Dr. Sunil Kumar Kothiwala
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have been having these eruptions on my forearms since past two months. They are not painful and cannot be popped. But they take a long time to disappear and look prominent. What are these and can they be stopped from re-occurring? I had them last year too during summers and they disappeared after 4 to 5 months. I have severe keratosis pilaris on my forearms and back, can they also be keratosis pilaris?
Hi,
Welcome to icliniq.com.
From these two photos (attachment removed to protect patient identity), it is visible that lesions are little inflamed and red. It is indicating folliculitis. Non-bacterial folliculitis can be non painful. Specially pityrosporum folliculitis.
Keratosis pilaris is a condition where you may have dry hard covering surrounding hair opening. Sometimes it may also get inflamed, so it can be related to this also. Arms are common site for such bumps. You need capsule Doxycycline 100 mg twice a day for 14 days, Clindamycin gel local application morning and evening, tablet Fluconazole 400 mg stat. For keratosis pilaris, you will need moisturizer for 14 days, it should subside.
Patient's Query
Hi doctor,
Thank you for your response. I have a few follow up questions.
Can you please elaborate about the dosage of tablet Fluconazole 400 mg? Is it to be taken for 14 days too? Recently I had an antibiotic course for persistent coughing. Is it necessary to take Doxycycline? Lastly, you mentioned that I have to use a moisturizer. Is it fine to use moisturizer and Clindamycin gel together? Will it reduce effectiveness if they get mixed?
Hi,
Welcome back to icliniq.com.
Tablet Fluconazole 400 mg stat means a single tablet. You have to take it once in the whole course and no need to repeat. Yes, doxycycline is a must for such eruption. Mixing will affect its effectiveness, but Clindamycin is an antibiotic and should not be used so blindly everywhere. Apply it only over the affected areas. Moisturizer is like a daily routine you can apply anywhere. So, better to apply with some difference.
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Dermatology
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