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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rosacea, Fungal Infection On Face, Flaky Skin, Rashes, Bumps On Skin. Tried Metro Cream. Cure For Condition?

I don t know what to do about my face anymore I was told that I have rosacea but I also believe that I have some kind of fungal thing goin on too on my face I ve tried the metro cream doesn t seem to work I have skin that keep flaking off so bad that it flakes in my hair I m so upset that I don t like to go anywhere I get horrible bumps and its inflammed my whole face even my eyebrows some place are like rashes but I don t know really if its fungal or bacteria will the metro cream also help with fungal I m so depressed about it please help
Sat, 2 Feb 2013
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Dermatologist 's  Response
Hi,
From the description you have given it seems you are having rosacea and seborrheic dermatitis concurrently. Sometimes seborrheic dermatitis can be confused with rosacea. But the same can easily be differentiated by a dermatologist.
To treat the same you may follow these recommendations
1) use a mild non abrasive cleanser and moisturiser like cetaphil
2) apply sunscreen daily even if staying indoors( SPF 30)
3) to treat dryness over face apply a steroid antifungal cream for few days like Mometasone clotrimazole combination or fluticasone clotrimazole combination. But caution has to be exercised in use as prolonged use of this cream may exacerbate rosacea. So use it for not more than week
4) to treat dry flaky scalp ketoconazole shampoo can be used thrice in a week
5) for rosacea apart from metro gel you may require benzoyl peroxide gel and a course of oral iso tretinoin to settle raised bumps( papulopustular and nodular lesions)
6) redness and thready veins in rosacea can be tackled with IPL and sessions of mild peels like lactic acid or mandelic acid peels.
Apart from these exercise general precautionary measures like avoid stress, sun exposure, alcohol, hot and spicy foods.
Hope that answers your query. Take care.
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Psychiatrist Dr. Gourav Monga's  Response
hello

welcome to health care magic

Hey don't worry and relax. You have "reactive depression" due to your skin problem. My advice to you is consult a qualified dermatologist for detailed evaluation, diagnosis and proper management. There are very effective treatment modalities now a days for skin problems. So don't get upset. Once you get adequate, you will be absolutely fine. Try some relaxation exercises like deep breathing, yoga, meditation etc

Hope it helps
Thanks and leave a review if possible.
Regards
Dr. Gourav Monga
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Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
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Rosacea, Fungal Infection On Face, Flaky Skin, Rashes, Bumps On Skin. Tried Metro Cream. Cure For Condition?

Hi, From the description you have given it seems you are having rosacea and seborrheic dermatitis concurrently. Sometimes seborrheic dermatitis can be confused with rosacea. But the same can easily be differentiated by a dermatologist. To treat the same you may follow these recommendations 1) use a mild non abrasive cleanser and moisturiser like cetaphil 2) apply sunscreen daily even if staying indoors( SPF 30) 3) to treat dryness over face apply a steroid antifungal cream for few days like Mometasone clotrimazole combination or fluticasone clotrimazole combination. But caution has to be exercised in use as prolonged use of this cream may exacerbate rosacea. So use it for not more than week 4) to treat dry flaky scalp ketoconazole shampoo can be used thrice in a week 5) for rosacea apart from metro gel you may require benzoyl peroxide gel and a course of oral iso tretinoin to settle raised bumps( papulopustular and nodular lesions) 6) redness and thready veins in rosacea can be tackled with IPL and sessions of mild peels like lactic acid or mandelic acid peels. Apart from these exercise general precautionary measures like avoid stress, sun exposure, alcohol, hot and spicy foods. Hope that answers your query. Take care.