Doctor insights on:
Amphotericin B: Different antifungals are used for different fungal infections. The more potent may cause the worse side-effects. So for antifungals more potent is not necessarily better. Simple antifungals for simple infections, stronger and potentially more dangerous antifungals for life threatening infections. ...Read moreSee 1 more doctor answer
Which is the most effective cream for seborrheic dermatitis facial region ( ketocanzole 2% , ciclopirox 1%, or pimecrolimus 1%)?
Ketoconazole: Ketoconazole is my preference. Apply 2x/day for 1-2 weeks, and then you can use a couple of times/week as maintenance/prevention. Short term use of 1% hydrocortisone cream 1-2/x day can be used for a few days also to minimize redness and irritation. Don't use hydrocortisone frequently due to side effects, including the thinning of the skin in this area. ...Read more
Skin vs systemic: Lichen plan us is a skin and mucous membrane (mouth) disease. There are several forms of lupus. Some forms affect only the skin and can even look like lichen planus skin changes. The main firm (SLE) is a systemic total body, autoimmune disease not limited to the skin and mouth. Lupus Erythematosis is also associated with lab abnormalities not present in lichen planus ...Read more
For lupus Rash,which cream is better; PROTOPIC 0.1% or ELIDEL (pimecrolimus) 1% ? and please describe the difference between the two. Thanks.
Protopic.: Protopic and Elidel (pimecrolimus) are calcineurin inhibitors -- anti-inflammatory topical medications. Most dermatologists (me included) feel that Protopic works better than Elidel (pimecrolimus), and neither works as well as steroid creams on inflammatory skin diseases such as lupus - but they lack the steroid-related side effect risks, so worth a try before going to a steroid cream. ...Read moreSee 1 more doctor answer
Psoral cream: Is the creation of a dermatologist in peru that consists (according to its website) petroleum jelly, vitamin a, pine oil based salvia, nicotinic acid, etc & water from the dead sea (which contains many minerals) found no medical studies, just anecdotal testaments. Expensive. Has oily consistency with disagreeable odor. Ask your dermatologist if (s)he knows of this product & if it's effective. ...Read more
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 moreSee 1 more doctor answer
They are similar: There are several available--lamisil, lotrimin, tinactin (tolnaftate) etc..Are similar in efficacy. You don't really need strong, just have to be the right medicine. The strength available are appropropriate/adequate to treat commom skin fungal/ringworm infections--just use as directed by their instructions. If not better in about 2 wks, consult doc for proper diagnosis/treatment. Good luck. ...Read more
Topical steroids: For localized psoriasis, dovonex (calcipotriene) alone is of limited value. It works much better when used along with prescription strength topical steroids. Also, Dovonex (calcipotriene) Cream is not as effective as the ointment, which is no longer available; however, calcitrene ointment and generic Calcipotriene Ointment are basically the same as dovonex (calcipotriene) ointment. ...Read moreSee 1 more doctor answer
Many: Every patient responds differently...Aquaphor, jojoba oil, calendula are a few. I found one called "good on ya"...You can google it...May work. Arbonne makes some great creams. A company called si jin bao has one called schmoove that is amazing as well. Diet changes, cod liver oil, probiotics may help. Seeing a homeopath or chinese medicine practitioner can help it heal from the inside out as well. ...Read moreSee 1 more doctor answer
For hyperkeratotic skin diseases, which is more better for sensitive skin - lactic acid lotion (lac-hydrin) or urea-based creams?
Both used: It really depends on the percentages of each medication. Many preparations have both urea and Lactic Acid in them. Your skin is also unique and what might appear to be gentler might give you a worse reaction than the so-called potent preparation. If you are treating keratosis pilaris (kp) then you might seek the help of a dermatologist or even have a preparation compounded. ...Read more
Bad disease: Scleroderma is a progressive disease that affects the skin and connective tissue (including cartilage, bone, fat, and the tissue that supports the nerves and blood vessels throughout the body). There are two major forms of the disorder. One localize and could effect the whole body. ...Read more
Thickened skin: It is a thickening of the skin usually on the upper back and back of the neck. More common in diabetics and heavier people. Treatment is difficult as medicine is partially effective in preventing progression of problem. ...Read more
Clarify: There is no specific disease called "dermatosclerosis." do you mean scleroderma? If so, treatment options include drugs such as penicillamine, immunosuppressives, and antiinflammatory agents, but there is no definitive cure. If you mean something else, please let us know. ...Read moreSee 1 more doctor answer
Hard skin: Scleroderma literally means "hard skin." it is a connective tissue disease that primarily involves the skin which becomes fibrotic (hardened). Changes also may occur in the blood vessels, muscles, and internal organs. The disease involves autoimmunity whereby the immune system attacks the normal tissues of the body. The cause is unknown. ...Read moreSee 2 more doctor answers
I hate: As a surgeon to get involved but i lost my wife in just two years... It is an autoimmune disease of unknown origin. When just suspected a sedimentation rate, ANA levels, anti scl-70 and anti-centromere antibodies should be stat done. A good resource is this web site: http://www.Synnovation.Com/sclerodermafaq.Html i would seek help from a university based rheumatology department... ...Read moreSee 1 more doctor answer
Depends on type: The treatment ranges from "no treatment necessary" for mild forms of localized scleroderma (limited to the skin) to bone marrow transplantation for systemic sclerosis with internal organ involvement. Though there is no cure, advances are being made in the treatment of all manifestations of the condition. ...Read moreSee 1 more doctor answer
Scleroderma tests: The diagnosis of scleroderma is based mostly on signs and symptoms. Lab tests may help confirm the diagnosis and even offer some predictions as to risks of certain types of complications. Anti rna-polymerase iii antibody, increases risk of renal crisis and sudden increase in blood pressure, antitopoisomerase ab, increases risk for scaring of the lung, anticentromere ab, pulmonary hypertension. ...Read moreSee 1 more doctor answer
Large range: There are numerous manifestations of scleroderma but the main feature is usually hard skin. This may be thickened hard skin in patches or around just a few fingers +/or toes or around the mouth. Others may have greater involvement of arms, legs causing difficulty moving joints. Worst are disfigurement of face and widespread tight skin over chest, abdomen. ...Read more
Autoimmune disease : Scleroderma literally means, "hard skin" which is a prominent feature. It is an autoimmune disease that results from cells making excess collagen which hardens and tightens the skin and blood vessels and sometimes internal organs. The severity can vary greatly from person to person. Fortunately, it is a rare disease. A rheumatologist is the best doctor to evaluate and treat this disease. ...Read moreSee 1 more doctor answer
Skin changes: The first sign is usually patchy areas on the skin that often make a linear pattern. Early on, they are slightly pink and thickened, but can be flat and shiny. As time passes, the skin spots enlarge and often become thick and lavender/purple-colored, sometimes with pale flat centers. Scleroderma can also affect the heart, lung, kidney, joints, digestive tract. Please see your doctor if you're worried. ...Read more
Tight skin: People with scleroderma have tight skin, but have other findings including raynauds, finger changing color in the cold or stress, joint pain, and can have internal involvement in the lungs, heart, kidney etc. Each person has different finding and the rheumatologist helps to put it together. ...Read moreSee 1 more doctor answer
Depends on type: Some forms of localized scleroderma which affect only the skin do not progress and can even improve. Other forms such as progressive systemic sclerosis can (slowly or quickly) progress to involve the blood vessels and internal organs. It is important to be diagnosed early to anticipate and treat any progressive involvement, especially involvement of the kidneys. ...Read more
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