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UV lighting & folliculitis
Jun 15, 2000

Doctors-Do you know which types of folliculitis specifically respond to UV lighting? Does demodex folliculitis respond at all? I have been given Elimite cream, but it makes terribly ill. (Vomiting, stomach pain, even hallucinations and terrible headache/seizures. I would like something less toxic to solve this problem... thank you! -CJ

Response from Dr. Pavia

UV therapy, specifically oral psoralens and very carefully regulated UV (PUVA for short) has been used for very severe eosinophilic folliculitis. Non specific folliculitis sometimes seems to respond to mild sun exposure, and we see it clear sometimes in the Western summers, but I don't think it is dermatologist approved.

I am surprised at your reaction to elemite. I wonder if you were using a huge amount, or on open sores. Otherwise, you are unusually sensitive.

There are other approaches to demodex infestation that a dermatologist would be up to date on, including KWELL, and even ivermectin, but first it is important to be sure it is the correct diagnosis.Folliculitis in HIV can have many causes and biopsy is usually helpful after the first one or two attempts at empiric treatment have failed. Good luck

Andrew T. Pavia, M.D.



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