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Have fixed drug eruption/reaction. Applied cortisol, not effective. What creams do you recommend?

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Dermatologist
Practicing since : 2005
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Fixed drug eruption/ reaction

Hello, went to dermatologist month ago said I had this condition, gave me some cortisol to rub on it but nothing seems to be working, I need these gone! What creams do you recommend that can do the job?
Posted Fri, 28 Sep 2012 in Skin Rash
 
 
Answered by Dr. Sudarshan 2 hours later
Hi Dear,

Fixed drug eruption/ reaction is a pattern of drug reaction in which eruption occurs at the same site every time a drug is taken.

Most common site is genital/oral mucosa .

Also I would like to know -

You have a hyperpigmented dark rounded spot or ulceration ?

Can you upload photos of affected area.

Photos can help alot in predicting the condition.

Please answer the above question to suggest you treatment better.


Anticipating your response.

DrSudarshan
Above answer was peer-reviewed by
 
Follow-up: Have fixed drug eruption/reaction. Applied cortisol, not effective. What creams do you recommend? 20 hours later
Ok sure, its dark spots you will see from the pictures.
 
 
Answered by Dr. Sudarshan 4 hours later
Hi dear,

Thanks for images.

The pigmentation with FDE is at dermal level that is at deeper levels so it is not responsive to ordinary creams.

As the drug cannot reach upto dermis of skin where the pigment producing cells are.

The ideal treatment for this is glycolic acid peeling .

Chemical peeling can only address this type of pigmentation.

It can be done as an office procedure in dermatology clinic.

Also microdermabrasion and fractional CO2 laser can be tried.

Till then you can try TRI LUMA cream on it.Apply on dark spots only and at night time only.

Pls let me know if you need further clarification.


If you are satisfied with answer please accept it and rate it at the end.

I will be available for follow up in future.

Regards.
Dr XXXXXXX
Above answer was peer-reviewed by
 
Follow-up: Have fixed drug eruption/reaction. Applied cortisol, not effective. What creams do you recommend? 21 hours later
Ok, thanks just a final question..

I'm just very worried if these things will ever go away! What if left untreated will it ever go away?
 
 
Answered by Dr. Sudarshan 4 hours later
Hi again,

If left untreated they will remain there for a long time.Usually for years.

Even with treatment they will go away very slowly in 6 months to year.

Hope this helps.

Regards.



Above answer was peer-reviewed by
 
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