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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Red Spots And White Heads On Inner Thighs And Buttocks?

I have had for a couple of months now red spots with whiteheads appearing on my front and inner thighs and bottom and nothing is seeming to get rid of them. this problem has been happening for many years now, off and on, doctor thought it may be sometype of scabies and has prescribed an itch releif cream before but it does not work.
Fri, 30 Sep 2022
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Anesthesiologist 's  Response
Hello,

Probable causes of your condition are tenia cruris, keratosis pilaris, atopic dermatitis, folliculitis, milia, or pityriasis rubra pilaris. As your condition has been for years without notable symptoms most probably yours is keratosis pilaris.

Many treatment options and skin care recipes are available for treating keratosis pilaris. As a general rule, treatment needs to be continuous. General measures to prevent excessive skin dryness, such as using mild soap-less cleansers (eg, Dove, Cetaphil), are recommended, and lubrication is the mainstay of treatment for nearly all cases. For mild cases, Cetaphil lotion will help. The affected area may be washed once or twice a day with a gentle cleanser such as Dove.

Additional therapeutic options for more involved cases of keratosis pilaris include lactic acid lotions (AmLactin, Lac-Hydrin), alpha hydroxy acid lotions (glycolic body lotions), urea cream (Carmol 10, Carmol 20, Carmol 40, Urix 40), salicylic acid (Salex lotion), and topical steroid creams (triamcinolone 0.1%, Locoid Lipocream), azelaic acid, [14] retinoic acid products such as tretinoin (Retin-A), tazarotene (Tazorac), and adapalene (Differin)

Lotions should be gently massaged into the affected area 2-3 times a day. Persistent skin discoloration, termed hyperpigmentation, may be treated with fading creams such as hydroquinone 4%, kojic acid, and azelaic acid 15-20%. If your lesions won't fade away even after above therapy for 2 weeks, you need to consult a dermatologist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Red Spots And White Heads On Inner Thighs And Buttocks?

Hello, Probable causes of your condition are tenia cruris, keratosis pilaris, atopic dermatitis, folliculitis, milia, or pityriasis rubra pilaris. As your condition has been for years without notable symptoms most probably yours is keratosis pilaris. Many treatment options and skin care recipes are available for treating keratosis pilaris. As a general rule, treatment needs to be continuous. General measures to prevent excessive skin dryness, such as using mild soap-less cleansers (eg, Dove, Cetaphil), are recommended, and lubrication is the mainstay of treatment for nearly all cases. For mild cases, Cetaphil lotion will help. The affected area may be washed once or twice a day with a gentle cleanser such as Dove. Additional therapeutic options for more involved cases of keratosis pilaris include lactic acid lotions (AmLactin, Lac-Hydrin), alpha hydroxy acid lotions (glycolic body lotions), urea cream (Carmol 10, Carmol 20, Carmol 40, Urix 40), salicylic acid (Salex lotion), and topical steroid creams (triamcinolone 0.1%, Locoid Lipocream), azelaic acid, [14] retinoic acid products such as tretinoin (Retin-A), tazarotene (Tazorac), and adapalene (Differin) Lotions should be gently massaged into the affected area 2-3 times a day. Persistent skin discoloration, termed hyperpigmentation, may be treated with fading creams such as hydroquinone 4%, kojic acid, and azelaic acid 15-20%. If your lesions won t fade away even after above therapy for 2 weeks, you need to consult a dermatologist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist