Patches of dry skin are present on inner thighs, face, and neck. What could this be?

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I saw the pictures (attachments removed to protect the patient's identity). It could be seborrheic dermatitis, asteatotic eczema, tinea. I would need some more information from you to narrow it down to the most accurate diagnosis. Is it itchy? When did it start? How is the weather in your place? Is it cold? Do you have dandruff on the scalp? Is there scaling around the nose or on eyebrows? Regards.

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Thank you for adding more information. With this information, I can rule out tinea and seborrheic dermatitis. Most likely, it is asteatotic eczema or dermatitis (dehydrated skin). Did you swim in a chlorine pool during your vacation? Do you remember using any new skin products like body lotion? Do you use moisturizers regularly?

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Moisturizers are the key here. Use a moisturizer containing ceramides. Ceramides help to keep the skin barrier intact and prevent loss of moisture from the skin. Brands like CeraVe, Eucerin have ceramide. Apply moisturizers soon after a shower. Use mild soaps for bathing. Avoid hot shower. Use lukewarm water. Use over-the-counter Cortisone 1 percent cream can be used at night in the dry areas for one week.

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You are welcome. I hope that helped you. Thanks.

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Please feel free to ask any queries. Take care.

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I did see some dark pigmentation in the thighs in your previous pictures (attachments removed to protect the patient's identity), but it was mild. Sometimes the scented body lotion or cream, when exposed to sunlight, can cause darkening if the lotion or cream has photo-sensitive chemicals in it. Once you use moisturizer, it takes off the white scaling that makes the pigmentation more prominent. Also, tell me the following details. Which cream did you use? Can you send the pictures showing the content of that cream? Is it scented? Did you go out in sunlight after applying cream? Are you experiencing any symptoms like itching or burning after using that cream? How about face and neck?

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This does not look like psoriasis. Psoriasis will have thick plaques with silver-white flaky scales on a red background. Most commonly, psoriasis affects the elbow, knee, scalp, back. Exoderm cream also has Hydrocortisone. You can use either of them, and you do not need both. Anti-aging cream may contain Retinol, which can cause irritation and further dryness. You can hold off anti-aging cream for a week till the dryness is resolved.

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You are welcome. For further queries, contact me.