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Dry, Raw Spot On Face, OTC Lotions Not Helpful, Several Inches, Chronic, Treatment ?

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Posted on Mon, 21 May 2012
Question: I have a dry, raw spot on my face that does not respond to treatment to OTC lotions. It is several inches long and has been present for about 3 months.
doctor
Answered by Dr. Dr. Rakhi Tayal (3 hours later)
Hi XXXXXXX

Thanks for your query.

Regarding the spot, the description you have given is incomplete and is not of much help in making the diagnosis. I would ask you to provide you some more details on the problem like-

1. What color is the lesion ?
2. Is there any pain or itching associated with it?
3. Is there any excessive exfoliation/scaling present?
4. Is there any pigmentation?
5. Is there any increase or decrease in the size of the lesion over time?

It is best if you send a photograph of the lesion so that i could figure out the lesions well.

Anticipating an early response.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (1 hour later)
Closer examination under bright light and magnifying mirror shows slight scaling. The area appears in a crease in the skin(wrinkle).

The area does itch.

A vague rash type of coloring is noticeable in the area. It would be described as red. The area does itch.

The area might be becoming more irritated as the natural thing to do is feel the area. The overall size is not increasing.

There appears to be scar tissue in the area from a previous removal of sun damage.

The skin on that side of lower cheek does appear dry when lotion is not applied.

From time to time the area appears to be healed and then returns.

doctor
Answered by Dr. Dr. Rakhi Tayal (12 hours later)
Hi,

An exfoliating reddish itchy lesion changing in size is most likely due to an autoimmune or allergic disorder. This lesion is unlikely to be infective in origin. If such lesions do not get better by OTC medications, it is prudent to take potent topical steriods. They help as an anti-itch cream and anti inflammatory creams. These potent steroids can be obtained only with a prescription by Primary Physician.

Hope it helps.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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Dry, Raw Spot On Face, OTC Lotions Not Helpful, Several Inches, Chronic, Treatment ?

Hi XXXXXXX

Thanks for your query.

Regarding the spot, the description you have given is incomplete and is not of much help in making the diagnosis. I would ask you to provide you some more details on the problem like-

1. What color is the lesion ?
2. Is there any pain or itching associated with it?
3. Is there any excessive exfoliation/scaling present?
4. Is there any pigmentation?
5. Is there any increase or decrease in the size of the lesion over time?

It is best if you send a photograph of the lesion so that i could figure out the lesions well.

Anticipating an early response.

Regards.