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Dark black on head, nose, forehands - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello Dr. ! My father has some skin problem, he has eruptions on hand and certain part of body becomes dark black, e.g Head portion, nose, forehands, fore feet. We have tried lot of dermatologist and Allergy Specialist, but no one could solve his. Had done lots of allergy test..
Suggest Solution..
Doctor :   Hi
Doctor :  
Doctor :   let me read your query
User :   k..
Doctor :   what has been the diagnosis so far ?
Doctor :   is it psoriasis, or atrophic dermatitis, ?
Doctor :   can u describe the eruptions as well?
User :   allergy specilist says that its allergy for certain drugs or food, where as dermatologist says its solar allergy
Doctor :   color, presence of other symptoms like itching, redness, etc
Doctor :   may i know the age, weight, and height ?
Doctor :   also present medical conditions present ?
User :   eruptions are only small on hand, the skin becomes red and its very etching
Doctor :   and medications taken so far ?
User :   61 , 68, 5.7
Doctor :   does some thing, specific, cause these eruptions
User :   Diabetic for last 22 years, has thyroid problem too
User :   hyper thyrodism
User :   he was taking restyl for long time, but have stopped it recently,
Doctor :   the best thing, can u send the snaps of the lesions to YYYY@YYYY
User :   we are trying permutation and combination
Doctor :   presence of diabetes and old age, causes atrophy of skin
Doctor :   the best way, i can help you is when u send the pics
User :   also have consulted the endocryn gland specialist for change in molicule of insulin if he must have developed allergy to it. but dr said insulin doesnt have allery
Doctor :   as skin conditions, are best diagnosed when seen physically
User :   I know will take the snaps today
User :   but the thing is erruption are not regular they come and go
Doctor :   does he have pain etc at the affeected sites ?

User :   no pain but lot of etching
Doctor :   and is there any discharge of pus, etc ?
User :   no
Doctor :   ok
Doctor :   for now, i would advice applying moisturising cream to skin and sun screen lotions, and wear full sleeve cloths which will prevent sun related damage
Doctor :   also, apply CALADRYL lotion, which will reduce the itching as well
User :   ok that we are doing,
Doctor :   do u know, what is his HbA1c

Doctor :   (status of diabetic control)
User :   diabetis is under control
User :   no idea of hba1c
Doctor :   ok
User :   he is taking winolap, rupanex
Doctor :   ok

User :   cream tenovate & dacroz
User :   any suggestion other than this, can you send me ur mail id
User :   so that can send you the pics
Doctor :   these are antihistaminic and mast cell inhibitors, preventing skin allergic symptoms

Doctor :   YYYY@YYYY
Doctor :   is the email id , u can send the pics to
User :   ok will send you the pics on this refering you name
Doctor :   i will view them, and then suggest u accordingly on your email id
User :   Thanks doc
Doctor :   you are welcome

Doctor :   In the mean time, please keep a check on his blood sugar, hemoglobin and Serum ferritin levels,
User :   Just did that 2 days b4
User :   hemoglobin 13,
User :   Random sugar 87
User :   serum ferritin has no been done
User :   serum ferritin 1mg/DL
User :   R.U There ???
Doctor :   hoi

Doctor :   sorry there was a network error
Doctor :   are u there
User :   yup
Doctor :   ok
Doctor :   in that case, i dont think there is much serious about
User :   ok.. but I cant see him suffering from etching
Doctor :   about the skin condition, that will be relieved when he applies the caladryl lotion

User :   Skin becomes black, and then comes out as it get dry
User :   ok will buy it today itself
Doctor :   also , instead of scratching, he can apply warm water bags , to sooth the affected area
User :   k..
Doctor :   the more he scratches, the more, the sensation increases and causes more itching
User :   but it has affected his sleep
Doctor :   i understand
User :   will try out today lets see
Doctor :   apply the lotion, as that decreases the sensation and improves the sensation
User :   but what you feel is it allergy or skin desease
Doctor :   once i have a look at the snaps, i will reply soon
Doctor :   I cannot comment without having a look,
User :   ok that I will send you..
Doctor :   it could be due to allergy , but since the meds have not improved, i will have to keep it as a last diagnosis
User :   ok..
Doctor :   in case, its psoriasus, etc, it can be diagnosed and specific treatemtn can be given
User :   ok...
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