Brief Answer:
Pictures requested

Detailed Answer:
Hello XXXXXXX
Thank you for writing to us on HCM.
It seems you have got contact dermatitis to Dermzlite cream and eventually post inflammatory hyperpigmentation.
As of now, omit all topical creams to prevent further damage and just apply a good moisturiser like Cetaphil DAM thrice a day for rapid healing.
For better management, I insist you to post good clinical pictures to me so that I can guide you properly.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

---

Brief Answer:
Maybe crusting

Detailed Answer:
Okay no problem.

The dead dry skin you have referred to must be crusting formed due to excessive irritation by use of Dermzlite cream. Such crusting also forms after chemical peels.
Once this crusting is peeled off, newer and rejuvenated skin beneath it is visible. But this rejuvenated skin is highly sensitive and can get pigmented due to various reasons especially from sunlight.

Thus I would advise you the following treatment protocol:
1. Avoid further application of any medications like Dermzlite.
2. Apply mometasone cream( Momate) twice a day over dead-dry patches of skin with gentle hands.
3. On the top of mometasone apply ample amount of moisturizer.
(Cetaphil Dam) to cover whole face.
4. Use good quality high SPF sunscreen everytime before going out in sun. (Photostable sunscreen or Sunscote Sunscreen gel)
5. Avoid pricking/picking/peeling of dead skin.
6. Use gentle cleanser like Cetaphil Cleansing lotion to rinse your your face.

I am sure, with the above treatment, your condition improve pretty soon.
Please do report me your condition after 10 days.
Thank you
Dr Hardik Pitroda

---