Brief Answer:
Kindly send pictures of the affected area.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for rough patches around your nose.

In view to help you best regarding the treatment of the same I request you to kindly provide few pictures of the affected area. For that you have a feature on the right side of the page. Or else you can send your pictures of affected area at:

YYYY@YYYY

With attention " Dr. Sanjay XXXXXXX Kanodia "

Also do let me know if you have dandruff on your scalp or on eyebrows. DO you get any eruptions off and on over or around the nose. Any irritation or itching over the affected area.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
"Dyssebacia": mild form of "Seborrheic dermatitis": various suggestiions.

Detailed Answer:
Hello young lady,

Welcome again to the forum and thanks for your swift follow up with picture.

After analyzing the picture with diligence I can make out the condition is mild form of "Seborrheic dermatitis" which we call as "dyssebacia".

To tell you medically regarding ""dyssebacia""- it is mild inflammation of the sebaceous glands (oil glands) which causes eruptions, mild to moderate scaling and flaking with redness and itching of variable degree. It basically involves the area around nose and nasolabial folds and surrounding skin on cheeks.

There are multiple factors causing the problem including dietary (nutritional or lack of proper nutrients), environmental including sun light as main aggravating factors with fungus and many more.

In my patients with your kind of condition I prefer to use a mild steroid preparation such as desonide lotion for two times a day for 7 days. Once the redness an itching is reduced then I shift my patients on plane anti-fungal cream such as ketoconazole 2 % cream as maintenance therapy. Both these preparations should be applied in a very thin layer so that it should not be visible to the naked eye.

For itching I prefer to give a simple tablet of loratadine for one to two times a day after meals.

As I can get that you do have bit of dandruff and I can see open pores which show high oil activity so a proper scalp wash with anti-fungal shampoo help in reducing the propensity of recurrence.

A sun protection is must to take care of sun aggravation and redness.

I prefer to suggest a good diet to my patients with lots of fruits and green vegetables on daily basis. It helps in good regeneration power of skin and reduces the chances of nutritional factors as contributing cause.

I hope the above information will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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