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Suggest treatment for pimples on the forehead

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Posted on Sat, 16 May 2015
Question: starts a small pimple on forehead,after a day turns into a blotch,then gets scalely.intimes of stress I can get many at one time.came on in mid forties I am now fifty.there is little puss.
doctor
Answered by Dr. Kakkar S. (3 hours later)
Brief Answer:
Kindly upload an Image

Detailed Answer:
Hello. Thank you for writing to us

I have taken note of your query and I will try to help you regarding your concern.

Your history is suggestive of recurrent bumps/ blotches on forehead, which turn into scaly patches and also gets oozy Or forms pus.
I will like to keep a possibility of either Acne Vulgaris Or Seborrheic dermatitis..

-Are they painful?Or are they itchy?
-Do you have them elsewhere like cheeks Or scalp?
-Do you also have scalp itching or dandruff?

Can you upload a digital Image for my review so that I am able to guide you better.

You may upload an image either at "Reports Section"

Or else

You may also mail me the image at YYYY@YYYY
Kindly mention the subject of this mail as Attention Dr.kakkar.

Regards
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Kakkar S. (5 hours later)
there is little puss

definitely itches
doctor
Answered by Dr. Kakkar S. (5 hours later)
Brief Answer:
Pityrosporum folliculitis; Topical and Oral antifungals

Detailed Answer:
Hi.

Thank you for the Image but it gets blurred when I zoom it.

This looks like 'Pityrosporum folliculitis'/ fungal folliculitis to me.
It is itchy and pimple like & has some post-inflammatory hyperpigmentation from previous healed spots.
It is caused by a yeast, Malassezia furfur when it involves the pilosebaceous follicles.

I would suggest a course of an Oral antifungal e.g Itraconazole 100 mg. The dose is twice a day, after meals, for 2 weeks.

Topically you may use a topical antifungal e.g 2% ketoconazole cream, twice daily for a week.

These are prescription medications and therefore I suggest that you talk to your doctor for the needful.

I would really appreciate if you can upload another close up photograph with good clarity. Just want to to be double sure.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 9441 Questions

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Suggest treatment for pimples on the forehead

Brief Answer: Kindly upload an Image Detailed Answer: Hello. Thank you for writing to us I have taken note of your query and I will try to help you regarding your concern. Your history is suggestive of recurrent bumps/ blotches on forehead, which turn into scaly patches and also gets oozy Or forms pus. I will like to keep a possibility of either Acne Vulgaris Or Seborrheic dermatitis.. -Are they painful?Or are they itchy? -Do you have them elsewhere like cheeks Or scalp? -Do you also have scalp itching or dandruff? Can you upload a digital Image for my review so that I am able to guide you better. You may upload an image either at "Reports Section" Or else You may also mail me the image at YYYY@YYYY Kindly mention the subject of this mail as Attention Dr.kakkar. Regards