Case Study - Eczema presentation

The case study is provided by James Yoon – a Naturopathic Practitioner in Canada. We have a Q & A below with James Yoon. We discuss why he choose to use Kolorex Horopito for this client’s skin presentation & how his client responded to the Horopito supplementation. 

Started treatment

June 6 2019

Treatment began with Kolorex soft gel supplements, probiotic and detox supplementation and Candida diet.

Two weeks of treatment

20 June 2019

Patient experienced a die-off reaction which lasted for one week, then symptoms started to improve

8 weeks of treatment

August 1, 2019

Less eczema patches on face and neck and less less itchy overall. Caprylic Acid supplementation added to treatment.

16 weeks of treatment

October 3 2019

Patient reports eczema almost completely resolved

The patient sought consultation for ongoing symptoms of eczema, with the primary health concerns focused on managing these eczematous symptoms and, ideally, achieving resolution.

The patient presented with patches of skin rashes characterized by inflammation, redness, flaking, and itching, primarily affecting the neck, face, and around her eyes. She would also experience episodes of itchiness affecting her scalp and ears. 

The patient also experienced digestive symptoms such as occasional bloating and gas, indicating potential systemic involvement of yeast/fungal overgrowth.

 From a dietary standpoint, foods that aggravated her eczema included: dairy, alcohol, and bread.

The diagnosis was supported by a combination of factors, such as the patient's history of eczema, and the characteristic symptoms observed.

 During the initial intake, the patient also shared some risk factors that are associated with yeast/fungal overgrowth. She recalled taking a course of antibiotics a few months before her eczema symptoms
became more persistent/worsened. She also mentioned a previous positive
response to baker's yeast during a Food Sensitivity Test. 

On inspection of her tongue, a moderate white coat was observed, which may suggest yeast overgrowth.

Yes, a skin rash, exemplified by red patches on the neck and face with minor flaking, can be a presenting symptom of eczema associated with yeast or fungal overgrowth. The rash results from inflammation and irritation of the skin by the fungus/yeast.

Yeast and fungi thrive on the skin by using lipase enzymes to break down sebum, the skin's oily protective barrier, into smaller fatty acids for energy. This process can disrupt the skin barrier, leading to the production of free fatty acids that may damage skin integrity, contributing to irritation and inflammation.

The decision was based on the recognized efficacy of Horopito against Candida and other fungi, providing a targeted and holistic approach to the treatment plan.

Ensuring the absence of herb-drug interactions was also crucial. The patient was prescribed two blood pressure medications: Irbesartan, an angiotensin receptor blocker (ARB), and Amlodipine, a calcium channel blocker. Notably, commonly used natural antifungal herbs like garlic (allicin), berberine, and grapefruit seed extract could potentially interact with these medications, influencing both their therapeutic effects and adverse reactions.

Horopito extract was chosen for its potent antifungal properties. It also did not have any drug-herb interactions with the patient’s medication, based on the NatMed Pro Database drug and supplement interaction checker.

The treatment plan incorporated a diet, emphasizing low-glycemic index foods, and low/no yeast/fungal-based foods, followed 80% of the time (for example, allowing one to two cheat meals per week).  

The patient's treatment plan was enhanced with two additional supplements. A probiotic, containing 30 billion CFU, was introduced to promote general gut health. Additionally, a supplement designed to support internal phase 1 and phase 2 detoxification processes was incorporated in the first month, then discontinued afterwards. This addition aimed to support the patient's overall detoxification capacity and alleviate symptoms associated with a Herxheimer or "die-off" reaction.

Halfway through the treatment, after the patient’s 2-month follow-up visit, Caprylic acid was added to complement the antifungal activity of Horopito extract. The patient had reported some success with Caprylic acid supplementation in the past, and so a decision was made to see if the combination would be even more helpful.

Yes, the patient was using an OTC Allergy medication (Loratadine) to manage itching and was prescribed a topical steroid by her dermatologist for eczema management. These medications provided symptomatic relief while the holistic treatment plan targeted the underlying cause of the symptoms.

The patient also had a history of hypertension and was medicated with two blood pressure medications: Irbesartan, an angiotensin receptor blocker (ARB), and Amlodipine, a calcium channel

The patient responded positively to the treatment. After approximately 3 weeks of using Horopito extract, there was a mild reduction in itchiness, and the patient also noticed improvements in digestion, with reduced bloating and more regular, better-formed bowel movements.

In the second month of treatment, the patient reported a substantial reduction in itchiness and fewer skin patches. Notably, some areas, including the face and neck, had already cleared up.

The overall treatment duration was four months, resulting in nearly complete resolution. The patient initially used Kolorex Horopito as the primary anti-fungal agent for two months and extended the regimen for an additional two months, incorporating caprylic acid supplementation. At the conclusion of the 4-month follow-up, the patient expressed a desire to continue this combined treatment for an extra month to ensure complete resolution. But there is no information about any follow-up visits beyond this point.