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Doctor insights on: Over The Counter Treatment For Subacute Cutaneous Lupus

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What is the treatment for subacute cutaneous lupus?

What is the treatment for subacute cutaneous lupus?

No sun, some Rx: Sun protection, topical steroids. If no better in 2-4 weeks, cortisone injections into the lesions or topical calcineurin inhibitors. If still no better in 2-4 more weeks, oral hydroxychloroquine, an anti-malarial medication. There are even further treatment for refractory cases but the above usually works. ...Read more

Cutaneous (Definition)

Skin is the largest and one of most complex organs of body. 3 layers: epidermis (outer), dermis (main part) and subcutaneous layers covers entire body, contains many specialized cells, maintains body temp, gathers sensory info from the outer world, has extremely important immune functions. It can give crucial clues as to what is internal. Dermatology and plastic surgery are ...Read more


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For the treatment of psoriasis,are any of the systemic medications available for use with guttate psoriasis in an adult?

For the treatment of psoriasis,are any of the systemic medications available for use with guttate psoriasis in an adult?

Guttate psoriasis: Janet: guttate psoriasis can come on due to infections like streptococcal infections, or medications like beta blockers (blood pressure med); so be sure not secondary to infections/ drugs. Treatment usually topical (can be difficult with many spots!); UVB or PUVA light treatment can be effective. Medications like methotrexate are also effective in severe cases. Work with your Dermatologist. ...Read more

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What are the tests for subacute cutaneous lupus?

Biopsy, blood test: Rashes are not always easy to diagnose. Simple acne or severe plaque psoriasis may not require further tests to diagnose the condition. In scle, the rash may require a biopsy which is the very best test. Blood tests may reveal a positive antinuclear antibody (ANA) and a positive ssa antibody. ...Read more

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What's the recomm. Systemic treatment for a concurrent case of ringworm + athlete's foot that is too slow to resolve with topical use of clotrimazole?

What's the recomm. Systemic treatment for a concurrent case of ringworm + athlete's foot that is too slow to resolve with topical use of clotrimazole?

Need better cream: Several systemic antifungals are available (terbinafine, fluconazole, itraconazole), but i generally go with a prescription-strength antifungal cream (ketoconazole, ciclopirox, etc.) before resorting to an oral medication. ...Read more

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What exactly the name, dose, regimen of topical corticosteroid and antihistamine that is used in lichen planus treatment? Patient aged 6 years

What exactly the name, dose, regimen of topical corticosteroid and antihistamine that is used in lichen planus treatment? Patient aged 6 years

See a doctor. : Most cases of lichen planus are relatively mild. Affected individuals who do not have symptoms do not need treatment. If the itch or appearance of the rash are unpleasant, topical corticosteroid creams may be applied. In some cases for localized, itchy, thick lesions, injections of corticosteroids may be given. You need to see a doctor for proper diagnosis and treatment. ...Read more

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What is the best over the countet fade cream for people with lichen plantus?

What is the best over the countet fade cream for people with lichen plantus?

None: Lichen planus is notorious for causing hyperpigmentation (dark spots) on the skin after resolving. The residual pigment is too deep in the skin to be cleared by bleaching creams over the counter or even by prescription. Best bet is hope that with time the spots will fade to some extent. Meanwhile avoid sun to the affected areas. ...Read more

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Over the counter treatments for bronchitis?

Over the counter treatments for bronchitis?

Acute bronchitis....: Acute bronchitis is an infection of the airways, usually caused by a viral or bacterial infection. If a bacterial infection is present, antibiotics are sometimes needed. If a virus is the culprit, treatment is largely symptom relief, including drinking plenty of fluids, rest, etc. Saline nasal spray can help with nasal congestion, throat lozenges can help the sore throat, etc. If worsening, see dr. ...Read more

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What is best long term non-steroidal creams for chronic psoriasis of the body and scalp?

What is best long term non-steroidal creams for chronic psoriasis of the body and scalp?

Psoriasis creams: Don't forget the value of moisturisers in soothing itchy dry skin. In many with mild psoriasis, it's all they need. Best to see a dermatologist to discuss the options for prescribed medications ...Read more

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Are the treatments for lupus and juvenile idiopathic arthritis the same?

Kid autoimmune Rx: There are medications that overlap for the treatment of children with lupus vs. Jia. Both are autoimmune conditions and treatment is based on treating with anti-inflammatories (steroids, nsaids) and treating with immunosuppressants (disease modifying agents, and biologics). Not all medications are used for both conditions. ...Read more

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What's the best non-steroidal treatment for psoriasis?

What's the best non-steroidal treatment for psoriasis?

TNF agents: Tnf agents such as remicade, (infliximab) Enbrel or Humira are the best option for moderate to severe psoriasis. Methotrexate can also be effective. For milder disease phototherapy and/or coal tar based creams may help. ...Read more

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What r the symptoms, tests, & treatments for autoimmune urticaria? Is it different from chronic urticaria?

Not necessarily: Chronic urticaria ilasts longer than 6 weeks, and most of those are of unknown cause, chronic idiopathic urticaria (ciu). Part of ciu is due to autoimmunity. However, the tests for autoimmune urticaria may not be sspecific. Autoimmune urticaria may not respond to antihistamines alone. Such patients may require leukotriene antagonists, prednisone, dapsone, Cyclosporine and even ivig. ...Read more

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What are the treatments for chronic Lyme disease?

What are the treatments for chronic Lyme disease?

Once: earlier stages treated with proper ABX, then chronic could be treated like inflammatory arthritis. ...Read more

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What are non steroidal treatments to treat chronic seborrheic dermatitis of the face?

What are non steroidal treatments to treat chronic seborrheic dermatitis of the face?

Anti-fungal & OTHERS: Antifungal agents work by reducing numbers of malassezia yeast in affected areas of your body. Ketoconazole is found in shampoos, foams, gels and creams. 1% concentration is (otc) and 2% is (rx) prescription. Another anti-fungal is ciclopirox is found in prescription shampoos. Other products are:tacrolimus (protopic) pimecrolimus (elidel), selenium sulfide, zinc pyrithione (otc), coal tar (otc). ...Read more

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A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?

A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?

Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read more

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What is the treatment for calciphylaxis nephrogenic fibrosis dermatopathy for chronic kidney disease patients. The inflamation on both legs r unbearab

What is the treatment for calciphylaxis nephrogenic fibrosis dermatopathy for chronic kidney disease patients. The inflamation on both legs r unbearab

The 2 are different: Calcipylaxis is probably what you are referring to.Vpainful dark leg lesions that later ulcerate and actually may heal in my experience over months. The problem is its incapacitating pain and infection development that make mobility not possible. Most pts request to quit dialysis. May use local Lidocaine 2% gel on it to kill pain. Of 14 pts I have seen, 2 healed in 3 months both on 500 mgcipro/day. ...Read more

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Are there any OTC treatments to reduce the scarring to the face from cutaneous lupus? Insurance won't cover dermatologist. Taking plaquenil (hydroxychloroquine) to treat.

Yes: Insurance can cover scar revisions when due to medical illness sometimes. Depends on your particular policy. Seek advice from a board certified plastic surgeon for options. ...Read more

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Is there an over-the-counter treatment for polymyalgia rheumatica?

Is there an over-the-counter treatment for polymyalgia rheumatica?

No: Low dose steroids is the first line treatment. If steroids fail or cannot be tapered, other prescription medications may treat the condition. No otc treatments are effective. ...Read more

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What is the treatment for patients with hepatitis b?

What is the treatment for patients with hepatitis b?

Antivirals: Traditionally Interferon alpha and Lamivudine with newer antivirals available. The decision to treat and treatment follow-up are to be individualized. ...Read more

Dr. Emily Altman
13 doctors shared insights

Subacute Cutaneous Lupus (Definition)

This is an autoimmune disease which is exacerbated by sun exposure. It includes a rash on sun exposed areas such as the face, chest, and arms. It may be seen in Inc. his and in adults. It is often associated with abnormal immunology studies such as an SSA and SSB autoantibodies. The treatment differs versus on the severity of the skin lesions and includes both ...Read more