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Suggest Remedies For Severe Throat Infection And Enlarged Lymph Nodes

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Posted on Sat, 2 Jul 2016
Question: Hello, I had these white flat spots for past 2 months on my knuckles and elbow. They do not cause any pain or discomfort, but I never had these before. I am not sure how I got them, what happened 2 months ago was I suffered a sever throat infection and enlarge lymph node, my infection went away after taking antibiotics but my lymph node remains there is no pain, or swelling and it is visible when I turn my neck to one side. I am attaching images of the discoloration please advise.
doctor
Answered by Dr. Suresh Heijebu (6 hours later)
Brief Answer:
Possible Vitiligo

Detailed Answer:
Hello, Madam.

I can certainly understand your concern.

I have worked through the attached images in detail.

These white spots probably represent vitiligo, nut it needs confirmation through microscopic .

Your earlier episodes of sore throat are not related to this .

The swollen lymph node will take time to resolve completely.

These white spots can be treated with local application of steroid ointment.

Post your further queries if any.
Thank you


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (5 hours later)
Hello, how are these checked through microscopic I have a doctors appointment tomorrow with our primary physician. Can these spread everywhere? How can I prevent these from spreading, will my skin go back to normal I am really scared please give me your insight, I was told to put tumeric paste as natural healer. Could this be also because of malnutrition, I had my blood work done 2 months ago and my vitamin D was extremely severely low at number 6. The scale was 9.5 - 55.00, I am thinking due to this It could be a cause.

Thank you so much for your help, awaiting your reply
doctor
Answered by Dr. Suresh Heijebu (3 hours later)
Brief Answer:
Steroid creams can help to reduce these spots

Detailed Answer:
Hello, Madam.

These spots are neither contagious nor they spread to other body parts.

They can be visualized under UV microscope for better delineation.

Corticosteroid creams will help to prevent their enlargement and aid in their resolution.

Malnutrition do contribute to these spots occasionally.

Your Vitamin D levels are extremely low and they need immediate correction.

I generally prescribe to my patients with oral pills of TAYO K one pill once a week for 6 weeks followed by maintainance doses for 3 months.

Please check with your if he shares my view and if can prescribe these pills to you.

Post your further queries if any.

Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (16 hours later)
Hello, Dr. XXXXXXX I went to the doctor today and he stated it is Vitiligo but said to confirm to do biopsy. I did not feel comfortable doing biopsy, is that what you meant when going under microscope? I was wrong about the 2-3 months, I remember now I had small white spot last year, please advise what I should do I was reading on applying turmeric and changing diet, the doctor here I consulted said that it doesn't matter it might spread or might not, I did not feel comfortable with him because we was not very clear, I never met this doctor before it was the first time. I am worried about it spreading, how I can prevent this from spreading if it is what the doctor is claiming, I spoke with family back home in XXXXXXX and my mother told me that my uncle had this, but both my parents do not.
doctor
Answered by Dr. Suresh Heijebu (11 hours later)
Brief Answer:
Biopsy is not necessary for diagnosis

Detailed Answer:
Hello, Sir.

Biopsy is not needed in most cases of Vitiligo.

Microscope Woodlamp Examination which. mentioned is absolutely different from Biopsy.

Microscopic examination is absolutely non invasive.This is mostly required in cases to diagnose Vitiligo.

Turmeric and Diet changes does not influence the outcome of Vitiligo.

Laser therapy, Steroid therapy and Micropigmentation techniques are helpful to prevent the recurrences.

Please check with your dermatologist with regards to above therapies.

Post your further queries if any.
Thank you.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Remedies For Severe Throat Infection And Enlarged Lymph Nodes

Brief Answer: Possible Vitiligo Detailed Answer: Hello, Madam. I can certainly understand your concern. I have worked through the attached images in detail. These white spots probably represent vitiligo, nut it needs confirmation through microscopic . Your earlier episodes of sore throat are not related to this . The swollen lymph node will take time to resolve completely. These white spots can be treated with local application of steroid ointment. Post your further queries if any. Thank you