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Suggest treatment for allergic reaction on face to face wash

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Posted on Wed, 15 Jul 2015
Question: Hi doctor,

About 2 months ago I started using Himalaya Kesar Face Wash. After using it for 1-2 weeks I started noticing dark spots developing on my face. I discontinued using it completely. But even after stopping its use, I can see new spots developing here and there on my face regularly. It first showed in areas around my nose, then progressed from their on. It's more prevalent in area around nose. Now I even started to notice the spots in my wrists and webbing of the fingers.

Is my condition related with the usage of face wash? Even if so, then why am I developing new spots even after discontinuing its use for more than a month? Will it spread to other areas of the face and body as well? I am deeply worried about my condition. Kindly help.
doctor
Answered by Dr. Sanjay Kumar Kanodia (14 hours later)
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)
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (1 hour later)
Thank you doctor. I want to add that even while I was using the product, nor even now, never I developed any rash, lesion, itching or allergy like symptoms. Only thing that affected me is the development of dark spots on my face and hands. Is my condition associated with ACD? With my limited knowledge, symptoms of ACD include rashes, itching & presence of lesions, which I never had. Kindly help. Do correct me if I am wrong.
doctor
Answered by Dr. Sanjay Kumar Kanodia (1 hour later)
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
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (55 minutes later)
I have attached a few pics of the affected area in the "Update Reports" section. Once zoomed, you can see tiny little spots on my lower lip, wrist, webbing of fingers & area around nose & face. Kindly help.
doctor
Answered by Dr. Sanjay Kumar Kanodia (2 hours later)
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
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (47 minutes later)
Thanks doctor. I haven't experienced any sort of itching in the day or night in any of the affected areas, nor am I having any issues while sleeping.

Also I have a few queries. Please clear it up.

1. You have said that I should stay away from sun. Then do I need to use sunscreen before going out? Should I apply it even when starting indoor? If yes, then please suggest me which product to use with its brand name.

2. You have asked me to apply calamine lotion. Should that be applied only on the affected areas or all over the face & hand? It would be helpful if you could suggest me which product to use with its brand name.

3. You have also asked me to apply Fluticasone or Mometasone cream. Should that be applied only on the affected areas or all over the face & hand? It would be helpful if you could suggest me which product to use with its brand name.
doctor
Answered by Dr. Sanjay Kumar Kanodia (2 hours later)
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
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (5 days later)
Hi doctor,

As suggested by you, I consulted a dermatologist. After examining my skin she said that the skin has become dry. She also asked whether my skin was exposed to sun?

She prescribed me the following:
1. Zyrtec (cetirizine hydrochloride) tablet - 1 HS - 7 days
2. Multigates (fortified micronutrients) tablet - 1 HS - 10 days
3. Dermadew Aloe Lotion - to be applied all over the face and hand in the night before sleeping

She said that it will be fine. But the issue now is that even continuing with the medication for the past coupe of days, still today morning I noticed a few spots developed newly on my face, which is making me worry.

So I have the following queries:

1. For how long the problem persist? Its already been more than two months now.
2. Cant this be treated? I want to also add that there are tiny eruptions across my face. I never had this issue before using face wash.
3. Are the spots on my face and hand permanent, or will they fade with time? In case, if they fade, how much approximate time will that take?

Kindly help.
doctor
Answered by Dr. Sanjay Kumar Kanodia (17 hours later)
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
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Suggest treatment for allergic reaction on face to face wash

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)