What should I do to cure the abnormal scales on my face?

Q. What should I do to cure the abnormal scales on my face?

Answered by
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 27, 2017 and last reviewed on: Aug 21, 2023

Hello doctor,

I have a skin problem on my face. The skin has abnormal scales on the area to the side of my upper lip. When I remove the skin, the area is reddened. It has happened ever since I was on Doxycycline for a prostate infection. I stopped it four months ago. I am also on Daonil for diabetes. I am currently on Atacand, Lipitor, Reaptan, Daonil, Duodart, Aurorix, and a low dose Aspirin. Please help. I have attached photographs for your reference.

#

Hello,

Welcome to icliniq.com.

I have gone through the attachments (attachment removed to protect patient identity). It is most likely psoriasis which is an autoimmune condition which affects the skin causing white silver scales. This could be drug-induced, genetic, or an idiopathic infection. Removal of the scales leaves red dots called Koebner phenomena which suggests psoriasis. I advise you to have a dermoscopy by a specialized dermatologist in order to confirm the diagnosis. Dermoscope is an instrument with great magnification power that detects certain features to confirm the diagnosis before starting treatment.


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