Dr. Dhepe Snehal Madhav
Venereology
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Patient's Query
Hello doctor,
I have a regular rash on the chin. I regularly facing rash and acne on my chin due to this skin of chin got rough.
Hello,
Welcome to icliniq.com.
Contact with irritant? Do new cosmetic products use? Do oily greasy cosmetic products use? Pustules? Inflammatory papules? Excess scratching, popping, pricking lesion? Irritation? Itching? Pain? Burning? Oily skin type? Dust allergy? Stress? Drug history? Do reply. Attach a picture of the lesion if possible.
Patient's Query
Thank you doctor,
No new product I used. Yes, inflammatory papules. No itching, and no irritation. Yes, oily skin, and I am stressed.
Hello,
Welcome back to icliniq.com.
Acnesol (Clindamycin) gel at daytime for 15 days. Benzac AC (Benzoyl peroxide) 2.5 percent gel at night for 15 days. Tablet Azithromycin 500 mg once in a day before food for three days in a week (for two weeks). Aha glow face wash twice daily for 20 days. Avoid stress. Do not pop, or prick lesion because it can cause secondary bacterial infection.
Patient's Query
Thank you doctor,
Why am I getting this on a specific part for two to three years?
Hello,
Welcomeback to icliniq.com.
It is adult onset acne (due to hormonal changes) excess androgens. History of hirsutism? Female pattern baldness? Hair loss? Irregular periods? PCOD? Thyroid issues? Any drug history? Any procedures? Epilator use? Pricking chin hair? Trauma/injury? Premenstrual flare? Stress-induced? Scratching lesion? Do reply.
Patient's Query
Thank you doctor,
No hirsutism. Yes, a bit female baldness. ECR high 32. Having dark circles. Lack of appetite that is why often takes Cyproheptadine syrup. Often taking anti-depression drugs like Alprazolam. Period regular but in past, it got irregular so doctor suggests me birth control pills that I consume. No thyroid issues. No epilator use. Yes, I have stressed.
Hello,
Welcome back to icliniq.com.
Cause of acne can be (in this case) hormonal, stress, and disturbed sleep patterns. Anti-depressants drug side effects are pimples, bacterial infection (propionibacteria), obstruction of the pilosebaceous duct (follicular plugging), excess sebum secretion. So avoid stress. Avoid late night sleep. Exercise regularly. Reduce anxiety, stress, and reduce use of drugs. Do meditation and yoga. Wash face regularly twice a day. Kojic cream at night for 20 days (on dark circles). Drink lots of water. Sleep well.
Patient's Query
Thank you doctor,
Any other medicine required for hormone imbalance or bacterial infections?
Hello,
Welcome back to icliniq.com.
Nadibact (Nadifloxacin) cream at night for 15 days (when lesions itchy). Exercise regularly and do yoga or meditation to regulate hormones. Regularize sleep patterns. Follow up for any doubts.
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Venereology
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