What causes abnormal scaly spots on the skin in a child?

Question

Hi doctor,

My son began developing strange scaly spots on his skin at the ends of his hands and feet two years ago. Their form, color, intensity, and location change over time. Since the situation, he has been presented to several doctors.

He has been diagnosed with several diseases, such as allergies, eczema, psoriasis, and others, as well as several treatments of various creams and miscellaneous. After all treatments were done, no clear response to treatment was obtained, and some of them had some effect for a while before returning to the previous situation.

I have attached the prescriptions, photos, and reports. I would appreciate it if you could review the attachments and let me know your thoughts. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern. I have reviewed the reports and the images (attachment removed to protect the patient's identity). It is psoriasis, a condition in which skin cells build up and form scales and itchy, dry patches.

First, apply liquid Paraffin lotion (Calamine) in the daytime for 15 days. Next, apply topical 3 percent (Clobetasol and Salicylic acid) ointment at night for 15 days. Then, for two months, moisturize the child's skin daily with Physiogel hypoallergenic lotion. After that, only use Psoracare (Coal tar and Salicylic acid) soap for two months or Azac (Azelaic acid) soap for bathing. Some tips to include:

1. Consume amla, nuts, tomatoes, almonds, walnuts, and onions.

2. Avoid scratching and rubbing lesions as they may cause secondary bacterial infection. Instead, start applying coconut oil or olive oil to soothe lesions.

3. Maintain good hygiene.

4. Wear loose-fitting, thin cotton clothing.

Try not to become stressed or anxious. Note the aggravating factors, mainly during the winter season. Follow up after two months.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.