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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spreading Dry Skin Patch With Itching On Face?

i have a dry skin patch patch on my face around the size of a 10p coin. It started off just dry and fakey and itchy but now (this may be to do with my scratching and picking at it) it weeps, has yellow scabs has recently begun bleeding and scabbing over also. It's also spread up to the corner of my eye. I've had it about 2-3 weeks now and its really beginning to irritate me. what is it and what will help it??
Tue, 6 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

I will keep a possibility of Tinea Faciei; ring like or round patches, itching and roughness/scaling are all features suggestive of Tinea Faciei.
A KOH wet preparation made from a small amount of scale scraped from the lesions, to look for fungal elements, would be confirmatory.
Topical antifungals that would be effective in superficial fungal infections of the skin e.g Luliconazole, sertaconazole or amorolfine etc may be used, twice daily.
Oral antifungals e.g either fluconazole Or terbinafine are also commonly prescribed together with topical antifungals for superficial fungal infections of the skin.
Oral and topical antifungals need to be given for at least 4-6 weeks.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.
I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment.

Regards
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What Causes Spreading Dry Skin Patch With Itching On Face?

Hello. Thank you for writing to us at healthcaremagic I will keep a possibility of Tinea Faciei; ring like or round patches, itching and roughness/scaling are all features suggestive of Tinea Faciei. A KOH wet preparation made from a small amount of scale scraped from the lesions, to look for fungal elements, would be confirmatory. Topical antifungals that would be effective in superficial fungal infections of the skin e.g Luliconazole, sertaconazole or amorolfine etc may be used, twice daily. Oral antifungals e.g either fluconazole Or terbinafine are also commonly prescribed together with topical antifungals for superficial fungal infections of the skin. Oral and topical antifungals need to be given for at least 4-6 weeks. An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching. I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment. Regards