Brief Answer:
Allergic contact dermatitis: various suggestions and guidance.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the spots over various parts of body.

After interpreting your query I can make out that you have got allergic tendency to the face wash which is still continuing. We designate this condition basically as allergic contact dermatitis.You can make out that most of these spots are occurring at the places where the face wash was in contact with the skin viz. face hands and wrist areas.

It is quite a common phenomenon where one can get such kind of reaction to the chemicals in the beauty products. This occurs due to harsh effect of the chemicals combined with the exposure to external environment.

In many a patients it can continue for multiple of months despite stoppage of the product. It is because of the fact that these chemicals can make the skin sensitive and this sensitivity can get aggravated by environmental exposure such as to sunlight and sweating.

As we scratch it or due to exposure to environmental factors such as sunlight, sweating dust and hot humid climate, it can get more and more aggravated.

This is a quite simple problem which we see in our day to day practice and persist for only the time till the aggravating factor is present. So the most important part in your management is avoidance of the aggravating factor enumerated all above.

For the betterment kindly follow the suggestions below:

1. Avoid direct sunlight.

2. Avoid extreme of cold or/and hot – humid climate.

3. Stay in optimal environment(preferably AC) and avoid sweating.

4. Do not try to touch any of the areas.

5. Do not Pinch pop or squeeze or rub any area.

6. Do not use any deodorants or any cosmetics over and near the affected area.

7. Do cold compression over the affected area. Take a wet towel soaked in cold water and apply it for 5-10 minutes for 3-4 times a day.

For the part of treatment I suggest below regimen to my patients:

1. Apply over the counter available calamine lotion on the affected area in day and afternoon time. Apply it in very thin layer.

2. Apply plane Fluticasone or Mometasone cream in a thin layer in morning and at night time. Apply in a very thin layer so that it should not be visible to naked eye. You can apply it for 7 days and then stop it after that.

3. If there is any irritation or itching is present then can take tablet “Loratadine” or "Deslotatadine" tablet by mouth up to two times.

You can take further guidance in person by a dermatologist near you. DO not use any other cosmetic product.

I hope this information will help you.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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Brief Answer:
Kindly send pictures of the affected areas.

Detailed Answer:
Dear young fellow,

Welcome back and thanks for your follow up and giving your further details.

The basic of your spots indicates towards mild initial form of contact allergy. In very initial form there can not be any of the symptoms of rash or related symptoms. Though the best of diagnosis can be made after a close physical examination but even then I suggest you to send few good resolution pictures of all the affected areas.

For that you have a feature on the right side of page and upload the pictures.

Hope to hear soon from your side.

With regards,
Dr Sanjay Kanodia

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Brief Answer:
Sun protection and red fruits. Is there any night itching.

Detailed Answer:
Dear young fellow,

Thanks a lot for sending the pictures. I have analyzed all the pictures with best diligence and after analyzing let me reassure you first that it is quite a normal natural phenomenon.

These eruptions are due to simple sensitivity of skin. It could be initiated by any cosmetic or related thing and then can be aggravated by environmental factors as dicussed before.

Sun protection is the most important factor in your case especially for face. Fir the eruptions over wrist and Web space appears to be bit different from facial eruptions. Do let me know if you have any night itching or sleep disturbance due to itching.

I suggest you to follow the regimen discussed in previous communication. Simultaneously you can meet a dermatologist and seek personalised guidance. Eat a lot of red colored and vitamin c containing fruits in your daily schedule.



With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
Various suggestions and guidance.

Detailed Answer:
Dear young fellow,

Welcome back and thanks for your further follow up.

For your further queries :

1. I suggest my patients to use a non greasy and mon sticky sunscreen ( such as Photostable lotion) half an hour before going out in sun. You can apply even if you are indoor. Reapply sunscreen after 3 hours in case if you are in outdoor for more XXXXXXX 3 hours.

2. If you apply a sunscreen then there is no need of calamine lotion.

3. I suggest my patients to apply Fluticasone cream ( available as Flutivate cream) at might time over the dots only. Do not apply all over face and do not use beyond 2 weeks.

I hope this helps.

With regards,

Dr Sanjay Kanodia

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Brief Answer:
Details as below for the concern.

Detailed Answer:
Dear young fellow,

Welcome back and thanks a lot for your further follow up.

I have gone through the complete treatment provided by the doctor and can find that you treatment is quite good.

It takes few weeks to months for the recovery. You have just started the treatment so will take some time.

I reassure you that these are not permanat spots and will fade away. Do not try anything which can cause further aggravation.

Just make sure to avoid all the environmental factors.

You can meet your doctor again and ask her for the same.

I reassure you that the things will be alright soon.

With regards

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