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What causes an itchy rash on the face in a child?

Answered by
Dr.
Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Posted on Mon, 19 Sep 2016 in Skin Hair and Nails
Question: Hello,

My daughter is 4 years old. We first observed a rash (non-itchy) or some kind of infection on her face between left eye and nose (at the corner between nose and eye). We consulted a doctor and the doctor diagnosed it as LICHEN STRIATUS prescribed LOBATE Gn creame. We applied the creame for around 60 days, but there was no difference on skin. and we observed after 2 months that it was increasing and there was some pigmentation problem on above left eye lid and lower part of left cheek. So again we went to doctor and the medicine was changed to TACROZ 0.03 EUMOSONE creame. We have applied these creams again for two months but there was no relief. We found pigmentation problem increasing to the corner between left eye and nose also. So we changed the doctor and conuslted another doctor and he conducted wood's lamp test and informed us that under woods' lamp test, for some pigmented area from entire infected area shows leucoderma and he prescribed PICON CREAME along with ZINCOVITA SYRUP.

Since she is getting treatment for last 6 months without any cure and looking her age of 4, we are worried and two three questions we seek answer for.

1) What is correct treatment for her ?
2) Will it aggravate in future ?
3) Will it be completely cured ?

3 images attached with.
doctor
Answered by Dr. Sanjay Kumar Kanodia 18 hours later
Brief Answer:
Segmental hypopigmentation. will cure completely .

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the skin problem in your daughter.

I have diligently analyzed your query and noted your concern.

After thoroughly examining the pictures and correlating with the details it appears to be segmental hypopigmentation.

To tell you simply our skin contains specific color producing cells known as melanocytes. These continously produce color and by which we have our own specific color.

In certain situations these cells can temporarily stops producing color and thereby we see such kind of hypopigmentation.

As you can notice that these are present only in one side of face so such kind of segmental hypopigmentation have less tendency to spread to other sites of body.

Your present treating doctor has correctly prescribed you picon cream. This is steroid sparing medication as steroids should be least applied in children. Previously lobate and eumosone were applied which are bit high to medium potency steroids and should not be a plied longer than few days to weeks.

So presently the treatment is very much fine. It takes multiple months to get repigmentation and is completely curable.

I prefer growth factor derived decapeptide to add with the treatment. This improves the tendency to regain color.

I hope this helps.

With regards,

Dr Sanjay Kanodia
MD Dermatology
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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