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Skin allergy, white patch on forehead. Suggest medication - Online Doctor Chats

Date : 31-May-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:Doc I am having problem of skin allergy during summers..
User:and this time I had a white patch on forehead due to some sking allergy or fungal infection
User:as doctors are saying
User:I had tried Homeopathic for this but there is no improvement till now..please suggest what medication can be done.
Doctor:May I know if you the condition was diagnosed as allergy/fungal infection by a dermatologist or homeopathy expert?
User:The Homeopath said that its a minor skin infection which will be cured soon...but i had done medication for about 2 months but no positive sign.
Doctor:Since when are you having these patches?
User:from march.
Doctor:Is the patch increasing in size?
User:after using Livon hair gain for about a month or two these patches came
User:a bit
Doctor:How big is the patch now?
User:means how can i say the size.
Doctor:Can you compare it to any coin size (roughly) Or any other shape?
User:no no not that big
User:size of finger print
Doctor:Is there any itching, redness, burning sensation associated with the patch?
User:no no itching, redness, or burning sensation.
User:its just a patch
Doctor:Let me brief you.
User:ya sure
Doctor:White patch occurs due to loss of melanin or reduction in the number of melanocyte.
Doctor:This can be due to multiple causes the common being post inflammatory response.
Doctor:By post inflammatory response, I meant secondary to to previous mild infections.
Doctor:Such conditions do not need any treatment and moreoften the condition gets reversed by itself in a few months to an year.
Doctor:Rarely when such conditions are progressing we need to consider other causes such as vitiligo or other autoimmune conditions.
Doctor:A biopsy of the affected area will tell us for sure what caused this patch.
User:but it has increased a bit and there is no sign of relief till now
Doctor:I understand your concern and so my suggestion is as follows:
Doctor:This can be handled by 2 means:
Doctor:1. First one would be because you do not have any other symptoms, we can wait and watch for few more months, say next 4-6 months.
Doctor:In many cases, as the skin turnover happens the affected area is replaced by normal skin.
Doctor:This can happen in 3 months to an year time.
Doctor:So if the symptoms are improving in those 4-6 months time, you need not do any thing.
Doctor:But if they worsen then you need to see a dermatologist.
Doctor:2. The second approach would be to consult a dermatologist.
Doctor:He/she will prescribe you a steroid preparation
Doctor:which can be applied sparingly to the affected area.
Doctor:The steroid cream will fasten recovery of such patches.
Doctor:However as the cream can have other side effects when used on face, the use of such creams need to be monitored constantly by the dermatologist.
Doctor:besides the treatment, the dermatologist can also run some test to know the cause of this patch right away.
Doctor:I can see that you are troubled and worried by this patch, but do not worry
Doctor:one of these 2 approach will be able to treat the problem and reduce the white patch.
Doctor:if you choose to see a dermatologist right away, there is no hurry as it doesn't seem a serious problem.
Doctor:You can fix an appointment with your doctor when ever possible.
Doctor:Have you followed what I suggested?
Doctor:Are you there?
Doctor:Have you followed what I suggested?
Doctor:Do you have any queries?
User:yes i followed so
User:i think one consultation with a dermatologist would be an advantage
User:because it would give a proper medication
Doctor:That would be fine. The doctor will most likely put you on a topical steroid which can be used carefully as per his/her instruction.
Doctor:That should and will reduce your symptoms.
Doctor:Hope it is clear.
Doctor:Do you have any other query?
User:ya sure its clear to me.
User:ya other issues are again skin related that in summers after bath i had a serious itching at the back and in chest area
Doctor:Was it persisting?
Doctor:I mean is the itching transient or persistent?
User:its happen in summers only
User:n some times its unbearable
User:i did medication of Homeopathy and for 1 season its was all ok...but again in next summer it again started
Doctor:Ok, but how long does an episode of itching last?
Doctor:Does it persist throughout the day?
Doctor:or is it only for a while after a bath?
Doctor:Please chat with us 24/7 to discuss about your medical problems.
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