Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Internal Medicine
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
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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Internal Medicine
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