Q. Why do I have dry, itchy, and severe acne-like rash for the past five years?
Hi doctor,
I have had a severe acne-like rash on my face for almost four to five years. It is chronic, itchy, dry, and leaves a purple scar once it heals. It all started four years ago, after which I got my two wisdom teeth removed. But it got worsened the last year. I have been to a private dermatologist, but the rash was undiagnosed. My general practitioner suggested a cream, but I got allergic to it, and it did not help. My hemoglobin and ferritin levels are lower than the average value. I tested for allergies as well, but no result. Currently, I am not taking any medication. Kindly help.
Hi,
Welcome to icliniq.com.
I understand your concern. It is an atopic rash with a secondary bacterial infection. I suggest the following:
1) Apply 2 % Nadifloxacin cream twice daily in the morning and night for 15 days.
2) Tablet Antoxid HC (Selenium, Beta Carotene, Copper, Manganese, and Zinc sulphate) once daily after lunch for two weeks.
3) Avoid scratching and rubbing of lesions.
4) Acnemoist cream (Jojoba extracts and Pentavitin) daily at bedtime for two weeks.
5) Avoid direct sunlight.
6) Wash face twice daily with Cetaphil (water and Cetyl alcohol) cleanser for two months.
7) Tablet Limcee (vitamin C) 500 mg once a day after breakfast for 30 days.
8) Use photostable sunscreen daily from 9 am to 12 pm to 3 pm for two months.
9) Apply Cetaphil cream 30 minutes before sunscreen once immediately after bath.
10) Stay hydrated. Drink seven to eight glasses of water daily.
11) Avoid stress, known allergens or triggers, extreme weather conditions, and occlusion or friction.
12) Get routine blood workup done.
Kindly follow up with the reports.
Thank you.
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