Can Schamberg's disease cause a dry scalp and fissured tongue?

Question

Hi doctor,

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

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Schamberg's disease is a progressive pigmentary dermatosis that primarily affects the lower legs. Have you consulted a dermatologist before? Please send images of the affected areas and get back to me. Also, do you have any associated symptoms?

Regards.

Answer 2

Hi,

Welcome back to icliniq.com.

Schamberg's disease is caused by leaky blood vessels, particularly small capillaries, which allow blood products to accumulate under the skin. The subsequent breakdown of these blood cells leads to pigmentation. Additionally, varicosities in the lower limbs can contribute to stasis dermatitis.

Geographic tongue can be managed with oral zinc supplements. If there is a burning sensation, apply Zytee gel (Choline salicylate and Benzalkonium chloride). Avoid hot, spicy foods and tobacco. Dry, flaky skin on the scalp, face, and mustache may indicate seborrheic dermatitis. Clinical photographs would be helpful for diagnosis.

If you have steroid-induced erythema, consider applying Tacrolimus 0.03% cream on the face or Erythego (Brimonidine) gel at bedtime. Sunscreen application is essential. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

I hope this helps you.

Thank you.