"Poikiloderma of Civatte refers to erythema associated with a mottled pigmentation seen on the sides of the neck, more commonly in women. Civatte first described the condition in 1923.
Poikiloderma of Civatte is a rather common, benign condition affecting the skin. Many consider it to be a reaction pattern of the skin and not a disease. The term poikiloderma refers to the combination of atrophy, telangiectasia, and pigmentary changes (both hypopigmentation and hyperpigmentation). Poikilodermatous lesions may be seen in certain genodermatoses (Rothmund-Thomson syndrome, Bloom syndrome, dyskeratosis congenita), in connective tissue diseases (dermatomyositis, lupus erythematosus), in parapsoriasis/mycosis fungoides, and in radiodermatitis." Source
[YEA] 05/03/2010: Suzieq from Palm Bay, Fl: "Thank you Ted, for that information. After about one month of Poikiloderma of Civatte, it had spread from my neck creases to my chest, just about where a necklace would be. The itching got to be just too much. I stumbled on Ted's account of the kangeroos eating grass with a fungus in it. I did research online to find out what to eat in an alkaline diet. Actually I could see improvements within 24 hours and a big change in 48 hours. I am now on day 10 of the diet and I have no more symptoms. I did cut back one day during that time and I ate more acid food, but then the itching started to get worse, so I knew the diet was working. I am eating brown rice, hard boiled eggs, nuts, green apples, lots of fruits and vegetables, lemonade, some yogurt, only very small amounts of meat & shellfish once a day (because these are acid), no sugar at all. I am willing to stay on this diet indefinitely to protect my liver. Do you have an estimate of time when I can eat more acid foods such as raisin bran with milk for breakfast? (age 68, female)"Replies
02/12/2011: Kevin from Boston, Ma replies: "I suffer from Poikiloderma of Civatte. Doctors here in Boston say it is sun damage. Even though I have used sunscreen extensively it is getting worse. It is on my neck and upper chest. I have tried 4-5 liver cleanses using the olive oil/grapefruit method and I take supplements (Vit A, C, E, D) probiotics, quercitin, flax oil. I am intrigued by your article, however I only saw one response.
1. have others had success doing this?
2. Is there a way to reduce the redness?
3. I read Borax is poisonous, how can you apply it to the skin.
4. is there a better way to cleanse the liver?
06/06/2008: Sheila from Dewsbury, United Kingdom: "I am female, 62 years old, and have always kept well clear of the sun and always used a sunscreen when I had no choice but to go out in the sun. However, I recently began using a natural, organic moisturiser with a suncreen factor of 15F, which I applied before going out on a sunny day. I only put the cream on my neck, not on my face. The weather here has been cool and only moderately sunny,but almost immediately I began to develop the red neck and upper chest typical of chronic sun damage.I can only think that some of the ingredients in the moisturiser made my skin photo-sensitive (possibly the PABA Ester). I don't use this moisturiser any more, and have reverted to a normal sunscreen and still avoid the sun as much as possible. However, the redness is still there after one month, and doesn't look as if it will go away now. At present it is fairly mild, but I fear that it might worsen over time. I know there are various laser treatments, etc. available, but I don't want to go down that route - too expensive and possibly not safe long-term. Do any of you have any safe, natural treatments which could reduce the redness? It is not rosacea. It goes by the strange name of Poikiloderma of Cevatte."Replies
06/07/2008: Ted from Bangkok, Thailand replies: ""The present medical practices of classification of a condition is faulty and are often by named appearances and symptoms when the cause is unknown or presumably unknown.
The problem is the cause is known and they continue to name these condition again based on appearances. However, my own classification system in naming the disease is based on triggering factors, then how that triggering factors causes this, and what is present when it does happen. It sounds like a mouthful, but I simply called it photosensitivity induced by chemicals or chemical photosensitivity. Another type is induced by fungus leading to photosensitivity from the mycotoxins present in our food supply from peanuts, potatoes, wheat products, moldy bread, moldy houses, vegetarian foods, etc.
Whichever the cause, mycotoxins induces an immune suppression, which triggers autoimmunity, again a misnomer to keep us off the track in finding proper remedies! Autoimmunity is often the result of fungus (such as the U.S. military patent mycoplasma now found in vaccines) attached to cells causing white blood cells to attack our own cells.
The chemical induced photosensitivity triggers two major events, one is to cause liver autotoxification or simply liver congestion, and lowered immunity of the body in general, where localized photosensitivity takes hold in area in which the oinment was applied. Eventually it may spread if the condition was ignored in some cases. So the opportunistic infections occurs causing skin rashes in that area, where a fungus takes hold of that area to form colonies.
I have seen this quite often in localized photosensitivity in lupus people and the remedy was treatment of liver and reduction of fungus by borax remedy and alkalization using either baking soda or carbicarb remedy.
I always suspected that based on skin condition of photosensitivity is often fungus opportunistic infection where deficiencies and toxicity were usually from vaccination, dietary, that triggers immune suppression.
As a case study humans are not unique in photosensitivity, but our present medical system of overspecialization prevents us from knowing that veterinary medicine always knew the cause of photosensitivity based on their autopsy studies in animals.
Therefore in real life case example, this also happens in kangaroos raised domestically and were dying from an unknown source. The diagnosis was photosensitivity, never mind about fancy names such as Poikiloderma of Civatte! lol. Therefore the kangaroos had to avoid the sun, but other symptoms were apparent, just like humans, lost of fur (sounds like alopecia), opalisation of the eyes (sounds like cataracts in humans), ear problem (ringing of the ears?), skin rashes, dry flaky skin begin to fall off, oozing pus (also found in lupus of humans), for example.
The Kangaroos had to be put to sleep and an autopsy were performed and revealed liver damage. The cause came from the use of ORBENIN ointment (found to cause liver damage in human studies), hence the triggering factors inducing photosensitivity.
They cured one kangaroos with vitamin B injections but other Kangaroos eventually died and vitamin B complex were not helped because there were other triggering factors, which were again traced to fungus found in Signal grasses.
The problem is that domestically raise animals don't survive well because they were given limited choice of the food for them to graze (and to think we eat domestically raised animals!), apparently Signal grasses contain high amounts of fungus, which contains mycotoxins. In my opinion both chemical oinments enters transdermally and damages the liver which causes the body to be photosensitive. Once the immune system is lowered because of low immunity, especially localized skin area, fungus opportunistic infection sets in in areas where fungus love - the areas where you get most of the moisture for them to grow - the neck and chest area, for example. People might wonder how photosensitivity occurs if the liver is damaged. The reason is really simple: the liver is the organ to detoxify, and if there is damage, the liver cannot detoxify to toxins accumulate and the body can no longer absorb the toxins and leave the toxins where the source was applied causing that skin area to be toxic leading to chemical photosensitivity. Obviously a skin preparation to detoxify these are possible with a 1% hydrogen peroxide solution mixed with a saturated amount of borax to that skin area. This is neutralization of chemical toxicity in the skin area by oxidation.
The remedy therefore appears obvious. I would detoxify the liver, kill off the localized fungus, and reduced the inflammation of the skin, and avoid mycotoxins and fungus from food and environment.The only thing this remedy won't help is discoloration of the skin from chemical toxins in which conventional therapies would do fine.
To reduce the chemical photosensitivity or fungus photosensitivity I would probably take 1 tablespoon of granulated lecithin before meals three times a day, take some 10 drops of 3% H2O2 food grade in a glass of water, mixed with 1/2 teaspoon of baking soda twice or three times a day. Skin problems in reduction of inflammation is helped mostly with omega 3 fish oil, not cod liver oil, usually once a day. There's a difference. Some evening primrose oil 1000 mg. taken three or four times a week. Vitamin B complex will also help restore some liver function such as B50 or B100 once every other day. Other supplements include milk thistle, for example.
However most of my the problems appear to helped is the carbicarb remedy, which is 1/4 teaspoon of sodium carbonate and 1/4 teaspoon of sodium bicarbonate in 1 glass of water (if some people have problems of too much water, then 1/2 glass at least). It is taken twice a day, if possible and can also be taken at home early and late evening if it is inconvenient, and also promotes sleep as it has an alkalizing effect on the brain and skin areas. Increase alkalization will reduce both skin inflammations and fungus opportunistic infection that occurs often are localized.
Taking a bath with borax or the use of borax remedy also has antifungal properties and are often synergistic with the alkalizing remedy, where the borax I used can be 1/8 teaspoon dissolved in one liter of drinking water taken 4 days out of a week.
Skin condition will lessen at least from my experience of some sodium ascorbate vitamin C, 200 i.u. of vitamin E, 25,000 i.u.Vitamin A, and fish oil having omega 3 (DHA and EPA) were most helpful.
It takes about 2-3 weeks for rashes to notice some reduction. However if the skin is always moist or that the body is generally is moist often supports opportunistic fungus and some zinc gluconate 50 mg, twice a week can reduce some excessive oils and reduce moisture from the skin, but also I have found 1000 mcg of chromium polynicontinate to be helpful too, at least the reduction in blood sugar to more normal levels from chromium were helpful.
To round off everything a once a week or twice a week mulitvitamins and minerals I think is more than sufficient then taking everyday. I prefer liquid vitamins and softgel capsules because liquid version were more bioavailable than the tablet version because they sometimes cannot be dissolved in the stomach and sometimes the tricalcium phosphate and waxy magensium stearate prevent their absorption.
Certain foods, especially needs to be avoided that are high in mycotoxins and are very acid foming, in particular is wheat products, dairy products, and high mycotoxin foods, which are peanuts, potatoes, all sweet products, vegetable oils used in cooking and high temperatures, common table salt, mushrooms, all yeast products, peppermint oil found in toothpaste. The other thing I found in UK to cause some liver damage is the fluoride and chlorine found in the drinking water. Therefore reverse osmosis water with added 1/4 teaspoon sea salt plus 1/4 teaspoon sodium bicarbonate in one liter of drinking water were most helpful, especially if kept overnight (it's the ORMUS effect, or superconductivity of monoatomic elements that is why it was kept overnight) which helps strenghten the immune systems.
Again it is quite difficult to cover every aspect of photosensitivity, but it is often induced by chemical and fungus, and hence detoxification of chemicals by hydrogen peroxide, lecithin, and sea salt for example is possible, and the fungus photosensitivity can be reduced with antifungal remedies such as borax, hydrogen peroxide, fungus products (yeast, mushrooms, peanuts), avoiding sweet foods and sour foods, as well as chromium to reduce blood sugar are some possibilities. Obviously the major organs we need to protect is the liver where both mycotoxins from fungus and chemicals is what damages the liver.
P.S. As a footnote, some people are taking diuretics which causes depletion of potassium as a result the sodium bicarbonate or sodium carbonate isn't going to work unless 1/8 or 1/16 teaspoon of potassium citrate or potassium bicarbonate was added everytime the remedy is used. I suspect magnesium may be low too whenever electrolytes are imbalanced and some magnesium citrate supplements such as 250 mg on a weekly basis"
07/05/2011: Pluto from New York, Ny replies: "Hello, this is regarding Poikiloderma of Civatte. It wasn't my greatest problem while I suffered from rosacea. But now that I've cured that (with Ted's borax remedy and lastly a good whack of ivermectin) it became much more prominent. I read all about it, but since it looked like rosacea I thought I'd hit it with the ivermectin, too. Good news -- after just a few days it's 50% GONE."