Suggest Treatment For Skin Rash And Sensitive Skin

Posted on Mon, 22 Sep 2014

Question: Hello,

From your experience, what would you say is wrong with my skin? Could it be ezcema? I don't get white heads etc anymore but used to get acne, now I just have very sensitive skin that has a horrible complexion. I included pictures

thank you

Answered by Dr. Hardik Pitroda (48 minutes later)

Brief Answer:
oral and topical antifungal plus corticosteroid

Detailed Answer:
Hello,
Thank you for posting on HCM.

From review of your history and pictures it looks like you have got Sebaceous hyperplasia with seborrheic dermatitis.

Sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called Seborrheic dermatitis.
Excess sebum production promotes fungal growth and these in turn eventually contributes to seborrheic dermatitis.

I would suggest you a course of oral antifungal drug like fluconazole for few weeks. Fluconazole 150mg tablet should be taken once a week for atleast 6 weeks.
Also take oral vitamin B3 (Niacin) tablets twice a day for few weeks as it has good role in sebaceous hyperplasia.
Apply a cream containing mometasone and terbinafine twice a day and a salicylic acid 1% based gel in evening over affected areas gently.
Use ketoconazole based shampoo on regular basis for hairwash.

I am sure you will be fine with this treatment.
Let me know if you require any more assistance from my side.

Wish you best of health.
Thank you
Dr Hardik Pitroda
M.D Dermatology

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. Chakravarthy Mazumdar