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Makise Medical Center
This rash has a wart-like hard core and causes an intense itch, and can be seen in some patients with severe AD. If you go in a sauna with far-infrared rays, put a strong steroidal ointment and then wood tar ointment, and wrap it with gauze everyday, it will heal substantially within 3 weeks. However, many people cannot do this everyday. Hospitals where you can use health insurance do not offer this alternative treatment. You could install a sauna that emits far-infrared rays in your house, but this will be costly and time-consuming.
In order to treat nodular prurigo using modern medicine, patients use the strongest steroid ointment and take orally either steroids or immune suppressors. However, the side effects significantly weaken the body. Although nodular prurigo is not fatal, steroids and immune suppressors can have detrimental effects on your life.
At my clinic, we mix minerals that emit far-infrared rays and several vitamins and herb extracts into a special ointment for patients with nodular prurigo, which is much more effective than normal steroidal ointment. In addition, patients will take different kinds of supplements such as selenium and an increased dose of vitamin E.
This can happen to AD patients sometimes. Wheals usually appear when people get out of a bath and are identified by bubbled up or protuberant skin. Although it can itch severely, this itch usually only lasts for about 1 to 2 hours and until morning at worst.
This type of hives is called cholinergic urticria, and is related to acetylcholine, which comes out of the skin’s peripheral nerves. Acetylcholine is generally thought to exert an effect on mast cells so that it aids the production of substances that causes itchiness such as histamines and leukotriene, although the exact mechanisms are not yet clear. Many patients who rush into my clinic, thinking that their AD symptoms are getting worse, relax when they realize that all they have is hives. Although hydroxyzine hydrochloride (Atarax etc.) is effective at treating cholinergic urticaria, people still wonder what they should do since it happens every day when they finish bathing. Treating this is similar to treating AD, so you should take lots of Vitamin B (3 times what you would normally take) and Vitamin C (10 grams a day). Although it is not clear how this works, many people notice a significant improvement. Try using these if your hives persist.
Tinea rashes are initially circular or oval in shape, and will eventually fill up in the middle. Thinking that this is AD-related and using steroid ointments will not help. Patients with diabetes, of patients with a relative who has diabetes should be cautious. Diabetes patients have skin that is vulnerable to dermatophytes. There are, however, lotions and ointments that are effective at treating tinea.
However, athlete’s foot is, in reality, very hard to cure. Extracts from mugworts and houttuynia cordata can be effective.
This is caused by sarcoptesw scabiei, and is sometimes misdiagnosed as AD. Patients come into my clinic when the itch of the rice grain to azuki bean sized papules that spread over their bodies becomes unbearable. Patients who used to have AD tend to think that their AD is reappearing. The textbook procedure is to find the scabies burrow, made when mites make burrow or tunnel-shaped holes under the skin’s horny layer to lay eggs, but these “burrow” are often mistaken as thin scratch marks and are undiagnosed. When this happens and patients are given steroidal ointments, under the assumption that they have AD, they come back, saying that their skin condition didn’t improve. After further examination, they start to realize that they could have scabies once they say that they used to work at a institution for senior citizens or that other family members had the same skin condition. One similarity between AD and scabies is that the itchiness intensifies at night. Also, scabies are not commonly seen on the fact, which can be said about many AD patients. This is how a simple diagnosis can be critical. If you are properly diagnosed to have scabies, there is a cure, so don’t worry. The problem is when you get a diagnosis, your doctor might not think of scabies as a possibility. What is important is for you to ask whether you could have scabies to your doctor. It’s a shame how unreliable doctors are these days!
Many AD patients additionally get herpes. It is most common to find smarting blisters around you mouth. One characteristic is that the rashes have a little navel-like hole in the middle at its early stages. This appears especially when people are stressed. The culprit is Herpes simplex virus type 1, which is highly contagious so that in addition to direct contact, you could also contract this disease from sharing towels and cups with this virus. Once this infects you, even if your body develops immunity against it, it will repeatedly relapse. Herpes labialis, commonly seen around the mouths of adults, is an example of a relapse, and some even relapse 3 to 4 times a year. You can use antiviral drugs (that can also be in ointment form) such as aciclovir (product name: Zovirax) or vidarabine (product name: Arasena-A) to treat this without worrying about serious side effects. However, since this disease is so contagious, do not touch your eyes if you’ve touched inflicted areas. It is extremely dangerous if your cornea contacts herpes viruses. Also, do not break the vesicles. If you treat it properly, herpes can disappear within 2 weeks. However, using antiviral drugs every you relapse is not recommended. If you try the things mentioned below, the frequency of your relapse will dramatically decrease.
First, avoiding taking white sugar as much as possible. Take folate(3mg to 5mg), Vitamin B5(500mg), Vitamin B12(2mg), zinc(30mg), selenium (50μg), and Vitamin C(5g) supplements. Also, take 6 to 8 grams of lysine, an amino acid, while you eat. Lysine countervails arginine, which gets eaten by herpes viruses. Lysine can be easily purchased on the Internet. Lysine can also be found in soba (buckwheat noodles), so if you don’t have soba allergies, have light AD symptoms, and are prone to herpes relapses, you should eat lots of soba. Also, avoid eating nuts, such as peanuts and almonds, since they contain lots of arginine. Silver colloids are also effective for treating herpes. If you just have herpes on around your mouth, you do not need to go through nearly any treatment (although it may hurt!) and naturally recover after two weeks. However, if you get Kaposi’s varicelliform eruption, things get complicated. Some AD patients with severe symptoms get this. Many times, it spreads across the face, but in some bad cases, it will spread all over the body. You should be treated at a hospital for a couple of days. Although rare, some people don’t realize that they have Kaposi’s varicelliform eruption, and even though unlike usual it has a stinging pain, they think that their AD symptoms are just getting worse and use steroid ointment. This will only worsen their condition. Itchiness is a principle symptom of AD, and not pain. If your rashes hurt, please immediately go to the doctor.
This is where there are small pearl-like papules and bumps on the skin caused by molluscum contagiosum virus (MCV). This, too, is seen among many AD patients. It is neither painful nor itchy, and will eventually disappear after 1 to 2 years. Therefore, you can leave it as it is, but if there are a large number of the papules, some mothers worry of their child’s appearance. Also, they can stay for nearly 3 years. In this case, I can take it off with tweezers, but children complain about the pain and mothers do not want to see their child suffer, so this can be put off for quite a while. However, now anesthesia tape can be used to take out molluscum contagiosum so that patients don’t feel any pain. If patients still refuse to do that, they could use a topical cream, ZymaDerm, designed especially for molluscum contagiosum. The main constituents include iodine, echinaces, and thjua, and are safe enough for even a 9-month old baby. Just look up “ZymaDerm” on the Internet.
Sometimes, there are patients in their 50s who come to my clinic due to persistent itchiness. These patients have pruritis cutaneus senilis, a symptom name rather than an actual disease name (since this translates to a condition where an elderly person has itchy skin). Some patients say that they were diagnosed as a type of AD particular to the elderly. Either way, the causes for this condition are not clear, so there needs to be a reasonable name for this condition. A major similarity between this condition and AD is that it inflicts intense itchiness, and that it is hard to cure even if you use steroid ointments. Also, people who get this disease don’t show signs of AD, including asthma, hay fever, and food allergies. Many of them do not use agrichemicals since their hobbies include gardening, they haven’t moved to a new house, and they haven’t encountered a particularly stressful event; they have suddenly gotten incredibly itchy rashes without having any idea what caused it.
These cases may be a prodrome to mycosis fungoides, a type of skin cancer, or can implicate how there is cancer somewhere in the body. It should be treated as a premonitory symptom of a cancer that will appear a couple years later. First, go to a university hospital and get an examination from a specialist. If it turns out that it isn’t skin cancer, check whether you have tumors using blood tests, and request the use of CT and PET scans to check whether there is cancer somewhere in your body. If you don’t find anything malignant, you are lucky, and should improve your lifestyle thoroughly before your body develops cancer. You should stop smoking, stop eating meat, go through some detox treatment, take multi-vitamin minerals, and live a stress-free life as much as possible. There is already an abnormality in the body, and the body is using the skin as a warning signal. The abnormality, in this case, is in the immune system, and with the elderly, this could easily lead to cancer. There is no way you would get rashes as a prodrome to cardiovascular diseases such as angina, a coronary, brain infarction, or bruising of the brain. Even with diabetes, the rashes are typically as athlete’s foot, not pruritus cutaneus senilis. Also, you should be especially cautious if you experience frequent herpes relapses. This shows how your immune system is getting weaker and that those kinds of viral diseases can happen easily. There is nothing wrong with changing your lifestyle to a healthy one even if your pruritus cutaneus senilis did not have anything to do with cancer and your frequent herpes had no bigger problem behind it. Family members should be aware of this as well.
Although different from pruritus cutaneus senilis, middle-aged (or older) people can get Verruca sensilis, a type of wart. When this spreads over the body and starts to itch within half a year, they have Leser-Trelat. In this case, patients can also have malignant tumors in their organs such as stomach cancer, bladder cancer, or lung cancer. Even if a patient doesn’t have these common symptoms, if he or she is elderly and has itchy rashes or many warts, the possibility of these abnormalities being malignant should be at the forefront of a dermatologist’s mind. Since many branches of medicine are getting too specialized these days, there is disjointedness between dermatology and internal medicine that causes the doctors to be too near-signted. When I administered a urine test for two men with pruritus cutaneus senilis, they both had positive occult blood test results, and one patient even had abnormal BFP levels (BFP is used to check for bladder cancer). Although I recommended for them to get an examination, they have not been able to get one so far.
I have written about gardenia peel, Center-Supplementing Qi-Boosting Decoction (bu zhong yi qi tang), Perfect Major Supplementation Decoction (shi quan da bu tang). There are doctors who have used others such as White Tiger Plus Ginseng Decoction (bai hu jia ren shen tang), which treats itchiness, and Wind Dispersing Powder (xiao feng san), which treats secreted liquids. However, unless you are well informed about traditional Chinese medicine, you will not get these results. It is common to see unscrupulous doctors who suddenly refer to traditional Chinese medicine using phrases like “no side effects”, “withdraw from steroids”, and “good for your body and soul”. Traditional Chinese medicine, starting from even how you administer an examination, is completely different from Western medicine. It is unreasonable to use traditional Chinese medicine as a part of Western medicine.
At China, doctors go to different schools; they either go to schools that mainly teach traditional Chinese medicinal practices or schools that teach Western medicinal practices. Korea also has schools that teach primarily Korean medicine and schools that teach primarily Western medicine. At America, the schools that teach modern Western medicine (if you graduate from these, you get the title M.D, or Medical Doctor) are different from the schools that teach natural alternate treatment (if you graduate from these, you get the title N.D, or Naturopathic Doctor). At China, the doctors who practice Chinese medicine have the same social status as those who practice Western medicine, which could be said for Korea as well, but not the US, where Medical Doctors have a higher social status. However, there are restrictions on what kinds of treatment each type of medicinal practice can administer. In other words, you must have learnt medicine for a long time to study traditional Chinese medicine, and those who only studied modern Western medicine do not have the qualifications to practice traditional Chinese medicine. However, in Japan, there are practitioners who profit off their meager study-session knowledge and insufficient experience of traditional Chinese medicine. There is no way going to these doctors is going to help, and since I know how bad their lack of knowledge is, I do not treat people using traditional Chinese medicine. Incompetent doctors are the ones who make patients suffer for their lack of knowledge. It is a sad and dangerous situation.
It seems, by observing my own patients, that the worse the AD symptoms are the more likely it is that the patient has tried traditional Chinese medicine before. These patients can be classified in the 3 groups as follows:
If you fall in situations a) or b), try using it for 3 months, and if your AD symptoms do not get better, there will be no point in continueing using it. However, many doctors who prescribe traditional Chinese medicine will say that your body is adjusting to the medicine. This is, however, a rather vague expression; a body’s condition is already set when the egg and the sperm unite, and thus a person’s body condition will not change unless their DNA mutates. How can they even say that your body is adapting to the medicine? They must clearly define what they mean when they say that (and if they don’t, you must ask). If your doctor can only give you a sloppy answer, your doctor has based your treatment on nonsense. It is dangerous to take traditional Chinese medicine without thinking it through. Traditional Chinese medicine also has side effects.
I have seen two extremely terrible cases.
When I asked patients about their treatment, many of them said that they were also prescribed celestamine, which is a combination of antihistamine and steroids.
One person was told to use celestamine when AD symptoms were getting worse while taking traditional Chinese medicine, and another was told to use it everyday. The latter took celestamine everyday for 7 to 8 years before he went to sleep! This patient was not being treated by traditional Chinese medicine and was, in fact, was being treated by the steroids inside the celestamine
The patient, of course, did not get that explanation from his doctor. This is a type of fraud; saying that the unneeded traditional Chinese medicine would help when it was the steroids that was treating AD. In addition, steroids should be taken before noon to minimize the side effects. There are cases where patients should take steroids at night in the case they have intense asthma attacks or painful rheumatism attacks in the morning, but these are exceptions. The doctor who handled the second patient lied about the traditional Chinese medicinal treatment and used steroids and, on top of that, did not even know how people should take steroids. There is an increase in the number of unsuccessful doctors who are prescribing traditional Chinese medicine for profit. Be on full alert for these doctors.
Celestamine is a tablet sometimes prescribed to AD patients. If you look closely, a number, “311”, is on it, which means that it contains steroids. If you have this, ask your doctor why this is included in your prescription. Restamine, although sounding similar to celestamine, is only a antihistamine, so don’t worry about this.
I’ve also seen a patient, aside from those mentioned above, who used celestamine for 8 years. I’m tempted to point out by name the terrible Fukuoka-based female doctor out of anger. The patient used celestamine for 8 years, without ever being told that celestamine contains steroids, on the belief that the doctor was well known as an AD treatment specialist. Everybody should be careful of their prescription drugs (for internal use) and make sure what it is they are getting.
There are also some patients, who fall under the C category, who have gone through electric treatment using tens of thousands of bolts. All I can say to that is that it is safe to just stop.
There was also a person who was taking a health food product containing the calcium from corals. This was somebody who had light symptoms of AD and was just taking it to get the extra calcium to maintain his health. After two months, he had terrible rashes all over his body. Although he should’ve stopped then, he was told that his rashes appeared because the toxins in the body were getting out and continued taking it. He obediently took double the amount he was taking before under the belief that, indeed, the toxins would all come out soon. A month after that, his condition was so bad that even a hospital of a national university couldn’t treat him. When he finally came to my clinic, his skin was peeled all over, his whole body was covered with bandages like a mummy, and his secreted fluids could be smelt from two meters away. At that point, the rashes had tuned into a rare type of skin disease, pemphigus foliaceus.
When you look at these examples, it is clear how dangerous the claim that patients should endure the pain because the toxins in the body are coming out sounds. If your doctor or the person treating you is so sure, make him or her write “this is a temporary reaction that will eventually bring about better results, and after this reaction subdues, your AD symptoms will improve”. If your doctor refuses to write this, it is safe to stay away from whatever he or she is suggesting you should do.
I have written on reasons and examples on why you should not use traditional Chinese medicine. However, only people who have not gotten good results from traditional Chinese medicinal treatment come and, obviously, people who have gone through successful traditional Chinese medicinal treatment do not come. So, in other words, there are people who improve their AD condition through traditional Chinese medicine. I have seen this type of patient before. This patient went all the way to Beijing to get treatment, which worsened his symptoms. The reason why he went, however, was because one of his acquaintances went successfully improved his AD symptoms from the same traditional Chinese medicinal treatment in Beijing. Although this patient’s AD symptoms worsened due to the treatment, his friend’s symptoms got better.
This is information obtained from Dr. Makise’s having cured atopic dermatitis of 40,000 people or more in total and the latest and highest atopic dermatitis treatment. But this is provided for information only. No action should be taken based solely on the contents of this website; instead, readers should consult appropriate health professionals on any matter relating their health. Readers who fail to consult with appropriate health authorities assume the risk of any injuries. Dr. Makise is not responsible for errors or omissions.
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