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Q. I have Schamberg's disease with dry scalp, redness and fissured tongue. Please help.

Answered by
Dr. Sampada Avinash Thakare
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 11, 2020

Hi doctor,

I have Schamberg's disease, dry skin on face, ears, scalp, and mustache, redness on face, steroid induced erythema, geographic tongue, and fissured tongue. Please help.

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#

Hi,

Welcome to icliniq.com.

Schamberg's disease is a progressive pigmentary dermatosis which basically involves lower legs. Have you consulted a dermatologist earlier? Please send images of body parts involved and revert back. Also, are there any associated symptoms?

Thank you doctor,

I have them on lower legs only and also request you to look into the other problems as well that I mentioned earlier and provide a fruitful treatment and medication.

#

Hi,

Welcome back to icliniq.com.

Schamberg's disease is caused by leaky blood vessels (especially the small capillaries) leaving blood products under the skin and the subsequent breakdown of those blood cells which leads to pigmentation. Also, there are varicosity seen over lower limb which can further cause stasis dermatitis.

Geographic tongue can be treated with oral zinc supplements. Apply Zytee (Cholinie salicylate and Benzalkonium chloride) gel if there is burning sensation. Avoid hot spicy foods and tobacco.

Dry flaky skin over the scalp, face and mustache can be seborrheic dermatitis. Clinical photographs would have help to diagnose.

If you have steroid-induced erythema then consider application of Tacrolimus 0.03% cream at bedtime over the face or Erythego (Brimonidine) gel at bedtime. Sunscreen application is very important.


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