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I Am 64 Years Old In Very Goodhealth Good Shape
Question: I am 64 years old in very goodhealth good shape .A year and a half ago I started to get an itch underneath my beard. It progressed to swelling on my face ,and an irritation, rash like on my legs snd the top of my head. it gives me a fairly constant itch.I have been to 4 Dermatologist who have given me various creams that seem to givevery little if any reiief. at times it will almost go away but never completely and then it will progress. I noticed when my face swells ice seems to help a little. I have tried cutting every type of food and product out of my life at various times I can safely say it%E2%80%99s not contact dermatitis or any type of food allergy. The discomfort it causes is generally only a 3 or4 on a scale of 1 to 10 however the itching and the visual effect on my general social life at times 7 or 8.
my legs look fairly bad regularly, my face goes from able to deal with it too close to a monster.
for over 62 years I have never had anything like this and I%E2%80%99ve never been allergic to anything.
One time a doctor gave me some type of pill pack I took 6 the first day, 5 the next down to one. That was just before my daughter%E2%80%98s wedding and it did work fairly well but a week after the wedding it was back. I%E2%80%99m really tired of dealing with it and hope it will clear up .... any ideas
my legs look fairly bad regularly, my face goes from able to deal with it too close to a monster.
for over 62 years I have never had anything like this and I%E2%80%99ve never been allergic to anything.
One time a doctor gave me some type of pill pack I took 6 the first day, 5 the next down to one. That was just before my daughter%E2%80%98s wedding and it did work fairly well but a week after the wedding it was back. I%E2%80%99m really tired of dealing with it and hope it will clear up .... any ideas
I am 64 years old in very goodhealth good shape .A year and a half ago I started to get an itch underneath my beard. It progressed to swelling on my face ,and an irritation, rash like on my legs snd the top of my head. it gives me a fairly constant itch.I have been to 4 Dermatologist who have given me various creams that seem to givevery little if any reiief. at times it will almost go away but never completely and then it will progress. I noticed when my face swells ice seems to help a little. I have tried cutting every type of food and product out of my life at various times I can safely say it%E2%80%99s not contact dermatitis or any type of food allergy. The discomfort it causes is generally only a 3 or4 on a scale of 1 to 10 however the itching and the visual effect on my general social life at times 7 or 8.
my legs look fairly bad regularly, my face goes from able to deal with it too close to a monster.
for over 62 years I have never had anything like this and I%E2%80%99ve never been allergic to anything.
One time a doctor gave me some type of pill pack I took 6 the first day, 5 the next down to one. That was just before my daughter%E2%80%98s wedding and it did work fairly well but a week after the wedding it was back. I%E2%80%99m really tired of dealing with it and hope it will clear up .... any ideas
my legs look fairly bad regularly, my face goes from able to deal with it too close to a monster.
for over 62 years I have never had anything like this and I%E2%80%99ve never been allergic to anything.
One time a doctor gave me some type of pill pack I took 6 the first day, 5 the next down to one. That was just before my daughter%E2%80%98s wedding and it did work fairly well but a week after the wedding it was back. I%E2%80%99m really tired of dealing with it and hope it will clear up .... any ideas
Brief Answer:
Seborrheic dermatitis on scalp, head, and Xerosis on face
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service.
I have gone through your query and reviewed the images.
You seem to have seborrheic dermatitis- it affects the scalp, face with red, scaly itchy patches.
I would suggest using a moderately potent topical steroid e.g either Fluticasone propionate 0.05% cream or Triamcinolone acetonide 0.1% cream for the patches on the face and beard area.
It tends to come back as soon as you stop the topical steroid cream, therefore, you may use a topical calcineurin inhibitor like Tacrolimus or Pimecrolimus for long term maintenance. All of these are prescription medications.
For scalp, you may use a ketoconazole based shampoo e.g Nizoral shampoo daily or alternate days. As far as itching on the leg is concerned, it seems to be due to dry skin. You may use a moisturizer regularly and in addition to that, you may use an oral antihistamine e.g Levocetirizine 10mg tablet once a day for a few days.
Hope I have answered your query.
Let me know if you need any more assistance.
Seborrheic dermatitis on scalp, head, and Xerosis on face
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service.
I have gone through your query and reviewed the images.
You seem to have seborrheic dermatitis- it affects the scalp, face with red, scaly itchy patches.
I would suggest using a moderately potent topical steroid e.g either Fluticasone propionate 0.05% cream or Triamcinolone acetonide 0.1% cream for the patches on the face and beard area.
It tends to come back as soon as you stop the topical steroid cream, therefore, you may use a topical calcineurin inhibitor like Tacrolimus or Pimecrolimus for long term maintenance. All of these are prescription medications.
For scalp, you may use a ketoconazole based shampoo e.g Nizoral shampoo daily or alternate days. As far as itching on the leg is concerned, it seems to be due to dry skin. You may use a moisturizer regularly and in addition to that, you may use an oral antihistamine e.g Levocetirizine 10mg tablet once a day for a few days.
Hope I have answered your query.
Let me know if you need any more assistance.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Seborrheic dermatitis on scalp, head, and Xerosis on face
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service.
I have gone through your query and reviewed the images.
You seem to have seborrheic dermatitis- it affects the scalp, face with red, scaly itchy patches.
I would suggest using a moderately potent topical steroid e.g either Fluticasone propionate 0.05% cream or Triamcinolone acetonide 0.1% cream for the patches on the face and beard area.
It tends to come back as soon as you stop the topical steroid cream, therefore, you may use a topical calcineurin inhibitor like Tacrolimus or Pimecrolimus for long term maintenance. All of these are prescription medications.
For scalp, you may use a ketoconazole based shampoo e.g Nizoral shampoo daily or alternate days. As far as itching on the leg is concerned, it seems to be due to dry skin. You may use a moisturizer regularly and in addition to that, you may use an oral antihistamine e.g Levocetirizine 10mg tablet once a day for a few days.
Hope I have answered your query.
Let me know if you need any more assistance.
Seborrheic dermatitis on scalp, head, and Xerosis on face
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service.
I have gone through your query and reviewed the images.
You seem to have seborrheic dermatitis- it affects the scalp, face with red, scaly itchy patches.
I would suggest using a moderately potent topical steroid e.g either Fluticasone propionate 0.05% cream or Triamcinolone acetonide 0.1% cream for the patches on the face and beard area.
It tends to come back as soon as you stop the topical steroid cream, therefore, you may use a topical calcineurin inhibitor like Tacrolimus or Pimecrolimus for long term maintenance. All of these are prescription medications.
For scalp, you may use a ketoconazole based shampoo e.g Nizoral shampoo daily or alternate days. As far as itching on the leg is concerned, it seems to be due to dry skin. You may use a moisturizer regularly and in addition to that, you may use an oral antihistamine e.g Levocetirizine 10mg tablet once a day for a few days.
Hope I have answered your query.
Let me know if you need any more assistance.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thank you, although I appreciate your reply it is disappointing. It seems every dermatologist just recycle the same answers. I’ve been using those creams and shampoos nonstop for months with very limited and spotty results. No lasting results even as I continue to use them. I have never stopped using them I put them on my scalp every night and put it on my legs in the morning the evening and at night. At times it will seem to start to clear up and then it will just come back although I have Not stopped using the prescription creams. I was desperately hoping to find somebody that would look past the obvious, which is is not
For instance no one gives a satisfying answer as to why I’ve never ever had any reaction to anything for 62 years; no itching or rashes and then all of a sudden I have something that I can’t get rid of. I am convinced all of this skin reaction is related it all came at the same time out of nowhere. Moisturizing creams combined with the prescription creams just seem to make my legs worse
Please be the dermatologist that look deeper than contact dermatitis, dry skin or Keep putting some non-working cream or lotion on it ...forever.
I would truly appreciate any other type of answer
For instance no one gives a satisfying answer as to why I’ve never ever had any reaction to anything for 62 years; no itching or rashes and then all of a sudden I have something that I can’t get rid of. I am convinced all of this skin reaction is related it all came at the same time out of nowhere. Moisturizing creams combined with the prescription creams just seem to make my legs worse
Please be the dermatologist that look deeper than contact dermatitis, dry skin or Keep putting some non-working cream or lotion on it ...forever.
I would truly appreciate any other type of answer
Thank you, although I appreciate your reply it is disappointing. It seems every dermatologist just recycle the same answers. I’ve been using those creams and shampoos nonstop for months with very limited and spotty results. No lasting results even as I continue to use them. I have never stopped using them I put them on my scalp every night and put it on my legs in the morning the evening and at night. At times it will seem to start to clear up and then it will just come back although I have Not stopped using the prescription creams. I was desperately hoping to find somebody that would look past the obvious, which is is not
For instance no one gives a satisfying answer as to why I’ve never ever had any reaction to anything for 62 years; no itching or rashes and then all of a sudden I have something that I can’t get rid of. I am convinced all of this skin reaction is related it all came at the same time out of nowhere. Moisturizing creams combined with the prescription creams just seem to make my legs worse
Please be the dermatologist that look deeper than contact dermatitis, dry skin or Keep putting some non-working cream or lotion on it ...forever.
I would truly appreciate any other type of answer
For instance no one gives a satisfying answer as to why I’ve never ever had any reaction to anything for 62 years; no itching or rashes and then all of a sudden I have something that I can’t get rid of. I am convinced all of this skin reaction is related it all came at the same time out of nowhere. Moisturizing creams combined with the prescription creams just seem to make my legs worse
Please be the dermatologist that look deeper than contact dermatitis, dry skin or Keep putting some non-working cream or lotion on it ...forever.
I would truly appreciate any other type of answer
Also I have used Benadryl on a regular basis with again very little to no results
Also I have used Benadryl on a regular basis with again very little to no results
Brief Answer:
Kindly provide more information
Detailed Answer:
hi.
I know it is quite frustrating to have a chronic and recurring condition like one. Can you please reply me with all the products that you've been using so that I can get a better sense of whether you are being been treated appropriately. Take care
Kindly provide more information
Detailed Answer:
hi.
I know it is quite frustrating to have a chronic and recurring condition like one. Can you please reply me with all the products that you've been using so that I can get a better sense of whether you are being been treated appropriately. Take care
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Kindly provide more information
Detailed Answer:
hi.
I know it is quite frustrating to have a chronic and recurring condition like one. Can you please reply me with all the products that you've been using so that I can get a better sense of whether you are being been treated appropriately. Take care
Kindly provide more information
Detailed Answer:
hi.
I know it is quite frustrating to have a chronic and recurring condition like one. Can you please reply me with all the products that you've been using so that I can get a better sense of whether you are being been treated appropriately. Take care
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you for the follow up I truly appreciate it
I will list the over-the-counter products and then the prescription products. All were use all in tandem with others and by themselves for months at a time; no combination seems to significantly make a difference. It never goes away but it’ll get maybe 75% better; without any change in the regiment it will progress again sometimes rapidly.
Over-the-counter products
Head and shoulders dandruff shampoo
Dermasil moisturizing lotion
Neem oil
Tea tree oil
Olive oil
Jurgens natural glow face cream
Benadryl itch stopping gel
Benadryl tablets
Viking 100% natural beard balm
Neosporin
Aquaphor healing ointment
Plus another 100% hypoallergenic Lotion/cream that the dermatologist suggested
Theroneem 100% natural organic shampoo
Prescription products
Hydrocortisone cream 2.5%
TRIAMCINOLONE ACETONIDE 1%
MOMETASONE FUROATE1%
And there was one other cream similar that was prescription that I no longer remember
Everything was tried for a few months or more before the Dermatologist switched to a different prescription products right now I continue to apply daily each of those creams. No topical treatment has made consistent or noticeable changes.
Could it be an internal problem
Thank you for taking the time
I will list the over-the-counter products and then the prescription products. All were use all in tandem with others and by themselves for months at a time; no combination seems to significantly make a difference. It never goes away but it’ll get maybe 75% better; without any change in the regiment it will progress again sometimes rapidly.
Over-the-counter products
Head and shoulders dandruff shampoo
Dermasil moisturizing lotion
Neem oil
Tea tree oil
Olive oil
Jurgens natural glow face cream
Benadryl itch stopping gel
Benadryl tablets
Viking 100% natural beard balm
Neosporin
Aquaphor healing ointment
Plus another 100% hypoallergenic Lotion/cream that the dermatologist suggested
Theroneem 100% natural organic shampoo
Prescription products
Hydrocortisone cream 2.5%
TRIAMCINOLONE ACETONIDE 1%
MOMETASONE FUROATE1%
And there was one other cream similar that was prescription that I no longer remember
Everything was tried for a few months or more before the Dermatologist switched to a different prescription products right now I continue to apply daily each of those creams. No topical treatment has made consistent or noticeable changes.
Could it be an internal problem
Thank you for taking the time
Thank you for the follow up I truly appreciate it
I will list the over-the-counter products and then the prescription products. All were use all in tandem with others and by themselves for months at a time; no combination seems to significantly make a difference. It never goes away but it’ll get maybe 75% better; without any change in the regiment it will progress again sometimes rapidly.
Over-the-counter products
Head and shoulders dandruff shampoo
Dermasil moisturizing lotion
Neem oil
Tea tree oil
Olive oil
Jurgens natural glow face cream
Benadryl itch stopping gel
Benadryl tablets
Viking 100% natural beard balm
Neosporin
Aquaphor healing ointment
Plus another 100% hypoallergenic Lotion/cream that the dermatologist suggested
Theroneem 100% natural organic shampoo
Prescription products
Hydrocortisone cream 2.5%
TRIAMCINOLONE ACETONIDE 1%
MOMETASONE FUROATE1%
And there was one other cream similar that was prescription that I no longer remember
Everything was tried for a few months or more before the Dermatologist switched to a different prescription products right now I continue to apply daily each of those creams. No topical treatment has made consistent or noticeable changes.
Could it be an internal problem
Thank you for taking the time
I will list the over-the-counter products and then the prescription products. All were use all in tandem with others and by themselves for months at a time; no combination seems to significantly make a difference. It never goes away but it’ll get maybe 75% better; without any change in the regiment it will progress again sometimes rapidly.
Over-the-counter products
Head and shoulders dandruff shampoo
Dermasil moisturizing lotion
Neem oil
Tea tree oil
Olive oil
Jurgens natural glow face cream
Benadryl itch stopping gel
Benadryl tablets
Viking 100% natural beard balm
Neosporin
Aquaphor healing ointment
Plus another 100% hypoallergenic Lotion/cream that the dermatologist suggested
Theroneem 100% natural organic shampoo
Prescription products
Hydrocortisone cream 2.5%
TRIAMCINOLONE ACETONIDE 1%
MOMETASONE FUROATE1%
And there was one other cream similar that was prescription that I no longer remember
Everything was tried for a few months or more before the Dermatologist switched to a different prescription products right now I continue to apply daily each of those creams. No topical treatment has made consistent or noticeable changes.
Could it be an internal problem
Thank you for taking the time
Brief Answer:
Regarding seborrheic dermatitis
Detailed Answer:
Hi. Thank you.
From the pictures it definitely seems like seborrheic dermatitis which is purely a skin condition with no underlying pathology. I would suggest a topical calcineurin inhibitor e.g either tacrolimus 0.03% ointment or pimecrolimus 1% cream long term once you have had significant improvement on topical steroid creams for 2 - 3 weeks. Unlike topical steroids, topical calcineurin inhibitors are slow acting but can be used long term due to their better safety profile and also give a long lasting response. These are prescription products like topical steroids.
Take care.
Regarding seborrheic dermatitis
Detailed Answer:
Hi. Thank you.
From the pictures it definitely seems like seborrheic dermatitis which is purely a skin condition with no underlying pathology. I would suggest a topical calcineurin inhibitor e.g either tacrolimus 0.03% ointment or pimecrolimus 1% cream long term once you have had significant improvement on topical steroid creams for 2 - 3 weeks. Unlike topical steroids, topical calcineurin inhibitors are slow acting but can be used long term due to their better safety profile and also give a long lasting response. These are prescription products like topical steroids.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Regarding seborrheic dermatitis
Detailed Answer:
Hi. Thank you.
From the pictures it definitely seems like seborrheic dermatitis which is purely a skin condition with no underlying pathology. I would suggest a topical calcineurin inhibitor e.g either tacrolimus 0.03% ointment or pimecrolimus 1% cream long term once you have had significant improvement on topical steroid creams for 2 - 3 weeks. Unlike topical steroids, topical calcineurin inhibitors are slow acting but can be used long term due to their better safety profile and also give a long lasting response. These are prescription products like topical steroids.
Take care.
Regarding seborrheic dermatitis
Detailed Answer:
Hi. Thank you.
From the pictures it definitely seems like seborrheic dermatitis which is purely a skin condition with no underlying pathology. I would suggest a topical calcineurin inhibitor e.g either tacrolimus 0.03% ointment or pimecrolimus 1% cream long term once you have had significant improvement on topical steroid creams for 2 - 3 weeks. Unlike topical steroids, topical calcineurin inhibitors are slow acting but can be used long term due to their better safety profile and also give a long lasting response. These are prescription products like topical steroids.
Take care.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Prasad
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