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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Due To Insect Crawling, Black Painful Spots, Wrinkles After Applying Betnovate C Cream. Advise?

any insect crawled on my face 1 night..that area pained alot for about 2 days, then i applied betnovate c cream on my face,and the next day,,i found dark black and painful spots on that area,,i used betnovate c cream for about 3 days,it gave me releif, but now skin on that area has become very thin and wrinkled..what should i do to get back my previous skin? :(
Fri, 24 May 2013
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Dermatologist 's  Response
Hi
Thanks for your query

Looks like you have developed a lesion of Vector dermatitis..also known as Paederus dermatitis..
Paederus dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of red lesions on exposed areas of the body. The disease is provoked by an insect belonging to the genus Paederus.
Now as in your case , you have been applying a potent steroid over your face for the lesion. First of all, i would advise you not to use this steroid prepararyion over the face in future. It is strictly to be avoided over the face .
Now you seem to have developed some form of skin atrophy due to the use of steroid. Just stop using the same over the face now. Just use s simple moisturizing cream over the face twice day.
Use a sunscreen regularly over the face every time you go out in the sun.
Steroid application over the face tends to thin down the skin and can cause skin atrophy and photo-sensitivity. So use of a sunsrceen is very essential.
Make sure that you do not use any harsh face washes or soap over the face.

The affected area will take it's time but will revert back to normal in due course of time if you take the above precautions.

Hope it helps

Dr Geetika Paul
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Pain Due To Insect Crawling, Black Painful Spots, Wrinkles After Applying Betnovate C Cream. Advise?

Hi Thanks for your query Looks like you have developed a lesion of Vector dermatitis..also known as Paederus dermatitis.. Paederus dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of red lesions on exposed areas of the body. The disease is provoked by an insect belonging to the genus Paederus. Now as in your case , you have been applying a potent steroid over your face for the lesion. First of all, i would advise you not to use this steroid prepararyion over the face in future. It is strictly to be avoided over the face . Now you seem to have developed some form of skin atrophy due to the use of steroid. Just stop using the same over the face now. Just use s simple moisturizing cream over the face twice day. Use a sunscreen regularly over the face every time you go out in the sun. Steroid application over the face tends to thin down the skin and can cause skin atrophy and photo-sensitivity. So use of a sunsrceen is very essential. Make sure that you do not use any harsh face washes or soap over the face. The affected area will take it s time but will revert back to normal in due course of time if you take the above precautions. Hope it helps Dr Geetika Paul