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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Combination Type Of Skin. Hair Very Oily, Scalp Very Dry, Flakes Coming Out In Particular Area, Severe Red Patches On Stomach, Oozing, Bleeding

Hello there, I am 39 years old lady. I have combination type of skin. Hair very oliy; scalp very dry. Has flakes coming out in particular area. In folds on stomach, I have severe red patched, oozing and it is bleeding . I have been advised propysalic lotion and pacroma lotion alternatively in folds, sometime back. That time it got recovered. Now I have similar condition again which is irritating me so much + paining as it is bleeding. So I applied Pacroma cream and propy. lotion. Moreove propysalic lotion gives horrible buring sensation. :( Can you please help..
Mon, 4 Nov 2013
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Dermatologist,  's  Response
Hi,
Thanks for writing to us.
YOu seem to be suffering from seborrheic dermatitis.
Propysalic ointment is used when there are lesions that are dry and thick. If its used on red oozy lesions, it will cause more irritation. So right now do not use it. To treat your skin concern, follow these suggestions
Use a ketoconazole shampoo every alternate day to wash hair .Apply steroid lotion over scalp in night?( zydip lotion or diprovate lotion)
Apply steroid antibiotic cream over red oozy lesions twice in a day.

This will help the lesions resolve. If not much response is seen in a week, please consult your dermatologist. Right now do not use pacroma. It is pimecrolimus, a steroid sparing agent and can be used later on to prevent recurrences of the disease.

Hope this helped.
TAke care
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Have Combination Type Of Skin. Hair Very Oily, Scalp Very Dry, Flakes Coming Out In Particular Area, Severe Red Patches On Stomach, Oozing, Bleeding

Hi, Thanks for writing to us. YOu seem to be suffering from seborrheic dermatitis. Propysalic ointment is used when there are lesions that are dry and thick. If its used on red oozy lesions, it will cause more irritation. So right now do not use it. To treat your skin concern, follow these suggestions Use a ketoconazole shampoo every alternate day to wash hair .Apply steroid lotion over scalp in night?( zydip lotion or diprovate lotion) Apply steroid antibiotic cream over red oozy lesions twice in a day. This will help the lesions resolve. If not much response is seen in a week, please consult your dermatologist. Right now do not use pacroma. It is pimecrolimus, a steroid sparing agent and can be used later on to prevent recurrences of the disease. Hope this helped. TAke care