Dr. Sneha Mariam Varghese
Venereology
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 this red patch on my face, it appeared around beginning of this year on both cheeks and then I had it consulted with a general physician and issued me a prescription of Physiogel calming relief cream since it was itchy every night. The one in the left cheek completely healed but on my right cheek it sometimes gets worse or lessens but never disappeared.
Hello,
Welcome to icliniq.com.
Hope you are having a good day and staying safe. I understand your concern, but please send me a photo of the lesions so that I can rule out various causes that leads to the symptoms. The possible causes are `fungal infection, bacterial Infections like folliculitis, melasma, photosensitive rashes, drug allergy, food allergy, eczema, contact dermatitis, and Seborrheic dermatitis. Please attach a photo so that I can give a definitive diagnosis.
Patient's Query
Thank you doctor,
The texture bacame rough lately and worsens when I wear surgical mask when going out.
Hello,
Welcome back to icliniq.com.
I have seen the picture (attachment removed to protect patient identity), and it looks like melasma due to photoreaction or sunsentivity. It tends to change its color when there is less of sun damage and more or it accordingly and that is why you observed the same. There is no need for panic as it can be treated. You can use Tri- Luma cream ( Hydroquinone 4%+ Fluocinoloneacetonide 0.1%+ Tretinoin 0.01%) to apply at night, only on the lesion, for two weeks, La shied gel based sunscreen, SPF not less Than 30, Antoxid HC capsules once daily for 1 month. Provided you do not have any prior allergy to these medications. Please review after two weeks as TriLuma cream should not be used for prolonged periods. Have proper application of sunscreen. Since Tri-Luma cream is a photosensitive medication it is very important to follow a proper sunscreen routine. Apply two hours before getting out in sun for proper activations of the components. Have double applications once in the morning and the next at noon time. Should apply sunscreen even when indoors as UV rays can seep in through the windows. Should apply even during winter season.
Treatment plan
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Venereology
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