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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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HH Derm Cream Applied On Neck Region For Fungal Infection. Skin Loosened And Acne Developed All Over Face. Concerned About Burning Sensation.

2 months ago I was asked by my physician to apply HH Derm cream on my neck region due to some fungal infection. I applied it day & night and got cured of the infection, but now my skin has loosen up and and acne has developed all over my face and neck. I am worried as there is a lot of burning sensation over my face. Please help!
Wed, 20 Nov 2013
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Dermatologist 's  Response
Hi

Thanks for your query

You have been using a potent steroid over your neck. 
Your skin seems to have developed signs of steroid abuse along with steroid dependence.
First of all,you should stop using this cream over your neck.
Acneiform lesions are very common in cases of steroid abuse.. 
Before coming to the exact treatment, I would like you to follow certain precautions: 
1. Avoid using any oily creams or lotions over neck as much as possible. You can however use oil free moisturizers .

2. Wash your face frequently inorder to keep it dry. 

3. Drink plenty of water .

4. Try to avoid eating dry fruits. 

5.Avoid touching or squeezing of pimples

6. Avoid Hair oil. 

7. Always use a sunscreen (SPF> 26) when going out in the sun 

You should start using anti acne agents like clindamycin cream over your face in morning along with benzoyl peroxide 2.5% cream at night.
You might face certain problems like increase in lesions , irritation , itching or redness over your neck once you stop suddenly stop with topical steroid.So you have to be patient and follow this regime regularly. 
Sometimes in case of very severe acne, oral anti acne drugs also have to be given along, for that you will need proper assessment and treatment by a skin specialist .


In that case, I would advise you to visit a dermatologist for proper assessment and treatment.

Hope it helps
Best wishes for a speedy recovery
Dr Geetika Paul
MD (Dermatology)
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HH Derm Cream Applied On Neck Region For Fungal Infection. Skin Loosened And Acne Developed All Over Face. Concerned About Burning Sensation.

Hi Thanks for your query You have been using a potent steroid over your neck.  Your skin seems to have developed signs of steroid abuse along with steroid dependence. First of all,you should stop using this cream over your neck. Acneiform lesions are very common in cases of steroid abuse..  Before coming to the exact treatment, I would like you to follow certain precautions:  1. Avoid using any oily creams or lotions over neck as much as possible. You can however use oil free moisturizers . 2. Wash your face frequently inorder to keep it dry.  3. Drink plenty of water . 4. Try to avoid eating dry fruits.  5.Avoid touching or squeezing of pimples.  6. Avoid Hair oil.  7. Always use a sunscreen (SPF 26) when going out in the sun  You should start using anti acne agents like clindamycin cream over your face in morning along with benzoyl peroxide 2.5% cream at night. You might face certain problems like increase in lesions , irritation , itching or redness over your neck once you stop suddenly stop with topical steroid.So you have to be patient and follow this regime regularly.  Sometimes in case of very severe acne, oral anti acne drugs also have to be given along, for that you will need proper assessment and treatment by a skin specialist . In that case, I would advise you to visit a dermatologist for proper assessment and treatment. Hope it helps Best wishes for a speedy recovery Dr Geetika Paul MD (Dermatology)