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Suggest Treatment For Actinic Keratosis And Seborrhoeic Dermatitis

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Posted on Mon, 2 Feb 2015
Question: Hi, I am a 77 year old white male who was doing just fine up until about a year ago. Then at about the same time I developed wrinkles and blemishes on my lower forehead. My dermatologist seemed (seems) unimpressed and says the wrinkles are normal for me, sneaking up on me after a lifetime of too much sun and getting older. The blemishes are a combination of keratosis (or barnacles of old age) but some are actinic variety (precancerous) which he removes with liquid Nitrogen). However, there has been an increasing accumulation of pimple-like blemishes intermixed with the wrinkles and under the skins and not removable with the liquid Nitrogen that he calls cysts and would need a surgical or other physical processes that he says would leave scars.Now I am starting to develope formations or growths along my already receded hairline (in the center portion:. Those with a compulsive activity of rubbing them with my fingers are not helping matters. And in a few locations I am developing areas that hurt when I touch them, as if the are "open"..OH YES...and I am losing more hair in these areas (balding)..I am starting to suspect that all these things are somehow related and are signs of something more ominous than either my primary care physician or dermatologist suspect...lke maybe some kind of forehead/scalp condition...possibly a variety of Cancer.
My name is XXXX I live in YYYY, CA Tel YYY-YYY-YYYY YYYY@YYYY
In any case I plan to call both Drs Monday, make appointments and be more explicit and even confrontational regarding my suspicions as I am describing them to you. XXXX
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Actinic keratosis and seborrhoeic dermatitis

Detailed Answer:
Thanks for asking on HealthcareMagic.

The loss of hair could be related to seborrhoeic dermatitis which commonly manifests as dandruff. Try using Nizoral shampoo (ketoconazole) twice or thrice a week and see if the situation improves.

About the wrinkles and cysts that you mention, it would be really appreciable if you could post a photograph. Actinic keratosis is a degenerative disease characterised by small loose skin tags and you probably have those. It is not really a cause for concern although it is better to get them removed. Cryotherapy is the right mode of treatment and they do not turn cancerous very rapidly.

Hope that helps.

Regards
Dr. Kunal Saha
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. Raju A.T
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Actinic Keratosis And Seborrhoeic Dermatitis

Brief Answer: Actinic keratosis and seborrhoeic dermatitis Detailed Answer: Thanks for asking on HealthcareMagic. The loss of hair could be related to seborrhoeic dermatitis which commonly manifests as dandruff. Try using Nizoral shampoo (ketoconazole) twice or thrice a week and see if the situation improves. About the wrinkles and cysts that you mention, it would be really appreciable if you could post a photograph. Actinic keratosis is a degenerative disease characterised by small loose skin tags and you probably have those. It is not really a cause for concern although it is better to get them removed. Cryotherapy is the right mode of treatment and they do not turn cancerous very rapidly. Hope that helps. Regards Dr. Kunal Saha