Perioral Dermatitis Naturally}Side Effects of Oral Antibiotics and Rebuilding the Gut15 Internal and External Skin Health TipsXox,SKH Connect with A Gutsy GirlThrough the websiteOn InstagramVia LinkedIn

Do you have gut problems and also any form of acne? On today's show we are talking all about rosacea vs seborrheic dermatitis plus many other gut-skin conditions (and what to do about it all)!I have shared my own journey with perioral dermatitis many times.Each time I do, the amount of women who message me their own story is astounding. But it's always more than PD (perioral dermatitis). There are many other skin conditions with similar symptoms, GI issues being one.So I want to dig more into the topic.Rosacea vs Seborrheic Dermatitis (+ other gut-skin issues): Podcast Episode 48ResourcesToxic Beauty with Beth Walker (podcast episode 5)BeautycounterMad Hippie (I get it through Grove Collaborative HERE)Primally Pure (Use my code “AGUSTYGIRL10′ at checkout to save 10% off your entire FIRST purchase.)Lori on Instagram HEREContact Lori (nfo@lwskincare.com)Lori's website HEREThe Beauty of Dirty Skin (Dr. Whitney Bowe)What is Leaky Gut?Small ChangesLiver CleanseChronic Skin Issues and the Gut Connection (Episode 31 with Jennifer Fugo)“It's not just skincare; what is really going on?” – LoriDon't Miss These ThoughtsWho is Lori Ward?Why do so many people with gut issues have skin problems and vice-versa?Digging in more on common chronic conditions. For each, we'll expand more upon the specific condition and then also more on specific gut problems that typically co-exist….RosaceaSeborrheic dermatitisPerioral dermatitisEczemaAcne vulgarisPsoriasisAny others of notable mention?Where does Lori start when someone goes to her with an acne concern?Foods that are healing for both acne and gut problems.What is epigenetic hair scanning, and how does Lori use it in her practice?More on RosaceaDo you have a dominant red face? It could be Rosacea.Rosacea is a common skin condition that appears as red skin, blushing and flushing of the face.Lori mentions that, in addition to the facial color change, symptoms of rosacea may include visible blood vessels and puss-filled bumps.Rosacea breaks down into these four typesErythematotelangiectatic rosaceaPapulopustular rosaceaPhymatous rosaceaOcular rosaceaDepending on the type, the symptoms might look different.According to the American Academy of Dermatology, here are the common clues (they say “clues” not causes, as they don't have an actual cause):Runs in families.Immune system plays a role.H. Pylori is common in those with Rosacea.A mite that lives on everyone's skin, demodex, may play a role.Cathelicidin, a protein that normally protects the skin from infection, may cause the redness and swelling.LEARN ALL ABOUT H. PYLORI HEREAnd according to Lori, here are 3 common triggers and causes she typically finds in those with Rosacea:Fungal infectionParasitesLeaky GutWhen it comes to the treatment of rosacea, treatment options will always depend on who you work with.Lori's approach is definitely an anti-inflammatory diet immediately to quell the inflammatory response.Other ways include:Sun protectionManaging personal triggersUsing appropriate skincare methodsLaser and light-based treatmentsCreams and topical steroids (caution on these because they do not come without adverse effects)More on Seborrheic DermatitisUnlike Rosacea, which mainly affects the face – inflammation of the skin, Seborrheic Dermatitis affects different areas of the body – namely the scalp. However, the upper back and nose can also be highly affected.According to the National Eczema Organization,An inflammatory reaction to excess Malassezia yeast, an organism that normally lives on the skin's surface, is the likely cause of seborrheic dermatitis. Lori says that when she dials it in deep with her clients, the root cause is always the same.Common triggers of Seborrhoeic Dermatitis (according to the National Eczema Organization) include:stresshormonal changes or illnessharsh detergents, solvents, chemicals and soapscold, dry weathersome medications, including psoralen, interferon and lithiumTriggers vs CausesRemember not too long ago when I read from Day 5 from A Gutsy Girl's Bible: a 21-day approach to healing the gut?The topic was: Diagnosis, Root Causes, and Triggers.They are not the same, and understanding the differences between all three is very important on your healing journey. Of course, the context for the book and this conversation was surrounding the gut, but the same applies for any and all parts of the body, including skin.Listen in to revisit the conversation.These are some things which are triggers (not causes) of skin issues; acne, rosacea, etc.:dry skinoily skinsensitive skingreasy scalesgeneral disturbances to any areas of the skinspicy foodswarm water (or cold water)change of seasonsstress of any typeCauses, like triggers, are also plentiful.And the only way to truly know the cause is by testing.Finding health care providers who will understand that usually skin issues like these are not just surface-deep.Topical antibiotics, while they can and do work, are not the final answer. Your underlying cause is not a deficiency in whatever topical antibiotic you're prescribed.Inflammatory Skin DisordersGetting a correct diagnosis is important when it comes to medical conditions of the skin.While it's tempting to treat only the affected area (I know because I tried that for years with my PD), you'll only prolong the issue, turning mild cases into a higher risk for something worse.It's also important to remember that, while you're not always likely to find it from a medical journal, gut issues are not only just possible causes but almost always part of the root cause.I fought that idea for years.When it came to my PD, as soon as the SIBO cleared, it also went away for good.Clear skin is possible, but rarely can it exist without a strong microbiome.More from A Gutsy GirlWant to learn even more about the gut and ways to heal it?Learn all the secrets via my signature book, A Gutsy Girl's Bible: a 21-day approach to healing the gut. Grab your copy on Amazon HERE. Welcome to A Gutsy Girl PodcastHang out on InstagramBFF's on YouTubeFree resource: The Master Gutsy SpreadsheetRated-G Email ClubWrap UpTime to wrap this up. As always, a huge goal for this show is to connect with even more people. Feel free to send an email to our team at podcast@agutsygirl.com. We want to hear questions, comments, show ideas, etc.Did you enjoy this episode? Please drop a comment below or leave a review on Apple Podcasts.Lori Ward's BioLori Ward, a Licensed Esthetician, Skincare Formulator and Integrative Health Practitioner, is empowering teens and adults who've been failed by conventional medicine to beat chronic acne and sneaky underlying gut challenges.She specializes in Acne and Gut health and founded and formulated her own skincare line specifically for people struggling with chronic skin problems, while using Integrative, Nutritional and Ayurvedic lifestyle changes to heal internally. Frustrated with her own children's Acutane journey, Lori's story began when she joined her daughter in Esthetics school at age 42 and soon became fascinated at the connection between skin, gut and the brain.For many who suffer from skin conditions, root causes are often silenced and ignored by traditional methods – which could be harming more than helping. Her approach is very different from the typical Estheticians path of working with chronic skin conditions! If you liked this episode on Rosacea vs Seborrheic Dermatitis (+ other gut-skin issues), you might also enjoy:Perioral Dermatitis Home Remedies {How I Healed My Perioral Dermatitis Naturally}Side Effects of Oral Antibiotics and Rebuilding the Gut15 Internal and External Skin Health TipsXox,SKH

Joya Griffin, DVM, DACVD, is an Ohio native and graduated from Cornell University College of Veterinary Medicine in 2006. While attending Cornell, she earned numerous awards, including the Dermatology Service Award for her aptitude in clinical dermatology and her research on Malassezia otitis externa. After graduation, she completed an internship at VCA Berwyn and Aurora Animal Hospitals in Chicago where she was awarded the Intern Abstract Award for her presentation on Methicillin-Resistant Staphylococcus aureus. Griffin returned to Cornell University in 2007 for a residency in dermatology and, after completing her residency-training program, served one year as an instructor of dermatology teaching fourth-year clinical students as well as lecturing to underclassmen on bacterial, fungal, and immune-mediated skin diseases.  Griffin became a Diplomate of the American College of Veterinary Dermatology (ACVD) in August 2010 and joined the Animal Dermatology Group. She has a special interest in fungal and immune-mediated skin diseases as well as feline and equine dermatology. She enjoys lecturing to fellow veterinarians, mentoring residents, and teaching the veterinary students who extern with her. Griffin also stars in the Nat Geo WILD television series, “Pop Goes the Vet with Dr. Joya,” which highlights the challenging and mysterious cases she encounters in veterinary dermatology.  

Paul Bloom, DVM, DACVD, DABVP (Canine and Feline), obtained his doctor of veterinary medicine degree with high honors. He was board certified with the American Board of Veterinary Practitioners in 1984 and the American College of Veterinary Dermatology (ACVD) in 2001. He became an Elite Fear Free Certified practitioner in 2018 and completed the Cat Friendly Certificate Program in 2020. Currently, he is the staff dermatologist at Allergy, Skin, and Ear Clinic for Pets and an adjunct professor at Michigan State University (MSU) College of Veterinary Medicine in East Lansing.  Dr Bloom has lectured locally, nationally, and internationally on all aspects of veterinary dermatology and has extensive experience in diagnosing and managing chronic ear and skin diseases, including methicillin-resistant Staphylococcus pseudintermedius/multidrug-resistant infections. He serves on the ACVD scientific program committee and is a reviewer for the professional journals Veterinary Dermatology, The Veterinary Journal, Irish Veterinary Journal, Journal of Small Animal Practice, Veterinary Sciences, JAVMA, and Journal of Veterinary Emergency and Critical Care.   In 2019, Dr Bloom was honored to be selected for the Distinguished Veterinary Alumni Award – Practitioner and the Philanthropist of the Year award from the MSU College of Veterinary Medicine. When he's not working, Dr Bloom spends his time playing hockey or relaxing at home in rural Northfield Township, Michigan, with his wife and “menagerie,” which currently includes 3 horses, 2 miniature donkeys, 1 goat, 2 sheep, 2 cats, and 1 dog.

How do you diagnose and appropriately treat yeast otitis? What if it doesn't respond? When do you reach for systemic medications?Learn why cytology is SO important in these cases and how to manage yeast otitis.

El prurito facial y en cuello lo causan parásitos como Notoedres y Otodectes, alergias alimentarias, hipersensibilidad ambiental, pénfigo, dermatosis víricas (dermatosis ulcerativas, no considerar como diagnóstico habitual) y DAPP (cuello). En presencia de cerumen negro en el oído nos hace sospechar de la presencia de Otodectes. Se recomienda evaluar el cerumen fresco y realizar citología para Malassezia y/o Cándidas. Abordaje práctico del prurito felino Autor: Carlos Vich, LV, Dipl. ESAVS

En el tratamiento de la dermatitis por Malassezia se deberá identificar y tratar la causa primaria. La Malassezia se tratará específicamente con ketoconazol – itraconazol a 2,5 – 10 mg/Kg/SID 1 mes y en el caso de otitis, se aplicarán gotas con ótico, entre los cuales los registrados para gatos con miconazol son una buena opción. Abordaje práctico del prurito felino Autor: Carlos Vich, LV, Dipl. ESAVS

La dermatitis por Malassezia es menos frecuente en gatos, pero sigue siendo una de las 6 enfermedades más frecuentes con manifestación pruriginosa. La topografía lesional se asemeja mucho a la del perro con presencia de prurito facial periocular, perilabrial, otitis externa con cerumen marrón-negruzco y en el mentón. Es frecuente la presentación clínica de pododermatitis con prurito podal dorsal y/o ventral. En casos de seborrea oleosa primaria es posible observar dermatitis por Malassezia generalizada. Es particular del gato la paroniquia con material querato-seborreico marrón- negro. El diagnóstico se realizará por citología por hisopo tanto de cerumen como de material querato-seborreico. Abordaje práctico del prurito felino Autor: Carlos Vich, LV, Dipl. ESAVS

Intro (00:00) John introduces the team of Sue Paterson and Paul Heasman, ready for another fascinating conversation with the special guest, Ross Walker.   Log this CPD with 1CPD here   Chapter 1 – What is hypochlorous? (02:05) Sue introduces Ross Walker to the podcast. Ross describes himself as Director of Clinical Health Technologies, which manufacture products based on a high purity of hypochlorous solution; this has been in the human market with the Clinisept brand, and is now moving into the animal sector with the Contego brand via Nextmune.   (02:52) Sue asks Ross how he got into working with hypochlorous acid. Ross says having worked in London and then wanting to change, he was approached to work in the field of producing a highly stabilised hypochlorous acid.   (03:35) Sue asks what hypochlorous acid is and Ross describes it as the most effective disinfectant agent known to man, but is also completely skin compatible to any mammals- so it kills things you want to get rid of without doing any harm to humans or animals.   (04:12) Sue asks how this works, and why it isn't a concern that it has the word acid in it. Ross says this is because it is an acid with a skin neutral pH, so it is non-irritant, non-sensitising and non-cytotoxic. He says it originates in our body in order to deal with invading organisms, through the process of phagocytosis - the blood cells in our body produce low concentrations  and low quantities of hypochlorous.   (05:37) John ponders what the catch is and why this isn't already widely used in the human sector and more generally. Ross describes hypochlorous Archilles' heel - describing the first discovery of hypochlorous occurring during the first world war in 1915, where when soldiers had severe wounds as well as having been exposed to chlorine gas, it was discovered that they healed much quicker than those who had had the severe wounds without the exposure to chlorine gas. This was found to be due to the chlorine forming a solution in the water within the trenches, and this forming a level of cleanliness. The soldiers exposed to the chlorine gas we're also found to have high levels of cleanliness within the wounds. The papers published at the time concluded three things: firstly that hypochlorous was a very effective disinfectant, being bactericidal, fungicidal, viricidal and sporicidal. Secondly that it had a skin neutral pH, so therefore was contributing bacterial resistance without causing skin trauma. And thirdly, that this contributed to the perfect environment for skin healing, maintaining cleanliness without causing tissue trauma.   (08:19) Sue asks the difference between this and hypochlorite (bleach). Ross says that the two are derived from the chlorine chemistry, but that hypochlorite or bleach, is far more skin irritant, as many with no not wanting to have bleach on the skin. But that it is actually also much less effective in killing bacteria then hypochlorous. Ross demonstrates this by saying that an examination of a bottle of bleach would show a very high parts per million concentration, because hypochlorite has to be in very high concentrations in order to be effective; whereas hypochlorous can be in a much lower concentration in order to achieve the same level of efficacy.   Chapter 2: Why isn't it being used in people? (09:51) John asks again whether this is something that is available on the human market and Ross confirms that over the years the number of companies have bought this product in the market, and much research has been done. However, it never achieves its potential because of the Achilles heel mentioned previously. Hypochlorous has a half life of 48 hours, meaning if you manufacture it you need  do something with it quickly before it starts to decay; this is due to its manufacture, which in 1915 was by electrolysis – passing an electric current through a saline solution and generating a quantity of hypochlorous from the anode. This method of manufacture has remained since 1915 until recently, when a new method that Ross uses came in (using a chemical method to manufacturer it). Stabilising techniques used on the electrolysis method, have always produced a low level of concentration, a low level of stability and a low level of purity. Ross says their method pulls the rug from under these Achilles' heels, providing a shelf life of two years, as well as a high level of stability and of concentration - in excess of 90% hypochlorous in comparison to the previous iterations of around 60%   (12:13) Sue asks about the applications being used in the human field already. Ross shares that they initially needed to verify the efficacy of their version of hypochlorous, and so they compiled a study involving ear piercing, with the largest manufacturer of ear piercings and the largest ear-piercing company, and have pierced in excess of 20 million ears using their version of hypochlorous as the after-care. During that time they have had zero reports of infection following the piercing, and that it has enabled the manufacturer to halve the healing time from six weeks, down to 3 weeks. They then launched in the aesthetic sector, so it is used in the cosmetic industry and following the launch in June 2017 it had (by December 17) been given the 'Product of the Year' award in that sector. They have also since gone on to work in the podiatry sector as well as the dental sector with a mouth rinse - in all of these instances the product is doing exactly the same thing, maintaining cleanliness without damaging the tissue and therefore improving skin healing time.  Ross adds that it has applications in venous and diabetic leg ulcers, where it is very effective due to its efficacy on removing biofilms.   Chapter 3: How can it help animals? (15:13) John asked whether this is safe to use in animals as well as people, and what species. And Ross confirms that it is safe to use in all mammals, so including small animals and large animals such as livestock and horses. John goes on to ask the application in these animals and Ross says this application is very widespread, not simply for wound healing applications but also for instances of skin contamination, eczema and dermatitis.   (16:28) Sue asks what papers have been published in the human field to demonstrate the efficacy of hypochlorous against things like yeast, staphylococcus and pseudomonas. Ross says a Wikipedia search will reveal approximately 3,500 papers published on the efficacy of the substance in disinfectant in these instances - and Ross says many papers have been published to prove its efficacy in European Normative standards. Hypochlorous uses an oxidising method of action to dissolve cell walls make it very quick in its effect, rather than those using a toxic method which is slower and can result in resistance as well as sometimes being toxic to the skin in too higher concentrations.   (18:27) Sue clarifies that this includes Malassezia, staphylococcus and pseudomonas and Ross confirms these are well within the capabilities of hypochlorous to kill these within 15 seconds.   (18:41) John asks about its effect with pus and cases of biofilm, with Ross saying it is very effective in these instances, crucially dissolving biofilm film as well as killing it. This means that with repeated application you can quickly remove the biofilm from the surface. Ross points out the physical action of rinsing is also beneficial to wash away the biofilm whilst also dissolving it, and Sue agrees that the resistant nature of biofilm contributes to the chance of resistance, and so disinfectant is a great benefit here. Ross confirms and points out a low level of infection can contribute to a biofilm which will delay healing and that there are many papers published in biofilm application for hypochlorous.   Chapter 3: Where does it fit with existing products? (22:25) Sue asks about the development of the use of topical therapy in treating bacterial overgrowth and infection on the skin, and whether hypochlorous could be used in a similar way to chlorhexidine in this application. Ross says that not only could it be used in this way, but it would do a much better job. Stating that chlorhexidine uses the aforementioned toxic method for killing bacteria, but this can also have some toxicity with the skin and slow skin healing in a way that hypochlorous doesn't. He also states there are growing number of plastic surgeons who are no longer prescribing routine antibiotics post-surgery when using hypochlorous, because they are so confident that it will prevent an infection from ever establishing!   (24:20) Sue asks about the possibility of hypochlorous being available as a shampoo rather than just a spray, because of the useful nature of a shampoo regardless of what is in it. Ross points out that the nature of hypochlorous means that it does not respond well to being mixed with other chemistry and so could never be formulated, as such there will always be a place for chlorhexidine-based formulations such as shampoos. Sue says that this therefore gives us a great choice for skin care and Ross echoes this.   (25:46) John asks how environmentally friendly hypochlorous is and Ross shares that hypochlorous has been given a category five by the environmental protection agency on their toxicity scale, which is the highest classification for environmental safety. Ross says that the nature of hypochlorous action, means that it uses up its efficacy as it decontaminates, so as it pours down the drain you will have a very clean first few metres of drain but by the time it makes it into the waterways it is benign.   (26:50) Sue summarises what we have learnt on the podcast and Ross agrees, saying it very quickly garnered the nickname 'game changer' when first launched. John asks how people may get hold of this and Ross says this is available over the counter via Nextmune to the animal industry.   Outro 29.36 John and Sue wrap up another insightful episode, with some musings of times gone by when hypochlorous acid might have been useful to the podcast panel.   Hypochlorous is available as Contego, from Nextmune UK – for information on how to order email salesenquiries.uk@nextmune.com   References A pilot study comparing in vitro efficacy of topical preparations against veterinary pathogens.  Uri, M. Buckley, L. Marriage, L. McEwan, N. Schmidt, V. (2016). Veterinary Dermatology. 27 (34), 152.   Antimicrobial efficacy of a very stable hypochlorous acid formula compared with other antiseptics used in treating wounds: in-vitro study on micro-organisms with or without biofilm Herruzo, R. Herruzo, I. Journal of Hospital Infection June 2020 105(2):289-294   Antibiofilm Efficacy of Polihexanide, Octenidine and Sodium Hypochlorite/Hypochlorous Acid Based Wound Irrigation Solutions against Staphylococcus aureus, Pseudomonas aeruginosa and a Multispecies Biofilm                                                                                                          Anne-Marie Salisbury, Marc Mullin, Rui Chen, Steven L. Percival 26 June 2021 pp 1-15 Advances in Experimental Medicine and Biology    Wound cleansing: benefits of hypochlorous acid. Joachim D, Journal of wound care [J Wound Care 2020 Oct 01; Vol. 29 (Sup10a), pp. S4-S8;

Enfermedades de la piel en perros. En este artículo repasaremos las siguientes enfermedades de la piel en perros: dermatitis alérgica a la picadura de pulga, pioderma, sarna sarcóptica, dermatitis atópica y dermatitis por Malassezia. Amplia tu conocimiento sobre las enfermedades de la piel descargando esta guía gratuita https://vetsandclinics.affinity-petcare.com/es/report-dermatitis-atopica-canina?utm_referrer=https%3A%2F%2Fwww.affinity-petcare.com Puedes apuntarte a Visita nuestro blog: https://www.affinity-petcare.com/vets... en nuestros canales oficiales: LinkedIn: https://www.linkedin.com/showcase/vet... Twitter: https://twitter.com/VetsAndClinics

Enfermedades de la piel en perros. En este artículo repasaremos las siguientes enfermedades de la piel en perros: dermatitis alérgica a la picadura de pulga, pioderma, sarna sarcóptica, dermatitis atópica y dermatitis por Malassezia. Amplia tu conocimiento sobre las enfermedades de la piel descargando esta guía gratuita https://vetsandclinics.affinity-petcare.com/es/report-dermatitis-atopica-canina?utm_referrer=https%3A%2F%2Fwww.affinity-petcare.com Puedes apuntarte a Visita nuestro blog: https://www.affinity-petcare.com/vets... en nuestros canales oficiales: LinkedIn: https://www.linkedin.com/showcase/vet... Twitter: https://twitter.com/VetsAndClinics

Considerando que el biofilm es producido por alrededor del 40% de las bacterias aisladas, así como por Malassezia, el reconocimiento y el control de éste es fundamental para conseguir el éxito terapéutico, y permitir una penetración adecuada de los fármacos tópicos. Realizar limpiezas profundas es fundamental, y el uso de determinados compuestos puede ayudar a deshacer la matriz amorfa, como la N-acetilcisteína o TrizEDTA. Autor: Isaac Carrasco, LV, PhD St, GPCertDerm ISVPS, Acred DermatologÍ­a AVEPA-GEDA

We talk about the Matrix 4 trailer and predictions. Some spooky happenings. Pet health and wellness updates, and some Apple announcement hopes and dreams. Tags: comedy, apple, tech, Matrix 4, Matrix, movie predictions, bad omens, Veterinary, pets, I've got a bad feeling about this   Facebook: https://www.facebook.com/Ydekcast/ email us: ydekcast@gmail.com YouTube: https://www.youtube.com/channel/UCi-hJ40EEb26f08wbZWhOEw

Are you spending sleepless nights with your itchy, scratchy, and smelly dog? In this episode, Dr. Dobias discusses how to diagnose skin yeast infections in dogs (Malassezia), as well as symptoms, causes, and prevention. You'll also hear why the conventional anti-fungal drug and shampoo protocols just don't work, and learn about Dr. Dobias' nine-step natural and drug-free treatment plan for yeast and fungal infections in dogs. ____________________________________________ Resources that you shouldn't miss: 9-Step natural treatment plan for skin yeast infections (Malassezia) in dogs: https://peterdobias.com/blogs/blog/9-step-natural-treatment-plan-for-skin-yeast-infections-malassezia-in-dogs A Quick and Easy Raw and Cooked Natural Diet for Dogs: https://peterdobias.com/pages/course-rawdiet Healthy Recipe Maker for Dogs: https://recipemaker.peterdobias.com/ Your Dog's Invisible Pathway of Life that you Must Know About: https://peterdobias.com/blogs/blog/your-dogs-invisible-pathway-of-life-that-you-must-know-about  The Mysterious Connection Between Your Dog's Neck and Internal Organ Health: https://peterdobias.com/blogs/blog/why-women-rule-and-how-this-connects-with-your-dog-s-health ____________________________________________ Fab4 Essential Supplements for Dogs: https://peterdobias.com/collections/adult-dog-essentials Skin Spray: https://peterdobias.com/products/skin-spray LiverTune: https://peterdobias.com/products/livertune-supplement FleaHex: https://peterdobias.com/products/fleahex TickHex: https://peterdobias.com/products/tickhex ____________________________________________ Visit Pax and I on our website: www.peterdobias.com Be Social! Facebook Instagram Pinterest YouTube Awesome to see you here! I gather it's because you care a little more. 

In Episode 3 of the Skin Flint Podcast, we invite dermatology specialist Janet Littlewood to join us to discuss a very popular breed of dog - West Highland White Terriers (Westies). Janet has over 30 years' experience in referral dermatology, holds the RCVS Dilpoma, and is an RCVS Recognised Specialist in Veterinary Dermatology.    Log this CPD with 1CPD here   SHOW NOTES Intro (00:00) - Westies And Besties John introduces Sue & Paul, before briefly addressing the topic to be discussed and who is joining us on episode 3. Chapter 1 (03:08) - Why Westies? Sue introduces Westie skin disease and Janet talks about whether this breed is more likely to suffer from skin issues. John then asks if there is a link between the white coated nature of the breed and the skin disease and Janet points out there is not any evidence of a link and there are also other white coated breeds which aren't as prone to skin problems. John then poses the question as to whether there is anything potential owners can do to reduce the risk of getting a Westie puppy likely to have skin disease. Janet talks about seeing the mum and dad of the puppy, especially the mum, and looking for saliva staining on the hair coat (rusty/reddish-brown) as a suggestion of allergy being in the genes of the puppy. But she also points out this isn't a guarantee and some severely affected puppies come from mildly affected parents. Sue brings up Lucy's Law, which regulates people buying puppies from breeders and not bad sources. Janet also urges caution in having a rescue Westie, as they are often rehomed because of skin disease, but may well look fine at the point of rehoming as the rescue centre they are in is a low allergen environment. Janet shares a story of rehoming a dog herself, but it very quickly became symptomatic when she arrived home. Chapter 2 (10:35) - Westie Skin Disease John asks if it is only allergy we are talking about with ‘Westie skin disease', which Janet clarifies: it is generally an environmental allergy with secondary issues from something like bacterial infection. It is sometimes, but not often, a food rather than environmental allergy. Sue talks about the horrible black thickened skin Westies can get and Janet talks about this being a result of a long-term secondary infection, referring to it as a dysbiosis (see next question), often caused by a yeast infection called Malassezia dermatitis. She mentions these are even more itchy and hard to control with anti itch therapy such as Oclacitinib (Apoquel), Lokivetmab (Cytopoint) or glucocorticoids (steroids) than the allergy itself. As such the vet should find out what micro organism is overgrowing on the skin. Sue then clarifies the word dysbiosis, and Janet talks about this being the imbalance of micro organisms on the surface of the skin, micro organisms which are naturally on the skin already. This imbalance causes an overgrowth of one organism, bacteria or yeast, which is what she says is often called infection. Chapter 3 (14:14) - Diet Sue summarises the way allergy unsettles the skin and brings the conversation back to Westies; she asks what can Westie owners do? Janet suggests a diet high in essential fatty acids - this can normalise the skin barrier, and she clarifies she's not referring to hypoallergenic foods but diets with these specific oils added. Sue clarifies what these oils are found in. Sue then asks if Malassezia (Yeast) infections can be solved with a no-yeast diet. Janet clarifies the skin yeast isn't like brewers yeast in bread but a skin surface yeast, and diet would not contribute to this yeast overgrowth. These yeasts are normally in the skin in certain areas naturally, but they get out of control when the skin becomes upset. John again summarises how we get to this point and that owners can use a combination of things to help manage this. John then asks Janet whether a raw food would solve the problem. Janet suggests first of all, the importance of bathing with a medicated shampoo as well as her previous recommendation of a diet with fatty acid in, as washing the coat can look after the skin and also wash off the particles they are allergic to. She then goes on to talk about the question of raw food, and puts forward that cooked meat is less likely to cause an allergic reaction than raw meat, so there is no science to suggest raw feed would work and no veterinary bodies recommend this at this time. Sue talks about studies showing the essential fatty acid benefits on the skin, and further points out these are not in raw food. Chapter 4 (23:02) - Shampoos & Foam John raises the question of how an owner even begins to work out what to use to treat the skin. Janet says as a dermatologist she takes an evidence-based approach, so talking to a vet or vet nurse is the best thing for an owner to do. Sue asks what an owner should look for in a shampoo for good anti-bacterial and anti-yeast activity. Janet mentions chlorhexidine-based shampoos (Clorexyderm 4% shampoo, Peptivet Shampoo) and for shampoos with Chloroxylenol as well. For confirmed yeast issues they need anti-fungal elements and Janet suggests shampoos with Miconazole (Malaaseb) and other ‘..azoles' as she calls them. Also shampoos with acids, such as lactic or acetic acid and points out there is an evidence base for using all these ingredients. Sue asks about moisturises for the skin barrier as mentioned earlier, in the form of foams and sprays and Janet reflects on success she has seen in cases using the anti bacterial and/or anti-fungal shampoo alongside a moisturising shampoo or foam/spray. She also mentions how a chlorhexidine-based spray or Foam daily (Clorexyderm 4% Foam and Spray) has been shown to be as effective as a shampoo and with a better residual effect. Janet point out that different recipes work for different dogs. Chapter 5 (27:09) - When To Go To The Vet John brings the conversation to a close asking about a disease being a sign of skin disease and also what flashcards Westie owners should have in their minds for deciding when to visit the vet. Janet explains redness, rubbing, head shaking and scratching of the ears are all signs of a disease and concurs this is a sign of skin disease. Also sore feet, and rashes or what to look out for with general Westie skin disease and all of these should direct an owner to visit the vet. Janet says any time these things occur for a second time it is a warning sign of energy and so an owner should push the vet for more investigations if they are not doing this. She mentions the possibility of a vaccination against an allergy and suggests these investigations could help to treat your skin condition long-term, rather than always treating the symptoms in the short term. John then asks when an owner should in Janet's opinion push for a specialist. Janet again says the second time you see the signs in a Westie, as this is the best way to get better management long-term if this is not happening in the owner's practice. Sue clarified that the specialists as well as having more training also have more practice and Janet echoes these sentiments, saying even if your dog responds well to the first dose of treatment, to push when the problem returns to investigate the cause and not just keep repeating the same treatment over and over. Outro (33:14) John, Sue and Paul conclude the conversation and say how much they enjoyed speaking to Janet. John asks another tricky question to end the episode.

This podcast has been brought to you by Neptra – the only single-dose, vet-administered treatment available for acute otitis externa in dogs. Launched in 2020, Neptra is available to vets in the UK and is the number one selling treatment for acute otitis externa in the US, under the name Claro. In this episode, we speak to Kathryn Cuddy, an RCVS advanced practitioner in veterinary dermatology, on the subject of otitis externa, and particularly how it can affect the behaviour of a dog, making it difficult and even dangerous for owners to treat themselves at home. If you see otitis cases regularly in practice, there may be many owners thanking you tuning in. Kathryn Cuddy, MVB, CertAVP(VD), MRCVS, graduated from University College Dublin in 2011. She spent four years working in small animal practice in the UK before returning home to Ireland in 2015. Kathryn has always had a special interest in veterinary dermatology, and began further study in dermatology with the University of Liverpool in 2013. In 2016, she achieved her certificate in advanced veterinary practice in veterinary dermatology from the RCVS. Kathryn is an active member of the European Society of Veterinary Dermatology and the British Veterinary Dermatology Study Group. In 2016, Kathryn established Skinvet Ireland, a dedicated dermatology referral clinic for pets in Ireland, based in Midleton, County Cork. SPONSORED BY NEPTRA Neptra ear solution for dogs is a first-line innovation from Elanco Animal Health – providing anti-inflammatory, anti-fungal and anti-bacterial activity for everyday otitis externa cases with just one dose. The product is available for UK veterinarians to prescribe for their first-line, first-time otitis externa (OE) cases. It provides lasting efficacy, showing continuous clinical improvement until day 28 with just one dose. Neptra's unique combination of three active ingredients is proven effective against mixed infections of susceptible strains of bacterial (Staphylococcus pseudintermedius) and fungal (Malassezia pachydermatis) pathogens associated with 70%-80% of acute canine OE cases. A single, 1ml dose in each affected ear treats dogs of all sizes and breeds. Avoiding the need for home treatments, Neptra brings vets full control over treatment compliance and eliminates the uncertainty and stress of daily client administration. That is a relief for everyone! To enquire about stocking Neptra, contact your local Elanco territory business manager. Use Medicines Responsibly. https://www.myelanco.co.uk/brand/neptra 1. Oliveira LC et al (2008). Can Vet J 49(8): 785–788. Use Medicines Responsibly (www.noah.co.uk/responsible) Neptra contains 16.7 mg florfenicol, 16.7 mg terbinafine hydrochloride equivalent to terbinafine base: 14.9 mg, and 2.2 mg mometasone furoate POM-V For further information call Elanco Animal Health on +44(0)1256 353131 or write to: Elanco UK AH Limited, Form 2, Bartley Way, Bartley Wood Business Park, Hook, RG27 9XA, United Kingdom. For further information, consult the product SPC. Neptra, Elanco and the diagonal bar logo are trademarks of Elanco or its affiliates. PM-UK-21-0298. Date of preparation: 03/21

In the 2nd part of this 2-part series, we talk about why you should avoid coconut oil and olive oil on your scalp. We also talk about additional treatment options for seborrheic dermatitis - (aka. dandruff, eczema on your scalp and facial eczema).  You'll also learn why hydrosols (such as rosemary hydrosols) and apple cider vinegar can be a good option for seborrheic dermatitis. You'll also learn if coal tar shampoo and zinc pyrithione is a good option for seborrheic dermatitis. We also discussed if red light therapy can help seborrheic dermatitis.  In this episode, you'll discover: What causes seborrheic dermatitis? Why should you avoid putting coconut oil and olive oil on seborrheic dermatitis? What are the treatment options for seborrheic dermatitis? What is malassezia and how does this affect seborrheic dermatitis? What are the best topical solutions to help malassezia? What oils should you put on seborrheic dermatitis? Why you should not apply undiluted essential oils directly to the skin We also talked about how seborrheic dermatitis is caused by malassezia.  Everyone has malassezia. It is a lipophilic yeast that eats lipids, and it's a normal part of our body and our microflora. There are 14 different species of malassezia on humans, but they're on other mammals like dogs. We actually think that every mammal has malassezia -  but most people haven't heard of it! It's a yeast that everyone has that isn't talked about a lot.    Malassezia causes many different skin conditions, but the most common is seborrheic dermatitis, and we call it Seb Derm. Today, we are going to talk about the treatments for malassezia that cause the dandruff and seborrheic dermatitis.    -- My guest today, Dr. Julie Greenberg, is a licensed ND who specializes in integrative dermatology. She is the founder of the Center for Integrative Dermatology, a holistic dermatology clinic that approaches skin problems by finding and treating the root cause. Dr. Greenberg hold degrees from Northwestern University, Stanford University and Bastyr University, and received advanced clinical training at the Dermatology Clinic at the University of Washington Medical School and at the Pediatric Dermatology Center at Seattle Children's Hospital.   ---- >> Need coaching or support? Book a free 30 minute breakthrough call with me here.  >> Get my free eBook: "6 Ways to Naturally Clear Eczema" here. ----- >> Shop my Conqueror line of products to help your skin find relief here. Use code PODCAST10 for 10% off your order. >> For more eczema tips, follow Abby on: Facebook   Instagram  YouTube  Website   

Today we talk all about seborrheic dermatitis - (aka. dandruff, eczema on your scalp and facial eczema).  In this episode, you'll discover: What causes seborrheic dermatitis? Why should you avoid putting coconut oil and olive oil on seborrheic dermatitis? What are the treatment options for seborrheic dermatitis? What is malassezia and how does this affect seborrheic dermatitis? What are the best topical solutions to help malassezia? What oils should you put on seborrheic dermatitis? Why you should not apply undiluted essential oils directly to the skin We also talked about how seborrheic dermatitis is caused by malassezia.  Everyone has malassezia. It is a lipophilic yeast that eats lipids, and it's a normal part of our body and our microflora. There are 14 different species of malassezia on humans, but they're on other mammals like dogs. We actually think that every mammal has malassezia -  but most people haven't heard of it! It's a yeast that everyone has that isn't talked about a lot.    Malassezia causes many different skin conditions, but the most common is seborrheic dermatitis, and we call it Seb Derm. Today, we are going to talk about the treatments for malassezia that cause the dandruff and seborrheic dermatitis.    -- My guest today, Dr. Julie Greenberg, is a licensed ND who specializes in integrative dermatology. She is the founder of the Center for Integrative Dermatology, a holistic dermatology clinic that approaches skin problems by finding and treating the root cause. Dr. Greenberg hold degrees from Northwestern University, Stanford University and Bastyr University, and received advanced clinical training at the Dermatology Clinic at the University of Washington Medical School and at the Pediatric Dermatology Center at Seattle Children's Hospital.   ---- >> Need coaching or support? Book a free 30 minute breakthrough call with me here.  >> Get my free eBook: "6 Ways to Naturally Clear Eczema" here. ----- >> Shop my Conqueror line of products to help your skin find relief here. Use code PODCAST10 for 10% off your order. >> For more eczema tips, follow Abby on: Facebook   Instagram  YouTube  Website   

Hier geht es zum Blogbeitrag Hier die Links zu den beiden erwähnten Präparaten: Ohrenreiniger und Actea Oto  Die Gesundheit von Hund und Katze kannst du selbst beeinflussen. Du selbst! Im Tierarzt-Podcast von Ines Kitzweger lernst du, was du tun kannst, um dein Tier lange fit und aktiv zu halten. Thematisch geht es in jeder Folge um ein anderes Thema mit Hintergrundwissen sowie Tipps und Tricks, die du selbst anwenden kannst. Egal ob es um Allergien, chronische Darm-Erkrankungen (IBD), Schilddrüsen-Erkrankungen, Impfungen, Verhaltensauffälligkeiten oder andere Themen geht: Alternativmedizin kann viel mehr, als du vielleicht bisher weißt! Mach dein Tier gesund und begleite es durch ein langes glückliches Leben!

Ever heard of malassezia? No? You're not alone! This organism is not very well known, but it is actually a huge contributing factor toward skin conditions like eczema, psoriasis, tinea versicolor, and certain types of acne. My guest today, Dr. Julie Greenberg, is a licensed ND who specializes in integrative dermatology. She is the founder of the Center for Integrative Dermatology, a holistic dermatology clinic that approaches skin problems by finding and treating the root cause. Dr. Greenberg hold degrees from Northwestern University, Stanford University and Bastyr University, and received advanced clinical training at the Dermatology Clinic at the University of Washington Medical School and at the Pediatric Dermatology Center at Seattle Children's Hospital. She is also the Program Chair of the Naturopathic & Integrative Dermatology series on LearnSkin.com, a learning platform for integrative health care professionals. Join us as we talk about malassezia, a bug that is responsible for several fungal skin problems. Has malassezia been found to be the cause of your skin rash? Let me know in the comments! In this episode: What is malassezia? What's the relationship between malassezia and seborrheic dermatitis (dandruff)? Why is the skin pH important? What happens when the pH of the skin is too high? Is there a test to look for malassezia? What other skin conditions are linked to malassezia? Are there any topical or dietary solutions for malassezia? Why you should not apply undiluted essential oils directly to the skin. Quotes “Over 50% of adults will have some form of dandruff in their life. That's usually a non-inflammatory form of seborrheic dermatitis.” [2:42] “Our skin, many people are surprised to learn, is also supposed to be relatively acidic, like four, 4.5 to five, 5.5, and when the skin becomes more alkaline, or has a higher pH, it cannot defend itself as well, and we do get problems.” [5:04] Links Find Dr. Greenberg online Healthy Skin Show ep. 107: Symptoms Of A Staph Infection On Your Skin Healthy Skin Show ep. 149: How Staph Aureus Wrecks Your Skin w/ Dr. Julie Greenberg Gut Dysbiosis and Its Role in Skin Disease: A LearnSkin course I co-authored LearnSkin Naturopathic and Integrative Dermatology Series

Transitioning from immunosuppressants to dupilumab – Drug-induced bullous pemphigoid – what causes it and what doesn’t – Dupilumab facial redness – from Malassezia? – You can buy a terrifying number of prescription drugs online – Bilateral eyebrow sclerosis – Apremilast for interface dermatitis The atopic dermatitis CME activity: https://bit.ly/2SY5TiY http://www.dermaspherepodcast.com/ Luke and Michelle report no conflicts of interest.

Tinea versicolor is a mild, superficial Malassezia infection of the skin. The condition has a high reoccurrence rate after treatment. Patients often report the malady after discovering an area of their skin that will not tan and, mistaken the disease as well as the resulting hypopigmentation for vitiligo. A few patients will also present with itching and velvety, tan, pink, or white macules or thin papules. Large, blunt hyphae, and thin walled budding spores will appear on the KOH. The patient can be treated with selenium sulfide lotion (applied from neck to waist every day and left on for five to fifteen minutes for seven days). This treatment is repeated weekly for a month and then monthly for maintenance. Ketoconazole shampoo (1% or 2%) lathered on the chest and back and left on for five minutes can also be used for treatment. Two doses of oral fluconazole (300 mg) fourteen days apart is the first-line treatment. Imidazole creams, solutions, and lotions are quite effective for localized areas but are too expensive for use over large areas such as the chest and back. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Today on the Steady Hands Barber Club, we are talking about Seborrheic Dermatitis: Medical term for dandruff. A common skin condition that mainly affects your scalp. It causes scaly patches, red skin and stubborn dandruff. Seborrheic dermatitis can also affect oily areas of the body, such as the face, sides of the nose, eyebrows, ears, eyelids and chest. Symptoms: Skin flakes on your scalp, hair, eyebrows, beard or mustache. Patches of greasy skin covered with flaky white or yellow scales or crust on the scalp, face, sides of the nose, eyebrows, ears, eyelids, chest, armpits, groin area or under the breastsRed skin/Itching Causes: While doctors don't know the exact cause, they do know that it is not a hygiene issue. So relax. Malassezia: Everyone has it! It is part of the normal human microbiome. It is a type of fungus or bacteria that tends to grow in oily areas with lots of sebaceous glands, including your scalp and face. The fungus helps break down sebum, which is oil produced by your sebaceous glands. This process leaves behind oleic acid, which irritates some people’s skin. In addition, if you have naturally oily skin, you likely also have more Malassezia microbes, leading to more oleic acid. Getting Rid of Dandruff: Exfoliating Exfoliation is a process that helps remove dead skin cells, including those that cause dandruff. Look for a beard brush that has soft bristles. In addition to getting rid of dead skin, a beard brush will also help distribute oils from your skin. Before cleaning your beard, gently massage the skin under your beard with the brush. Make sure you’re not scrubbing your beard too hard. That can make dandruff worse Washing If you don’t already, wash your hair regularly. You can use the same shampoo you use on your scalp for your beard as well. Look for these dandruff-fighting ingredients in a shampoo: Zinc pyrithione This is an anti-fungal as well as an ingredient that targets dead skin cells. It is gentle enough for everyday use, but it needs to be used more often until the dandruff is under control. Zinc pyrithione does not decrease sebum emission like ketoconazole does, but it is an effective over-the-counter solution. Coal Tar Shampoos that use coal tar as an active ingredient are aimed at ‘thick crust’ problems, addressing dandruff as well as psoriasis and eczema. Coal tar works by slowing the production of skin cells, reducing redness, inflammation, and irritation. It is very effective, but make sure to rinse thoroughly; the treated scalp area can be sensitive to sunlight. Coal tar also helps to relieve itching. Selenium Sulfide Shampoos with selenium sulfide target the yeast on scalps that can result in dandruff. This active ingredient can slow down cell turnover, but it can also discolor light-colored hair (or chemically treated hair). It is available in both prescription and over-the-counter strengths. Salicylic Acid This is an active ingredient whose main function is to remove scales and scalp build up. It works as a keratolytic, which is a fancy way of saying that it loosens the proteins that form the structure of skin. Moisturizing When you think about moisturizing, lotion probably comes to mind. However, it can be hard to apply to your beard without leaving a bunch of residue. Instead, opt for a beard oil. Rub a few drops of oil between your hands and massage it into the skin under your beard, working it through to the ends of your beard. To avoid more buildup, start with one or two drops. You can always add more if it feels like you didn’t reach your whole beard. The bottom line. Dandruff is a common problem, but it’s easy to treat with the help of a simple routine. Whatever you decide to do, make sure you pay attention to both the hair of your beard and the skin underneath.

Another episode of DDD (Down and Dirty Derm)! I address one of the most common questions asked on social media. Every time I show a picture of an infected clawfold... "Do you treat this yeast overgrowth systemically or topically?". As with any derm topic, IT DEPENDS! I go over the factors that guide my decisions in these cases. Infection severity, patient acceptance, owner ability, recheck cytology, etc. These are all important and discussed in this quick episode!

Ya está aquí nuestro episodio BS nº9 (grabado el 11-10-19). En esta ocasión Francis nos comenta un artículo publicado en Arthritis & Rheumatology por el grupo de Yuanfang Guan (University of Michigan): en él se presentan los resultados del reto DREAM (Dialogue on Reverse Engineering Assessment and Methods) en el que, mediante herramientas computacionales, se buscan los mejores biomarcadores de respuesta a terapias anti-TNF en artritis reumatoide. Pepe nos trae un artículo publicado en Nature por los equipos de George Miller y Deepak Saxena (New York University) que muestra la sorprendente correlación entre la presencia de hongos Malassezia spp en el estómago y el desarrollo de cáncer de páncreas. Por último, Silvana, comenta un artículo muy relevante publicado en Science por el grupo de Stephen Elledge (Harvard University). En él demuestran que la infección por el virus del sarampión no solo causa la patología del mismo nombre sino que, además, provoca la pérdida de inmunidad previamente adquirida frente a otros patógenos, un proceso que se conoce como “amnesia inmune”. Como siempre, Belén e Íker nos traen sus (bio)noticias que, en esta ocasión incluyen dos descubrimientos con participación española: la determinación de la estructura 3D de un complejo sistema de secreción de Mycobacterum tuberculosis (grupo de Oscar LLorca, CNIO) y la potencial utilidad terapéutica de un anticoagulante oral (dabigatrán) contra la enfermedad de Alzheimer (grupo de Valentín Fuster, CNIC). También hemos comentado el reciente premio Nobel de medicina concedido a los descubridores del principal sistema sensor de hipoxia en las células y a sus mecanismos de regulación. La Dra. Edurne Berra (CIC BioGUNE), investigagora experta en biología molecular y celular de la hipoxia, ha compartido con nosotros, via telefónica, su valoración de este premio Nobel y sus propias investigaciones. Finalizamos el episodio entrevistando al autor de nuestro “libro de la semana”, el conocido y gran divulgador J.M. Mulet que, en esta ocasión, nos presenta su última publicación: “¿Qué es la vida saludable?” (Ed. Destino). Un episodio, como véis, muy suculento. Esperamos que os guste. ¡Bienvenidos al 9º episodio de Biosíntesis!

Seborrheic Dermatitis is an embarrassing, frustrating, persistent skin condition. My guest today is here to shed some light on seborrhea and how yeast plays a large role in the condition. My guest today is actually a returning guest, Dr. Alan Dattner. He is a board-certified dermatologist practicing holistic and integrative dermatology for nearly 40 years, helping patients who have failed conventional care. He uses nutrition, herbal medicine, supplements, functional medicine, applied kinesiology, psychosomatics and more to heal the underlying causes of skin disorders. Dr. Dattner has a background in immunology, having worked in six different immunology laboratories with renowned scientists, culminating in studies of cross-reactive immune recognition as a visiting scientist at the National Institutes of Health, and that is pretty cool. The research led him to understand the scientific validity of digestive issues as a cause of inflammation in the skin. Join us as we talk about the relationship between seborrheic dermatitis and candida. Has your seborrheic dermatitis improved with treatment for candida albicans? Tell me about it in the comments!   In this episode: What is seborrheic dermatitis? Why aren't current treatments helping people see massive improvement? How is yeast involved in seborrheic dermatitis? How to control seborrheic dermatitis Can addressing yeast help with seborrheic dermatitis?   Quotes "Seborrheic dermatitis is the condition that underlies the common condition we know as dandruff. But seborrheic dermatitis can be more extensive than just scaling in the scalp." [1:34] "Candida Albicans is a frequent inhabitant of our digestive tract. And if you look at the immunology literature, you'll find that although it's phylogenetically very different from Pityrosporum (now known as Malassezia), it is immunologically cross-reactive." [8:49] "In our culture, we have been growing more and more Candida in our guts because the sugar consumption has gone up." [14:06]   Links Find Dr. Dattner online Radiant Skin from the Inside Out Dr. Dattner's first Healthy Skin Show interview about hives Addicted To Sugar? It's Not Your Fault (And Here's Why): GFS Podcast 100 How Much Sugar Is Too Much? (Here's How To Tell): GFS Podcast 101 To see a clear diagram of what he's discussing, check out page 181 of his book Radiant Skin From the Inside Out Kamedis Dermatology

Most people don't think about their healing process much. But if you want to heal, there are certain things to consider that will help bring it on. In this podcast, I delve into that process and what exactly it looks like from a practical standpoint. Episode Notes: As a healer for more than 15 years, I have to admit, this is a frustrating subject for me! People say they want to be healed, but they don’t even know what it looks like anymore. We have become so disconnected from ourselves, just following a life of distractions. Like mind-numbed robots living day by day distracted by technology, work, family, anything. People will say they want to be healed, but they think if they took ibuprofen for their headache, they’re healed. But that’s not true healing. In my quest to get myself and my daughter healthy many years ago, I learned from many intelligent people that our bodies have all it needs to heal from anything. People need to learn how to do it. You are a masterfully created being. You have everything you need within you for healing. You need to figure out how to tap into that inner healing power you possess to get the job done. And that is why I started this podcast. To get the word out that you can do it, you can heal. So I started with the previous episodes to help you begin to get in touch with your intuitive self and become aware of the energy inside you. We’ll get more into that later on; I’ll share with you some really cool things you can do. And I am going to be sharing with you in later podcasts things you can do all by yourself to help your healing along. But first, I want to let you know what true healing is. Because, as I said, I get frustrated. People have no patience for healing. So before we get to all the neat stuff, I want to give you my five pillars of healing. It’s like setting the stage or laying the groundwork for healing. And the reason why I think it is necessary to do this is because energy healing is a bit different than what people are typically used to seeing. And unless you understand these pillars of healing, you may not appreciate the power energy healing has. So let’s begin with my first pillar of healing. #1 - The first pillar is “Healing takes PATIENCE.” I say this because everyone wants their healing done yesterday. I once had a woman who I was working with take a remedy from me and said, I can’t wait, I’m going to take the medication the doctor gave me. This is taking too long. She told me this like three days after I gave her the remedy. And I’m thinking, really? Wow, you couldn’t wait a few more days. Are you so ready to take those medications which can leave you with all kinds of side effects? I remember thinking, no worries, it’s your life. I know I would want to heal, not be perpetually on meds all the time. But that’s why they make vanilla and chocolate. To each his own. I wish people would want to truly heal, even if it takes a few weeks, a few months, or even a few years. Wouldn’t getting healed be better. I love the word remission. Doctors say that a lot. You are in remission because they know they didn’t heal you of anything, they just suppressed it until it surfaces again. So now you have to live life watching for this disease to rear it’s ugly head again. I wouldn’t want to constantly be watching over my shoulder for a disease. Everyone wants to be healed asap! When they get a headache, they take ibuprofen; when they get a rash, they take a steroid cream, constipated, they use a suppository. You get constipated and take a suppository, then you go. You're healed, right? I mean, come on. Really! Do you think that is healing? You may look like your healed because you went to the bathroom, your rash is gone, and your headache may be gone, but are you. Let’s take steroids. You got the rash and put the steroid on, and the rash is gone. But according to the NIH, which is the government website, the steroid suppresses the inflammatory genes that are activated by the disease. In other words, the steroids suppress any inflammation that is going on. There is no healing taking place. Whatever caused the inflammation is still there. That’s like saying, if there is a fire in your house, you can put it out by taking the battery out of your fire alarm. But not only that, you now have to ask yourself, if whatever was causing that rash in the first place is just being suppressed, where did it go. Think of it this way: Let’s say you have two people outside at night enjoying themselves. Then the mosquitoes come and really start to bother them. The one person puts repellant on, and the mosquitoes quit bothering her. But did the mosquitoes go away? No, they will move to the next person and annoy them. So now that person has double the nuisance from the mosquitoes. That is what it is like with the steroids and most medications. There is no healing, it suppresses the inflammation, or suppresses the pain. It is really symptom based. So you might be asking, what’s wrong with that. At least I don’t feel bad. But there is a problem with that strategy. When you get a rash, let’s say, then you can heal it right at its roots. If you suppress it, then whatever is causing the outbreak goes underground and can travel somewhere else in your body where it can wreak havoc there and continue to grow without you even knowing it. Let’s take dandruff for instance. Something that may be a nuisance, but it is not serious. Right? Dandruff is usually caused by a fungus called Malassezia that lives on the scalp. This fungus feeds on the oils of the scalp and can dry it out if there is an overgrowth. But if you use shampoos and dandruff treatments that suppress the symptoms on the scalp, the reason why that fungus got out of control is still there. And that reason could produce other problems inside your body if left untreated. Would you want that fungal infection to go to your liver or kidneys? Or whatever the reason that fungus got out of control, let’s say you are eating too many omega-6 fats, instead of the healthy fats, which is usually the reason for dandruff, then it will be problematic in another part of the body too. A different type of fungus might flourish and expand rapidly in another part of your body if you continue to keep eating so many omega-6s. At least on your scalp, you can see it and work to get rid of it. If it goes to an internal organ, you won’t know it is there until one day you come down with a more serious condition or disease and wonder where it came from out of nowhere. But it didn’t; it came from the fungal overgrowth that may have started from your scalp. See what I’m saying. Let’s take ibuprofen or Advil. It works by decreasing the number and types of prostaglandins, which are just substances in your body that get produced when there is a need for inflammation. So if you sprained your ankle and your body needed to protect that area, it releases prostaglandins to signal your body to increase the inflammation. The ibuprofen did nothing to the actual healing of the ankle. It just reduced the signaling mechanism of the body. That’s like saying, if you found a crack in the pipes in your house, it would get fixed quicker if you didn’t tell anyone. Kept it a secret from the plumbers who could come and get the job done. That’s sounds crazy doesn’t it when you put it in those terms? You know, I joke about people like that woman, but really I am frustrated. Here’s another example, If I tell someone that their body is calling for a supplement to help their situation or a diet change, they do whatever for a week and say, “That didn’t work.” Now what. Are you kidding me? If you are deficient in a nutrient, just supplementing for a week isn’t going to do much. If you have a leak in the oil tank of your car, would putting some oil in each day for a week solve the problem. No. Until the leaky tank got fixed, you need to keep supplementing it with oil. Our bodies’ are masterfully created machines! They know how to heal. It just takes time. You might have to supplement for a while, or maybe you need to make lifestyle changes, or detox for a while. But the reason it takes time to heal is because when you give your body what it needs, now it needs time to get the job done. If you were deficient in vitamin D let’s say, well taking the vitamin D didn’t solve the problem per se, the vitamin D allowed your body to do its job properly which includes healing. I can’t tell you how many times I hear someone say they started to eat good but didn’t see a change in their condition. They claim the diet didn’t make a difference. But think about inside your body. Just because you quit feeding it garbage doesn’t mean your body is in tip-top shape automatically. It probably took years to get to this condition. It’s going to take a while to set your body straight and heal whatever is wrong inside. Your body only has so many resources within it to tap into for healing. If you are eating a complicated meal like lasagne, or a huge burger with greasy fries, it may have very little energy left over to do any healing. But if you give your body what it needs, it will do the healing; it just might not be immediate. If someone gave you supplies to clean your house, that doesn’t mean you cleaned your house. You still have to take those supplies and do the cleaning. It is the same way with healing. Another problem with patience is that sometimes when people start healing, they get worse before they get better. This is called a healing effect, or herxheimer effect. When you heal, you sometimes see the symptoms of what you are trying to heal worsen for for a day or two. This is why you get it. Most health problems stem from a parasite like bacteria, virus, fungus, or something like that. If you want to solve the problem, you need to kill off the parasite. Right? So did you know that when something dies, it releases toxins? This process may sound morbid, but when a human being dies, you’ll see them release their last breath, and it is a long sigh type breath. Their bodily fluids get released too. Well, this also happens with microbes. They release toxins when they die off too. And your body doesn’t like it much. So you react to these toxins and, the problem gets worse for a short time. Eventually, it really shouldn’t take long, your body will have a chance to catch up, and clean up after the release of the toxins. And the symptoms will go away. Here’s an example. Many years ago a woman came to me with these red spots all over her. So I evaluated her and told her it was a bacterial infection. I gave her a remedy and sent her on her way. I didn’t see her for a long time and finally bumped into her. I asked her, "what ever happened to the red spots?" She said, "Oh my goodness, the spots got redder, so I ran to the doctor and took the steroid cream. Now they are gone." I just rolled my eyes and thought to myself, I wonder where all that bacteria went. I’m sure it is still in her body somewhere waiting to rear it’s ugly head again. I should have warned her this could happen. It is especially a problem with skin conditions because who wants the rashes to get worse. But it just takes a little patience. Those red spots probably would have only gotten worse for a day or two, then they would have been gone for good. It’s called patience my friends! #2 - The second pillar of healing is there are layers of disease that need to be stripped away for true healing. As you live life, you keep adding layers of health conditions to yourself that need to be stripped away for your body to heal. If you lived a really unhealthy life, the layers would pile up pretty quickly. Lead a healthy life, not so much. Think of yourself like a barrel. As you live life, you keep filling that barrel with layers of disease-causing things, bad stuff like eating junk food, being exposed to pesticides, having a stressful day. These are all layers that get piled into your barrel. If that barrel gets filled too much from all the layers you put in it through the years, eventually it will overflow, and that is when a symptom strikes or a disease pops up. It may have looked like the disease came out of nowhere, but it was in the making long before that. So by stripping away the layers of disease, you will offload your body more and more and eventually, your body has time to catch up and do some healing. The other reason why layers are so important is because healing is an orderly process. You may be having headaches, but healing may really need to be done in your liver first. If your brain, which is your control center, is overwhelmed with trying to heal the liver lets say, then it lets everything else go. So now your headache pops up. But before your brain deals with your headache, it has to finish the job with the liver. Does that make sense? I have evaluated people many times that come in because of one problem, and I tell them it is something else, and they think my results are wrong. Well, my results may not be wrong, there is just so much going on inside their body, how would they know what everything is going on. It is like a domino effect, when one thing heals, it then can be used to heal the next thing. Another reason why this is important is because if you do something to heal, like change your diet, you may not feel any different for a while, but inside your body there may be all kinds of healing going on. It’s about the layers, and stripping away the layers of disease. Like I said, our bodies are masterfully created machines, they’ll do the work. #3 - My third pillar of healing is that everything you need for healing is already within you. I recently heard a podcast where a gentleman said, technology has quickly advanced in the last century, but it will really speed up now because all we ever need technology wise is right within us.) That is pretty cool. We are learning that our minds are so much more powerful than we give them credit for being. You just have to stay in touch with your yourself. Get to really know your body and listen to it. It also means you need to quiet yourself long enough to be able to get to know you. You can’t develop a relationship with someone if you are so distracted by your phone or the TV. It is the same with yourself. Take time to be mindful or meditate. You will be amazed at the information you will get if you just try to ask yourself. I know I am continually fascinated by the information I get. Your body will talk to you. It will tell you when something isn’t right. It will give you warnings that there may be trouble down the road if you don’t make changes. If you listen close enough, you’ll be able to make changes and adjustments before anything serious comes along. This is the whole concept behind everyday healing and why I use it as my tag-line for my website. If you listen to your body and what it is trying to tell you, then you can heal from the little stuff before it gets serious. In this way, you hopefully never really get a serious diagnosis and live to a ripe old age and die of natural causes. I know I try to listen to my body all the time. Is my stomach gurgling more than usual, or am I feeling bloated? Am I getting headaches a lot? Is there a pain in my knee? These all signal that something isn’t right. Did you know there is a relationship between structures in your body and different organs? Your knees are associated with your kidneys. Pain in your knees, and I don’t mean if you smashed it somehow, but a pain that pops out of nowhere in your knee may mean your kidneys are under stress. It might not be anything serious, but if your knees start to hurt, then maybe you need to change something in your life that is stressing out your kidneys. So if I get knee pain, at the first sign of it, which has happened to me before, I make sure I drink lots of water and be sure to eat really healthy to normalize my system and take the stress off my kidneys, which in turn takes the stress off my knees. I might even do kidney cleanse. There is an infinite amount of signals our bodies give us telling us there is something not quite right. And there is an infinite amount of solutions that you have at your disposal to rectify the problem. So there is no excuse if you don’t take steps to correct any imbalance in your body. I bet you are thinking, how am I supposed to know the relationships between different structures of my body and their organ association. I got you covered. I put a cheat sheet on my podcast page that lists the different parts of the body and their associations. You can look it up if you want. It’s pretty interesting. But even if you didn’t know that pain in the knees meant there might be something going on with your kidneys, if it were me, I would be sure to eat really clean and relax more. Maybe be sure to take my supplements diligently, and just try to live uber healthy for a while until the pain disappears. We all like to overindulge a bit at times. I get that. That’s part of living a robust life. But when we do tend to push the limit, our bodies will tell us, and that’s when we pull back and detox a little to get healthy again. So that is what I mean about listening to your body and make corrective changes to your lifestyle to fix the problem. That is True Healing. #4 - There are many roads to healing Another aspect of true healing that is important is that there are many roads to healing. I don’t like it when people think they have to do one thing to heal. Some alternative technique can’t possibly work because there is no clinical trial to back it up, or it isn’t sanctioned by the Medical Association. That’s baloney. That’s what the pharmaceutical industry wants you to believe so you don’t go looking for solutions. You have to rely on their expensive drugs that only mask the problem. I know of a doctor who was curing breast cancers with baking soda. That’s right, baking soda you have in your kitchen. There’s not a lot of money to be made selling baking soda as opposed to drugs. But it’s true. Do you know what happened to the doctor, he was stripped of his medical license and now practices outside this country. So now, US citizens can’t use this very effective technique, only foreigners. Crazy! That’s not to say some doctors can’t ever cure a disease. There are many roads to healing and when someone tells you their way is the only way, I stay clear of people like that. I like the philosophy that we all work together for the common good, in this case, healing. If someone wants to take the chemo route is they had cancer, then who am I to say they shouldn’t. I know that there is a lot someone can do if they take chemo drugs to lessen the side effects if they want to take that route. So instead of getting mad at someone because they didn’t choose the healing method I would have, I would help them do whatever it takes to heal. So healing can come from many different sources. #5 - Taking away any barrier to healing. There is so much at our disposal for healing. All kinds of products to use, supplements to take, practitioners and doctors to see. It is a great time to be sick! But you can do all you want to heal, and take all you want, but if you don’t remove any barriers to healing, most likely you’re not going to heal. Let me give you an example. I met this woman once when I was waiting in line after Christmas to return something at a BestBuy. You know how long the waits can be then. Bored as we were, I struck up a conversation with a woman in front of me and she asked what I did. So I told her I manufacture all natural health products. She asked, “Do you have anything for cancer?” I said, “Sorry, I don’t. Do you know someone with cancer?” She said yes, her husband has stage 4 colon cancer. Then she went on to say he will be okay because he is taking Turmeric, and she had heard that cures cancer. I said, “That’s good he is taking that. But is there anything else he is doing?” She said, “No. As a matter of fact, he works God awful hours because his patients need him, he eats terrible, has a huge gut, never takes a vacation and is always stressed.” I thought to myself, “Honey, that Turmeric ain’t going to do anything for your husband.” That guy has so many barriers to healing, he’ll never be able to knock them all down. To heal, it is just as important to examine your life and how you are living it, and remove any barriers you have to healing, then it is finding the magic pill or the magic person that can heal you. Barriers to healing are huge. I’m going to be getting into them more in later podcasts. But for now, know that healing will happen if you just get out of your own way to let the healing take place. What I mean by getting out the way is don’t bombard yourself with unhealthy things and expect healing to happen. Remove stress, eat well, hydrate. Because if you don’t, you might as well put up a brick wall to your own healing. So those are my five pillars of healing. As a recap: Pillar #1 - Be patient. True healing takes time. It’s not just a bandaid. Pillar #2 - Your health is in layers, if you’re able to strip away enough layers of unhealthy living, eventually you will heal. Pillar#3 - Everything you need to heal is right inside you. Connect with yourself to find answers for healing. And listen to your body to see what it is telling you. Pillar #4 - There are many roads to healing. Take the route that feels best for you. Pillar #5 - You must pay as much attention to your barriers to healing than working on finding that magic bullet that will wipe all your illness away. And there you have my five pillars of healing! In my next podcast, I’m going to be sharing with you ways to improve the quality of your food. Do you like to cook? If so, then you won’t want to miss this. It is real interesting. But until next time, Keep breathing, keep loving and keep healing, because they are the keys to life. Have a great week! See Ya.      

In this talk, from the Veterinary Evidence Today conference 2016, Mary Fraser discusses the variety of different medications that can be used in the treatment of Malasseziaotitis externa and the need for a greater number of robust clinical trials. Read more here.   Veterinary Evidence TodayEdinburgh, 1-3 November 2016

Q&A from Mary's talk at the Veterinary Evidence Today conference, Edinburgh November 2nd, 2016. Read more here.

Se noter og links på sivp.dk/16 Hvornår antibiotika kan være en god ide til en hudpatient Lene bruger systemisk antibiotika til patienter, hvor der er et stort omfang af læsioner, eller når læsionerne sidder steder, hvor det kan være svært at vaske effektivt. For eksempel kan en anbefaling af shampoovask af en langhårsrace give dårlig complience og dermed manglende effekt af behandlingen. Ved dybe pyodermier bruger Lene ofte kun topikal antibiotika eventuelt som et blandingsprodukt med steroid, for helt at undgå den systemiske behandling. Ifølge vores antibiotikavejledning bør vi vælge Clindamycin som førstevalg ved hudbetændelser. Lene gør dog opmærksom på, at hvis en patient har fået antibiotika før, vil op til 30 % have bakterier, der er resistente overfor Clindamycin. Dernæst kan vi for eksempel vælge 1. generations cefalosporiner som Cefalexin (Cefaseptin Vet, Therios og Tsefalen) og Cefadroxil (Cefa-Cure) (information fra medicintildyr.dk) Alternativt ville Sulfa-TMP også være udmærket at bruge, men det er pt ikke i handlen som veterinært produkt. Lene fortæller at efter podning med resistensbestemmelse, kan det vise sig, at selv smalspektret antibiotika som almindelige penicillin kan være effektivt. Og da dette ikke betyder at vi afviger fra kaskedereglen på en ufordelagtig måde, kan det endda forsvares juridisk. Tilstrækkelig erstatning for antibiotika Ud fra en resistensmæssig betragtning er det bedst at holde sig helt fra systemisk antibiotika – også selvom man starter smalspektret. Lene anbefaler en shampoo med klorhexidin til brug enten dagligt eller 3 gange den første uge afhængigt af omfanget af problemerne. Derfra 2 gange om ugen indtil læsionerne er væk. Som eksempel nævner Lene Hot Spot-patienter: Det er en helt overfladisk hudbetændelse og man diskuterer endda hvor mange bakterier, der er i læsionerne. Der ville klorhexidinshampoo sammen med smertestillende og eventuelt en skærm være en ideel behandling. Ønsker du at dræbe Malassezia skal klorhexidinen koncentration op på 3 – 4 %, men ønsker du kun at ramme Stafylokokker er almindelige koncentration (0,02-0,05%) tilstrækkeligt. I podcasten snakker jeg desuden med Lene om at steroidbehandling er kontroversielt til pyodermier. Bekymringen går på om vi undertrykker immunforsvaret nok til at infektionen kan få bedre fat. En tilstrækkelig antiinflammatorisk effekt kan opnås med andre stoffer. Udtagelse af prøve til dyrkning Lene argumenterer for at det vil være en god ide med podning før al systemisk antibiose, men ved også godt, at ejerne nogle gange sætter begrænsninger. Her spiller økonomien ofte en stor rolle. Som modsvar kan det måske hjælpe med argumenter om ikke at selektere for resistente kulturer og korrekt førstevalg vil give en bedre økonomi på lang sigt. Hvis hudlæsion er våd, kan prøven tages direkte fra overfladen. Ellers prikker Lene hul på en pustel og får noget materie ud. Lene bruger laboratoriet KU Sund Vet Diagnostik, der både er meget dygtige og har en god service. Samtidig bidrager prøverne til den nationale resistensovervågning. Den primær årsag bag recidiverende pyodermier Der er oftest en primær årsag til pyodermier, hvor udredningen starter med en undersøgelse for lopper og andre parasitter. Det kan eventuelt være relevant at starte med en forsøgsbehandling alene på mistanken om parasitter. Herfra snakker Lene med ejeren om foder og sætter eventuel en Foder Trail op, hvor hunden skal køre på en eliminationsdiet i 2 - 6 måneder. Hvis den indledende udredning er gjort grundigt nok og hunden ikke reagerer tilfredsstillende på eliminationsdiet vil den med stor sandsynlighed have Atopi. Herfra kan mængden af hudproblemer holdes nede, men ikke nødvendigvis holdes helt væk. Det vil dog oftest være muligt at kunne tage eventuelle problemer i opløbet inden de udvikler sig til krævende hudinfektioner.

Se noter, billeder og links på sivp.dk/8 Denne gang har jeg en meget praktisk og konkret podcast til dig. Rikke siger, at det kan være svært at nå det hele i en konsultationog har nogle konkrete råd til, hvordan du kan strukturere konsultation og kontrol, så du alligevel kan nå det. - Aftal altid en tid til kontrol inden klienten går - Vælg de relevante informationer ud, så klienten kan huske det mest relevante lige nu, og du får mulighed for at forklare alle detaljer. - Aftal et samarbejde med sygeplejersken, så hun farver præparatet, mens du snakker færdig. - Brug kun ét objektglas og lav kun én stribe ørevoks fra hvert øre Undersøgelsen Lav først en klassik klinisk undersøgelse med fokus på huden. Se i poter, under forben, på maven og under halen. Du kan også lave en udførlig neurologisk undersøgelse, men notér dig som minimum: Hoved- og ansigtssymmetri, pupilstørrelsen, blinkhinden og menace-respons. Rikke har desuden en vigtig pointe: Bemærk også om hunden kan høre. Palpér desuden øregangen udenpå for at vurdere, hvor meget ødem, fibrose og/eller kalcifikation der er i området. Huden i øregangen skal være lyserød og glinsende med en glat vinklet tragt. Den vertikale kanal har en bredere diameter end den horisontale. Trommehinden skal være intakt og gennemsigtig, men kan være skjult hvis øregangen er hævet, stenotisk eller fyldt med indhold. Vær forsigtig ved otoskopien og få en øvet holders hjælp fra starten. Hvis du først har ramt noget forkert, kan undersøgelsen være slut, før du kommer i gang. Notér dig også hvor mange hår, der er i øregangen. Manglende hår i et ulcereret øre kan skyldes keratin-nedbrydende enzymer dannet af gram-negative stave. Vurdér også lugt og udseende af ørevoksen. - Mørkt, brunt eksudat og tyk, tør voks: Normalt, men ses også ved lavgradige eller afsluttende øremideinfektioner - Lysebrunt eksudat og moderat voks, eventuelt med surt lugt: Malassezia-infektion er sansynlig - Gulligt eksudat og mildt purulent voks: Staphylokok-infektion er sandsynlig - Grønt eksudat og purulent, eventuelt blødende mukus: Gram-negative rods som Pseudomonas eller Proteus sandsynlig Cytologi Det er en god ide at lave cytologi på alle dine øre-patienter, mener Rikke. Det godt af flere årsager: - Det tager gætværket ud af din tilgang og behandling - Du vil finde flere patienter, der har brug for mere omfattende hjælp tidligere i forløbet - Den overvågning af fremgangen er mere præcis - Der bliver reel og fornuftig grund til en kontrol, selvom ”øret jo ser pænt ud”, så du får fulgt frustrerende patienter til dørs Tag en almindelig vatpind og rul en stribe ørevoks fra hvert øre. Rul striben fra venstre øre på venstre side af objektglasset og striben fra højre på højre side. Du får den mest repræsentative prøve fra bunden af den vertikale øregang. Varm glasset ved at holde en lighter under indtil glasset føles varmt. Farv præparatet med din normale præparat-farve og kig på det med stærk forstørrelse (60x or 100x olie-immersion). Rikke guidelines er, at der er indikation for behandling, hvis du finder mere end: 3 stk Malassezia-svampe eller 5 Kokke-formede bakterier eller 1 Stavbakterie Du må desuden ikke kunne finde neutrofile eller DNA-strenge fra neutrofile i præparatet. Kan du det, er det også indikation for behandling.   >> https://succesivetpraksis.dk/podcast/otitis-externa-effektiv-identifikation/

Mon, 15 Sep 2014 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/18687/ https://edoc.ub.uni-muenchen.de/18687/1/Ibekwe_Perpetua.pdf Ibekwe, Perpetua ddc:610, ddc:600, Me

Steve Dale, well-known pet advocate and host of Steve Dale's Pet World, discusses the Ricky Fund in the Winn Feline Foundation which supports research regarding feline hypertrophic cardiomyopathy. He follows with introducing Dr. Karen Moriello (DVM, DACVD), an associate professor at the University of Wisconsin-Madison. In this presentation, Dr. Moriello discusses new findings regarding two superficial fungal skin diseases of cats. Malassezia dermatitis (yeast overgrowth) is the most common superficial skin disease and is often under recognized and under diagnosed. The second most common superficial skin disease of cats is dermatophytosis or ringworm. Ringworm is a concern for people due to its zoonotic potential. This talk discusses what is new and useful in the area of diagnosis, treatment, and disinfection. In addition, a brief discussion of what to do when you suspect an outbreak is detailed. The presentation was delivered on June 27, 2013 at the 35th Winn Feline Foundation Symposium on Feline Health in Vancouver WA.

Thu, 16 Oct 2003 12:00:00 +0100 https://edoc.ub.uni-muenchen.de/4706/ https://edoc.ub.uni-muenchen.de/4706/1/Bartsch_Andrea.pdf Bartsch, Andrea