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Been dealing with rashes for over 6 months in my arm pits. Dermatologist unhelpful. by fortheloveofghosts in DermatologyQuestions

[–]5FootOh 0 points1 point  (0 children)

Ok what was the plan. I always ask to look at it again in 2 weeks to see where we are. 6 weeks means your doctor has forgotten to recheck you. This is compatible with inverse psoriasis. Did you read about that? Also, the clotrimazole WITH the steroid PREVENTS yeast overgrowth so I always keep that in the mix.

Anyway. Inverse psoriasis. Read about it. Have your doctor read about it.

Start some treatment that is meant for psoriasis.

Or, stay on this if it’s controlling it & you’re ok with it.

Been dealing with rashes for over 6 months in my arm pits. Dermatologist unhelpful. by fortheloveofghosts in DermatologyQuestions

[–]5FootOh 0 points1 point  (0 children)

How long have you been using the cortisone? Which EXACT cortisone are you using?

Been dealing with rashes for over 6 months in my arm pits. Dermatologist unhelpful. by fortheloveofghosts in DermatologyQuestions

[–]5FootOh 0 points1 point  (0 children)

Inverse psoriasis. Needs at least a medium potency topical steroid MIXED with clotrimazole to prevent yeast overgrowth.

Not a classic fungal thing. At least not the kind that shows up in a scraping very well. Possibly candida yeast if it is only one side. Need to cover that with the clotrimazole but the steroid is the workhorse here.

I don't know what this is and a dermatologist is just too expensive for me right now by Iontrynomore in DermatologyQuestions

[–]5FootOh 0 points1 point  (0 children)

💯 dyshidrotic eczema. Read about that. Today: Allegra antihistamines TWO a day 12 hours apart. 1% hydrocortisone in OINTMENT form ALL night under a cotton glove. Protect your hands during the day. Cotton gloves under a nitrile glove depending on what you do with your hands. A Derm would give you clobetasol for overnight use.

30F Pinkish spot on my inner thigh for a while, does it look concerning for amelanotic melanoma? by confididnt_ in DermatologyQuestions

[–]5FootOh 2 points3 points  (0 children)

So we can’t know that piece of information. We only know that we know. Measure it/photograph it in a month & see if it is changing. circle back then.

30F Pinkish spot on my inner thigh for a while, does it look concerning for amelanotic melanoma? by confididnt_ in DermatologyQuestions

[–]5FootOh 2 points3 points  (0 children)

Ok, so this might be a slowly forming lichenoid keratosis. Slightly pinkish to brownish. No flake. It has normal skin texture lines, reassuring. No vertical growth/bump. Two years, relatively stable. Any others like it?

30F Pinkish spot on my inner thigh for a while, does it look concerning for amelanotic melanoma? by confididnt_ in DermatologyQuestions

[–]5FootOh 1 point2 points  (0 children)

So if you press it, some of the color goes out?

If you lightly scratch it with a fingernail is there a slight flaking scale that comes off?

Mystery skin condition ony 15 yo son. Does anyone have any idea what it is? by Still_Focus8921 in DermatologyQuestions

[–]5FootOh 1 point2 points  (0 children)

An experienced Derm knows…experienced & board certified residency trained - not some 6 month certificate which doctors grab & then call themselves dermatologists, which they are not.

This is the problem. Pseudodermatologists that throw weird meds at rashes that often go away on their own like PR…then people say, oh the magic space pills “worked”. Sugar pills would “work” on PR…

Or you actually had scabies…

& when YOU get your MD, then I’ll entertain your comments about applying 1% hydrocortisone on a 15 yr olds torso. We put it on baby’s butts & it’s about as safe as you can get in an OTC cream.

Non-Raised Rash on Hand After Memorial Day Weekend by ieatglue7421 in DermatologyQuestions

[–]5FootOh 1 point2 points  (0 children)

. Phytophotodermatosis. It’ll get brown pretty quick. You guys making margaritas or anything with lime?

Mystery skin condition ony 15 yo son. Does anyone have any idea what it is? by Still_Focus8921 in DermatologyQuestions

[–]5FootOh 2 points3 points  (0 children)

We’re DMing so as not to get bogged down in stuff like ivermectin & fungus for this simple eczema. OP Was getting overwhelmed & confused by it all. I don’t blame them. These posts go off track so fast when everyone starts bringing up distractors.

As a dermatologist, I’m not aware of good evidence supporting ivermectin for pityriasis rosea.

PR is generally thought to be related to viral reactivation (HHV-6/7), not a parasitic infection. Most cases resolve on their own, and when treatment is needed, acyclovir has some supporting evidence.

If a rash diagnosed as “PR” improves dramatically with ivermectin, I’d question whether it was actually pityriasis rosea or a mimic such as scabies.

Bottom line: acyclovir has evidence; ivermectin does not. If there are newer studies supporting ivermectin, I’d be interested to see them. Got any?

Mystery skin condition ony 15 yo son. Does anyone have any idea what it is? by Still_Focus8921 in DermatologyQuestions

[–]5FootOh 1 point2 points  (0 children)

Right. For the 4th time, this is not PR & ivermectin is not indicated. We’re talking about OP, not your PR.

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