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Doctors' Answers to "Frequently Asked Questions" - Skin Problems
These comments are made for the purpose of discussion and should NOT be used as
recommendations for or against therapies or other treatments. An individual patient is
always advised to consult their own physician.
Question: I was prescribed ortho novum 1/50 from 1974 to 1988, since 1975 my skin has gradually lost masses of pigmentation, I did not realise until mid 1990s it could be related to the pill. I have suffered terribly over the years. I do not know for sure if it is a form of skin cancer. Please help me in any way you can. My skin looks grotesque. For years I accepted it as a congenital condition. Doctors never seemed particularly interested. Now I am very angry and worried. It has been a nightmare. Each year more skin loses colour. The sun is my enemy. I took so much ridicule for years. The only thing I was ever advised to do was, buy expensive make-up. This was in the early years when I had no idea that each year would become worse than the year before!! Can you please help me, or direct me to someone who can. Nobody should look like me for taking a presciption drug in all good faith.
Answer: This is unrelated to the bcps, but is probably an autoimmune disease called vitiligo. Dermatolists can usually treat this problem and cause pigmented cells to migrate back into the depigmented areas.
Question: I have been taking estrostep for about 3 months. At about the same time I started electolysis on my upper lip area. Now I am horrified to find a discoloration on the upper lip area of light brown pigmentation, forming a shadow. The electrolysist says its from the pill and my gynoclogist agrees, but says that although I've stoped taking the pill it may not go away. Will this go away on it's own, is there something I can do to help it go away (bleaching cream, etc?) and why did this happen?
Answer: I would consult a plastic surgeon. There is a new lazer that can often fix these problems(remove the hair too). More expensive, but better and permanent.
Question: I would like to know what over-the-counter drugs you would recommend for lightening dark spots or getting rid of dark spots that were a result of mild acne or chicken pox? I also would like to know about any prescription drugs I should ask my dermotologist about to eliminate dark spots and discoloration?
Answer: The best treatment is topical abrasion. Another option is topical lazer debridement. Both work and remove the discolartion and scarring. Other things work less well. They are expensive and should be used after your acne is quiesent.
Question: I have puss pimples that are 2" below the bellybutton and 2"abouv the penis thay are all in a 2-1/2" by 5" area.Also i have a circular rash 3" by 3" on the very upper inner thigh what is this.
Answer: Sounds fungal, but impossible to tell without seeing it.
Question: After being treated with accutane for cystic acne, I developed
a severe sun sensitivity. My doctor sent me to a lab for
tests and I was diagnosed as having polymorphous light
eruption. For the past couple of years, I have taken zyrtec
and applied aclovate twice a day, but the problem just continues.
What are my options at this point? Is it possible that the
condition is something other than PMLE? Are the medicines I
am using safe to take over a long period? Thanks.
Answer: I assume you have been tested for connective tissue disease and the skin biopsy tested for immune complexes? I would probably repeat a skin biopsy, use an uninvolved and an involved area and send it to a national pathologist for a second opinion. You may get the same diagnosis, but worth a try. Treatment options for this condition are limited.
Question: I have a very itchy rash under my arms that looks like
tightly bunched groups of little larger than pencil dot
sized bumps. I'm afraid that this is because of my
deoderant. The problem is that very few deoderants work
for me, and then they will only work for less than the
time it takes for the bottle to be used up, so I have to
switch deoderants all the time. I use Cortaid at night to
keep from scratching, but need to wear deoderant/antiperspirant
during the day. Maybe some more natural products, I need
a strong anti-perspirant/deoderant that will work and not
give me this horrible rash.
Thanks for any ideas you might have.
Answer: First, try using deodorants that do not have anti-perspirant in them. Many patients are allergic to the anti-perspirant and not to the other ingredients. Secondly, check the ingredients on the side of the deodorant and use another one that uses different ingredients.
Question: I had itching all over my body at night. It doesn't happen every night only about oncea week. I have been to the dermatologist and he gave me some skin cream for dry skin but it didn't help. It seemed to start when I began going through menopause. I am still having my periods off-and-on. The only thing that helps is Valium. I try not to take it often but once the itching starts, I have no other option. This has been going on for about 5 years now. There is no rash and the itching is all over.
Answer: Have you tried estrogen replacement? If not an option, benadryl 50 mg at bedtime should help.
Question: I have a nickel-sized red mark on my inner leg near my crotch. It has a top of loose skin, but never becomes an open sore, just a red slightly uncomfortable irritation like an unbroken "body zit." It does not correspond to any underwear bands, it does not contact my genitals, and I make sure to keep the area very clean. I had it for about 3 months on one inner thigh, then it healed, and now appears on the opposite thigh.
Answer: Hard to tell without seeing. Could be a fungal infection or a sebaceous cyst. Both are pretty common here. Another possibility is folliculitis. Dermatology is one of those areas where a picture is worth a thousand words. OTC antifungals would be ok and if not better in three weeks or worsening see your md.
Question: I have big red lumps in the groin area, I think it has to do with my lymph nodes, they become quite large, and if they "pop", ugly green pus comes out. What could these be, and I would like to knoe what to do for them. Right now I have three, one the size of a "Twoonie"
Answer: You'll need to see a physician. They are probably sebaceous cysts or folliculitis. Both would require treatment in this area of your body.
Skin Rash of face [posted
Question: I am in Hong Kong. I have had a skin rash on my face from my left lower
eyelid to upper cheek: bumps/redness/itching and very minor swelling. The condition has
persisted for nearly 4 weeks. I have consulted my GP who prescribed a mild cortico-steroid
cream, which relieved redness, but had no lasting effect. He has now switched to 500 mg
Amoxil 2 times daily, yet he still has no diagnosis. I have no known allergies.
Answer: Dermatology problems usually have to be seen. However, most
would respond to steroids. See a dermatologist.
Rash treatment [posted 1/7/99]
Question: I am a 37 year old female living with AIDS. My dermatologist prescribed
Accutane for Mites/Scabies, which have been a rash that has been on my whole body since
the first part of May 1998 due to acquiring a bird and a dog and a 13 year old daughter or
casual contact. Is this customary treatment for the above. Do I need to exterminate my
Answer: Not usual treatment, and you will need to find and eliminate
the source or you will continue to have the problem.
Spots on the Skin [posted
Question: Bright red quarter-sized (or larger) spots (with a small whitish center)
have been for about two months coming on my Mother's legs, thighs, back. They fade after a
few days only to reappear somewhere else on her. Is this anything to be concerned about? A
chemical or vitamin imbalance in her body? She went to a dermatologist who apparently had
no idea what was causing it. If it is prudent to see another doctor, would an internist be
the kind of doctor to go to?
Answer: I'd see a Internist to get her organs checked etc. But, you
may not find the answer.
Cracking, Tearing Skin & Sign of
Rosacea [posted 10/23/98]
Question: I have a persistent problem of cracking or tearing at the edges of my
mouth for the last 10 months. I would say over 15 years I have taken my centrum
mutivitamins and eat Total cereal for breakfest daily. At the same time I started seeing
signs of Rosacea. I have been using Neosporin which moistens the skin but thats it. I have
also used Tropicort a steriod, it helps but what I want is a cure. Anything is possible,
but do you think that this a sign of a much bigger problem? If I go to a doctor should I
see a specialist? Should I start with a blood test looking for what? I stick with the same
Products like soap and shampoo so unless they have changed the ingredients I wouldn't
think that I am alergic to them. Thank You.
Answer: High doses of B 6 are sometimes helpful. Topical Vit E is also used. I
would avoid the steroid unless you feel that this is the Rosacea, which would be uncommon
in this area of the face.
Finding a Good Doctor for Skin
Problems [posted 10/20/98]
Question: I need to contact a skin doctor in the Greenville, SC area. My father has
a bad case of sarcoidosis. I am told is a rare skin disease that usually occures in young
black males. As far as we know, it is external, but it could have gone internal since we
lived in Charleston, SC. Any suggestions on finding the BEST skin doctor in my area. Or
can you direct me to find any information on this skin disease? Thank you.
Answer: Sarcoidosis is generally considered a systemic disease. In about 25% it
only appears to affect the skin. A dermatologist or a rheumatologist(arthritis specialist)
would be useful for evaluation/ treatment of sarcoidosis. Look in the book "Best
Doctors in America" Ed. by Steven Naifeh pub by Woodward/White pub in SC.
Morhia Skin Condition [posted
Question: My 10 year old daughter has a skin condition known as morphia. It started
with 1 small place on her back whichturned into a large scar. Numerous places have come up
on her back in the past 2 weeks. How can this skin disease be dealt with? Surgery? Her
scar is starting to look ugly.
Answer: This is thought to be an autoimmune disease and other than local
steroids, there is no effective treatment.
Blotchy Skin When Emotional [posted
Question: I am a 26 year-old female with have very fair skin. I tend to get blotchy
patches that appear on my neck and upper chest. This occurs most often when I am very
upset or emotional about something, when I go from cold to heat (mostly during winter),
and sometimes when I drink alcohol. It is extremely embarrassing because I cannot control
it and it is very noticeable because my skin is light. It doesn't itch or hurt, and it's
never a raised bump. It's just very red. What causes this and how can I stop it?
Answer: This is called stress urticaria and is fairly common. Many times they
also itch, so count your blessings. An antihistamine will occasionally block this effect,
try the non-sedating variety like Claritin, Allegra etc. first.
Skin Problems & Delusion: Any
Connection? [posted 10/1/98]
Question: My mother has had a skin problem all her life. She's 78. I'm 42 and for
as long as I can remember, she has been using betnovate(?) cream with cortisone in it. She
has been told she doesn't have any sweat glands or what she does have, do not work. She
has been very strange lately. The doctor has said she's paranoid delusional. She recently
had blood tests, and the results said that the cortisone level should be 450 (in whatever
they measure it in). Hers is 750. Very high. She has to immediately stop with the creams
but is concerned because she hasn't found anything else that works. My question is: can
having this amount of cortisone in her system, affect her enough to make her become
paranoid? What can happen if she doesn't stop the cream and how long can does it take to
leave ones body? Thanks for your help. I appreciate it.
Answer: Certainly can;but, unusual with topical skin creams unless used on large
surface areas. I'm not sure where the level of 450 and 750 come from. These would not be
usual basal levels of cortisol in most labs. The effect should clear within 1-2 weeks.
However, patients usually exhibit mental status changes immediately with steroids if they
are to develop, not after extended use. I'd suggest that there is another cause of her
Persistant Skin Irritation [posted
Question: Patient for past two years continues to have swelling and readness of the
skin tried Allegra , claritin, steriods, various antihistimines no change, do you think
taking injections to build up system would have positive effects (last resort) also taking
Bio C-1000 and Alertonic Bio C-1000 10 a day Alertonic 3x.. Casonic Skin test conducted
some reactions but none severe..Lab tests within norm any help would be appreciated.
Has there been a biopsy of the affected skin?
Skin Irritation on Testicles
Question: I have had a skin irritation for some time know. I have a really bad itch
on my testicles, mainly on the right side. I can also tell you that sometimes it gets
itchy around the rectal area. This has been going on for about a year and I don't know
what to do.
Answer: Usually fungal infections in this part of the body. Prescription
antifungals would be best, but over the counter medications are available.
Skin Reaction to Sun [posted
Question: I seem to be allergic to the sun. Whenever I am exposed to it my skin
breaks out, becomes very thick and itches. I solve part of the problem by using a 30
sunscreen. However, sometimes I do not manage to avoid it completely, either because I
forget to put some more lotion, or for other reasons unknown. What antihistamine can I
take to reduce the itch?
Answer: Many patients are sun sensitive. Sometimes this is induced by different
medications: birth control pills, tetracycline, etc. Sometimes it is seen in patients with
different types of connective tissue diseases, lupus etc. Sun block is the only effective
treatment. However, this should be brought up with your doctor for further evaluation.
Dermatitis Treatment [posted
Question: I've been diagnosed with dermatitis (non-specific). My treatment thus far
has been creams and medication by the name of Trimeprazine Tartrate. I'm told this is an
on going condition and nothing further can be done. I continue to experience major bouts
of itchiness that can be so severe as to cause me to scratch myself relentlessly, even in
my sleep. My current treatment is of little help. Are there new remedies or medicines
available that might help my condition, or is jumping off a cliff the only way to stop
this relentless itch?
Answer: First, ensure that there is no underlying medical problem. For example,
different liver conditions can produce this itching, so get an examination and lab tests.
Second, if they are normal, a trial of steroids is usually attempted to see if they will
alleviate the condition for longer periods than topical treatment. Are you on Atarax,
Elavil or other symptomatic treatments?
Nitroglycerin for Anal Fissures
Question: Do you know a nitroglycerin based Pomade that helps healing anal fissures
(thanks to the dilation effect?). There is a drug that is only licensed on the US market.
Answer: Interesting idea, but I have not heard of a drug used for this purpose.
There are local nitroglycerin skin preparations available. I suspect local application
would achieve this purpose.
Itching [posted 7/16/98]
Question: Could Zyrtec or Prilosec be causing severe itching?
Answer: Either possibly although I would suspect Prilosec more. Mentioned in the
PDR for both drugs, however, pretty uncommon with either. Stop one at a time and see how
the itching changes.
Question: Are there any products that are effective in hiding scars? Or is there
anything that helps the appearance of scars?
Answer: Some people recommend topical Vitamin E, but with little evidence.
However, it can't hurt. Scars are usually only changed with further surgery by a surgeon
or plastic surgeon, and occasionally a ruby laser can remove superficial scars. There is
no current topical treatment that will remove scars.
Light blotches on skin
Question: When people have light blotches on their skin (i.e. Micheal Jackson) is
it do to less melanin or something else? And also if your skin regenerates every 3-4
weeks, why don't your scars heal?
Answer: Vitiligo is the disease that affects Michael Jackson. This is thought to
be an autoimmune disorder where the melanin producing cells are attacked and destroyed
leaving these white blotches. This produces an absence of melanin in the affected areas.
Scar tissue is permanent due to the interruption of the dermis and regeneration in a
manner not in conformance with the initial skin.
Treatment for Skin Redness on Face
Question: I am 58 years old woman. I am post-menopausal, but still suffering with
hot flashes. I not on ERT, but that was my choice. For the past couple years I have been
getting redness on my face, and small spider veins. I saw 2 dermatologists and a skin
specialist, and they all told me to use Rosacea. I was given a topical cream which is a
compound. I found out it contains cortisone, and after applying it to my face for two
years, I found out that the cortisone will thin the skin. I happen to have a very fair
complexion. I would like to know if there is any reason for me to worry.
Answer: Try metroniadazole cream instead. It works as well with none of the skin
problems you refer to. Long term use of steroids on the face should be avoided if
possible, and it also potentially causes fat change under the skin, really changing the
morphology of the face.
Excess oil in nose pores
Question: I am 49 and have had oily nose problems since I was a teenager. Pores
plug with sebum but don't always develop pimples. Is accutane something I should consider?
Is this too strong of a drug for my problem?
Answer: I'd start with OTC like OXY-5, etc. if you haven't used them. Accutane
is usually reserved for cystic and scarring acne-which you don't currently have. Topical
antibiotics in addition would also be very effective.
Question: I've had intense itching several times a day for the past year lasting
from 2-8 minutes. It happens right before I start to sweat or if I get too hot. Once I
start sweating, the itching stops. I even itch if I take a shower that is too hot. Usually
itch on back, chest, and hands. My hands also usually get cold when I itch.
Answer: Is the itching generalized or just one area of the body? Do you develop
blotches or hives? There are people who have exercise induced urticaria. This is a release
of histamine induced by exercise or heat. Antihistamines are about the only treatment.
Occasionally, cromolyn sulfate or equivalent will help.
Question: I came here in the US. about five years ago. After being here for a
while, the part that circles my lips began to get dark. Now the situation is terrible.
This darkness has spread all over my face, and I look like a "Black Cat" now.
What is the resolution for this? Overall, I am healthy, bright, and into a lot of sports
Answer: There are several endocrine disorders that can cause increased melanin
secretion. This should be seen by a physician and your pituitary and its axis tested.
Dry Skin / Seborrheic Dermatitis
Question: Is there a home remedy or over the counter product that is available to
someone with extremely dry skin of the face and neck and seborrheic dermatitis of the
Answer: Seborrheic dermatitis is a common disorder of the skin usually seen in
so-called atrophic individuals. That is, those prone to allergies, asthma, etc. A very
effective treatment is full strength dandruff shampoo. This should be applied once to
twice a day and left in place for 5 to 10 minutes. Topical over the counter steroid cream
is also effective, but can cause atrophy of the fat under the face leading to lumps and
wrinkles that will not go away. I'd avoid steroids except in severe cases.
Skin and Aging
Question: Does skin lose its elasticity as one ages uniformly or is there a
particular age when your skin begins to sag more than at other times. Does it depend on a
variety of factors such as diet, genetics, exercise, etc.?
Answer: The skin certainly ages at different rates. This is influenced more by
sun exposure, chemical exposure and different drugs (especially nicotine). Sun and
nicotine will age skin faster than almost any other factors for most people. There is also
an effect seen in people who have lost a lot of weight. The skin has difficulty regaining
its previous shape and often requires plastic surgery to restore tone and shape.
Question: What is the most common physician-provided treatment for seborreic
dermatitis affecting the head and ears?
Answer: Seborreic Dermatitis is treated with topical steroids and with topical
dandruff shampoos. Over the counter steroid creams are effective and surprisingly full
strength dandruff shampoo left on for 4 to 5 minutes can be very effective.
Question: Do you know of an effective over-the-counter remedy for perioral
dermatitis? If not, is the best prescription remedy oral or topical?
Answer: Occasionally large doses of Vitamin B complexes will help this problem.
It needs large doses 3 times or so of usual daily dosage.
Question: What might be the cause and treatment for scars that leave dark
red/purple marks on the skin? I have numerous spots on my lower legs from old scars. These
are just spots with no change in the thickness of the skin. Some of these are a few years
old. I believe a lot of them are from possibly mosquito/gnat bites. Is there anything to
fade or lighten them?
Answer: These type of changes in the legs only usually signal a lack of good
venous return to the heart from the feet. If they occur on other parts of the body as
well, they may indicate a clotting problem (very common on aspirin for example). These on
the legs are usually called trophic changes and indicate blood pooling in the legs while
you are standing.
Question: I am 47 years old and have started getting what appears to be liver
spots. I have had the discolorations examined by a Dermatologist previously and he said
the spots were not cancerous. There are also small dry spots that appear from time to
time. I know that a lot of this comes with my age but is there anything I can do to slow
the process (cream, face peel, etc.) or could it be coupled to some vitamin deficiency? I
know there are a lot of other Baby-boomers now facing this problem but is there anything
you may recommend to clear up the problem?
Answer: There are several types of so-called liver spots. I would
need to have a Dermatologists diagnosis to help further.
Question: My roommate has had a rash just below his lower lip and extending down to
the top of his chin for about 3 months. At first it looked like acne, but got larger, then
oozy, then crusty. It substantially healed, with only a little redness present, but now it
seems to be re-emerging as small raised red bumps in the same area. A non-medical skin
specialist thought it may be related to "impetigo". At one point, a doctor's
visit yielded little, as there was little to see at the time - the flare-up had
substantially subsided. Do you have any ideas? We're afraid it could be something
contagious, of course - otherwise, we just want to clear this up.
Answer: This certainly sounds like impetigo. Impetigo is a skin infection of the
face caused by bacteria, typically streptococci. It is very infectious and should be
treated early to avoid spread to close contacts.
Question: What is the strongest, most effective medication to get rid of contact
dermatitis on my fingers and palm? I have topicort and I've tried basic calydryl. Does it
just need to run its course? I'm in Southern California, so the temperature is warm. How
can I avoid contact dermatitis? I know I 'm allergic to poison ivy, sumac, etc., from
living in New York, but now I'm sensitive to any sort of vine growing outside in Southern
California or ground cover like honey suckle.
Answer: People who have allergic reactions are called "atopic"
individuals. Once the immune system begins the process the number of allergies tends to
increase and rarely decrease. Many things can cause allergic reactions. Use of gloves
outdoors is highly recommended. Sometimes use of hand creams will reduce the risk by
sealing the pores prior to working. Prescription strength steroids will help clear it up
faster. Calydryl will only help the itching, not speed up the healing.
Question: My father has developed a skin rash on his body that his family physician
believes is probably due to his medications. He is taking Parlodel, Sinemet, Imdur, and
Atenonol for Parkinson's Disease and heart problems, respectively. He is 78 years old and
this rash has been evident for 10 weeks with no relief. The Parkinson's medicine has been
taken for 11 years, but the heart medication for only 3 months. He also takes one Vitamin
E and one Ecotrin aspirin daily. Any suggestions would be greatly appreciated, because he
must continue to take these medications.
Answer: None of these medications are particularly noted for causing allergic
reactions. However, I'd start with the most recent addition and stop that for a while.
Potentially, he is having an allergic reaction to one of the binders or additives in the
medications. Also, be alert to changes in manufacturers (especially generic medications).
These can be the culprit.
Question: My skin and scalp are itchy. I believe that it is just the dry winter
weather. What can I do to care for and prevent dry skin?
Answer: Dry skin in the winter is a very common problem. It can be treated by
using a humidifier at home and at work (add one to the furnace if possible) and by use of
bath/shower oils. Use these oils on a daily basis (available in any drug store) and try to
minimize the amount of soap, especially deoderant soap.
Question: I have bumps on the back of my head, neck, and left collar bone. They are
extremely itchy and seem to get worse when I sweat, get too hot, or too cold. I've had
this condition for over 18 months. I have also had them on my arms and legs. This past
October, I scratched my leg so much that my knee got infected and I spent a week in the
hopital. I've been treated for scabies, had several blood tests, and one culture. I have
been told that I have a staph infection.
Answer: Chronic conditions which cause itching of the skin are both very common
and very difficult to cure. I don't have any ideas other than what has been told to you by
the two specialists. I would concentrate on attempts to reduce the itching. I suspect this
represents your skin trying to heal like when a scab itches before it comes off.
Application of topical benadry may help. Also, try Vitamin E. I would avoid steroids if it
really is a bacterial infection, but topical antibiotics may also be useful.
Question: For about three weeks I have been having occassional, but extreme
ichiness on the top side of my left forearm. There are no outward signs of infection or
irritation (no reddness, no swelling, and no apparent bites or stings). I do not recall
any event triggering this reaction, nor do I recall any contact with potential allergens.
I am, however, an agricultural aid and my days are spent around various fruit trees and I
handle extremely small quantities of pesticide and chemical pheromones. There has been no
incident to warrant suspicion of these chemicals. Also, the area of ichiness on my forearm
is localized to an area 5 inches by 2.5 inches, it is not spreading, and it does not seem
to be contagious to those around me.
Answer: There are several ways that the itching could occur. These mainly fall
into local allergic or chemical reactions and different infections. In the absence of
redness of swelling, local fungal infections are unlikely. However, some fungal infections
will start in this manner. I would use some topical steroid cream (hydrocortisone is
available in the pharmacy over the counter) two to three times a day for a week or so. If
you don't have any improvement or if it worsens time to see a physician. However, it it
goes away it was probably a local allergic or chemical reaction.
Question: I've got a reddish, dry patch (flakes too) on my scalp near my hariline.
It seems to come and go, but doesn't necessarily improve with Cortaid. It doesn't seem to
be a winter condition because I've had it since the summer. Do you think this is something
that can be cured by a shampoo? Please advise before I lose two days of work (one to see
my GP, the other to go to a derm if I'm referred.)
Answer: Reddish flakes on the scalp are usually one of several entities. These
include psoriasis, seborrheic dermatatis, fungal infections or drug reactions due to sun
sensivity. The only red scaly condition which responds to shampoo is seborrheic
dermatatis. This commonly responds to concentrated dandruff shampoo (Head & Shoulders,
Tegrin, and the like). This should be applied full strength for several minutes each day
and washed off. If it does not respond to this treatment, I recommend a medical evaluation
since each of the other conditions requires a prescription medicine and longer treatment.
Question: Are there any medications for hives that do not make you drowsy? I have
been suffering from hives for 3 weeks now and have chest pains occasionally. I have been
to the doctor and they gave me atarax and said that it is from stress. It's hard to take
this medication when I have to work because it makes me very drowsy. I have discussed this
with the doctor but they said they can't give me anything that does not make me drowsy.
Answer: Hives are very irritating. Unfortunately, the treatment usually involves
antihistamines to decrease the itching and swelling and these almost always are sedating.
Atrax (hydroxyzinehydrochloride) is sometimes effective without the sedation. Steroids are
also used occasionally for extended or severe hives. These have other potential severe
side effects, but are usually not sedating. In general, steroids are rarely used for
extended periods. An old but useful home remedy is colloidal oatmeal. This can be obtained
at the drug store and bathed in cool water. This usually helps for a period of time.
Question: I have been wondering if I should be concerned about these little red
dots that have been appearing on my skin. Also, it is not only skin that is exposed to the
sun where these dots appear. Maybe it is not a big deal, but I am not sure. What do you
Answer: These little red dots are probably cherry hemangiomas these are dilated
small veins-usually due to estrogen level. Women on birth control pills get these. Also,
anyone with higher estrogen levels will develop them-even men with cirrhosis of the liver.
However, they are usually randomly distributed-more on the trunk if anything. Distribution
in sun exposed areas is unusual. There are several conditions which can produce sun
changes. Different drugs can produce sun sensitivity, different inherited conditions like
porphyria, etc. I'd see your doctor and see if they are sun sensitive which is usually
treatable or if they are cherry hemangiomas which are not-short of decreasing your
Eczema or Psoriasis
Question: The skin on my hands cracks and could bleed if a ignored it. My hands get
covered with large white flaks of skin. I have tried various types of dry skin hand creams
which are of limited help. Suggestions??
Answer: This kind of skin condition sounds like either eczema or psoriasis.
Eczema is usually associated with other allergies or asthma and is usually seen in so
called atopic individuals. Psoriasis is a skin condition characterized by rapid turnover
of cell tissue creating whitish areas which are usually well circumscribed. Both
conditions will respond to topical steroid cream-available over the counter at any
pharmacy. If it does not respond completely you'll need to see your physician.
Question: I have been experiencing a real flare-up of my psorisis lately. Although
it is always there, it often is not very bad. Lately, I have been getting cracks in my
skin on the joints on my hands and the effected areas are much more intense than usual.
Are there eating, drinking, and other lifestyle changes that I can make to help the
condition and are there any really effective treatments for the condition in general?
Answer: Psoriasis is a skin problem that is fairly common in a physicians
practice. It is a skin disorder characterized by round, red areas of raised skin-usually
covered with a silvery scale. These are most often seen on the elbows, knees, scalp and
eyebrows and around the belt line. Some patients will have involvements of their joints
causing a peculiar type of arthritis and occasionally of their nails. Stress and lack of
sleep is thought by some to produce a flare of this disease. Treatment centers on topical
creams and sunlight. Coal tar, UV or sunlight and topical steroid creams are the mainstay.
For severe psoriasis and for those with joint involvement, use of methrotrexate is an
Question: I have a small, oval blotch (slightly darker than regular skin tone) on
the front of my left hip. Can you tell me what this is? Cancer runs in my family, should I
Answer: This must be visualized to tell. However, change in size or color is
bothersome. A raised lesion is rarely a problem-see your doctor or health professional.
Question: What is cellulitis? What are the symptoms and treatments? How can it be
Answer: Cellulitis is an inflammation of the skin. Usually due to infectious
agents -usually bacteria. There are many bacteria which can cause an infection; but, the
common ones are staph and strep species. It is prevented by ensuring that there is no
breaks in the skin integrity and usual body cleanliness. However, once the bacteria find a
portal of entry and start the infection below the dermis of the skin, it can spread with
incredible rapidity. It is usually seen as red, hot inflammation of the skin. The most
common sites are the legs and feet; but, it can start anywhere-especially with any crack,
puncture, etc. of the skin.
Question: How safe is minocycline for teen skin problems? A friend shared concern
about liver damage. She was told to have her teen take potent garlic soft gel capsules as
well as natural brand acid ophilus along with the minocucline to keep up the immune
system. I would appreciate any information.
Answer: Topical or systemic? Topical appears very safe-systemic has some
potential problems. There is no assault on the immune system; rather, bacteria will arise
that are resistant to the antibiotic. This can cause problems with resistant infections in
other parts of the body when/if they occur. However, your bodies ability to fight them is
not impaired. Taking the acid ophilus is aimed at replacing bacteria that the minocycline
kills so that the resistant bacteria(or yeast) do not take over parts of your body(vagina,
colon, mouth etc.). I'm not aware of any benefit with taking garlic concerning
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