(Q) About oozing eczema spreading on legs

 Hi, nice to meet you. I have been TSW and NMT for a year and 11 months now. The initial withdrawal symptoms were on my face, neck, elbows and hands where I applied the cream frequently, and for some reason only on my knees where I never used it, but, by June of this year, it had settled down to a very clean state. However, in July, I developed an extremely itchy eczema on the back of my thighs, which quickly spread to the rest of my body, probably because I did not take water restriction and exercise seriously. I have been trying to control the water intake and exercise, etc., and now the itchiness and small areas of exudate come and go all over my body, and small debris continues to come off my body. Now I have a very itchy eczema with small blisters clustered together in a rounded shape (1 cm or 3 cm in size) on several areas from my calves to ankles. Whenever I scratch them, they produce exudate, which has recently turned to blood. My local dermatologist told me to go home if I did not want steroid treatment, and I am not sure if this is a symptom of TSW or something else.
Is it correct to take care of this symptom in NMT? I would be very grateful if you could help me. Thank you in advance.

(S) Judging from your description, it seems that the round shaped skin rash is nummular eczema. Both atopic dermatitis and steroid-dependent dermatosis can cause various types of rashes, so it is difficult to distinguish between the two based on the appearance of the rash.
I think it is better to think of it as a mixture of both in various proportions.
As for nummular eczema, first apply gauze protection. If that doesn't help much, try zinc oxide ointment.

(Q) Thank you for your response, Dr. Sato. I try to cut a piece of gauze into small pieces and put it on the places where it is not dry. I was confused and feeling impatient about whether it was withdrawal symptoms or another factor, but now that I hear that it could be either, it makes sense. I would like to follw the way of NMT, and continue taking a shower about once a week. I would also like to try zinc ointment. I feel much better now. Thank you so much,

 

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(Q) Inspection

 Hi, I have been TSW and NMT for 10 years. My body is much better but I am having trouble with eczema on my fingers which used to be only dry. Is it atopic eczema, athlete's foot, or fungus? I'm not sure. I don't want to go to a local dermatologist because there are no steroid-free doctors nearby and I don't want to use steroids anymore.
Is it possible to judge them corrcectly?
Or if it can be judged at a hospital other than a dermatologist, I would like to know which department to see.
Also, in your book, hands are hard to heal until the end, but is it safe to assume that once I get over this point, it will get better?
Thank you in advance.

(S) No one other than a dermatologist would be able to determine this. First of all, do not put water or disinfectant alcohol on your hands. You may consider that TSW will go well if the hand symptoms improve.

(Q) Thank you for your prompt reply, Dr. Sato.
I understood it had to be a dermatologist. When my fingers got bad, I thought of that, my family members have athlete's foot and candidiasis, and I also thought I might have contracted it, so I suspected fungus or mold, but I guess there is also disinfection under the corona. I wish there were more dermatologists like Dr. Sato and your colleagues nearby, and I will keep on trying to do my best.

 

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(Q) Red light therapy

 Hello. Is red light therapy effective during TSW?

(S) I think it is easier to itch due to increased body temperature.

 

 

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(Q) About bandages on elbows and knees

 I am in the process of NMT. I feel like I have moved from oozing phase to the cracking phase. I have strong rebound symptoms on the inside of my elbow and back of my knee, and since I am in the desquamation phase, I think I am at the stage where I should stay without bandages in terms of NMT. However, the stiffness and cracking causes stiffness and discomfort every time I bend and stretch, itching and pain when clothes touch it (choose skin-friendly materials), and it takes time to do each movement, which also causes muscle stiffness in other parts of the knee, which is very stressful. Should I stop using bandages in these cases as well?

(S) Wrap a piece of gauze around it and put a bandage over it. You can leave the gauze on for a week and change the bandage every day. If the gauze has been on for a week, remove the gauze without peeling the scab off. If there is exudate, wrap the gauze again. If there is no exudate, gauze and bandages are not necessary. In this case, before using the gauze, it should be washed and dried with tap water to remove the antiseptic.

(Q) Thank you for your reply! I appreciate the forum for questions like this.

 

 

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(Q) Exudate from nipples

 Hi, nice to meet you.

I am asking about my son in his 20's who has been TSW and NMT for 5 years after reading your book. He has had exudate from one nipple for about 2 months. It dries up and almost becomes a pressure sore, but he rubs it or touches it, and it peels off and exudes again, waiting for it to dry, and repeats. He has tried putting gauze on it but it doesn't stick enough. He can't use a medical tape because he gets rashes.
Can he put medicine such as gentacin or dolomycin on it? Can he put medicine such as GENTACIN ointment or Dolmaisin on it?
Should he just do nothing as it is?
I would like to know if you have any suggestions.

 

(S) GENTACIN or dolomycin may help if there is a bacterial infection. In my book zinc oxide ointment sometimes works.

 

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(Q) Thank you for your prompt reply.
I looked up zinc oxide ointment and found that there is an over-the-counter one. We will give it a try. Thank you very much.