Tacrolimus is an immunosuppressant drug used to lower the risk of organ rejection after an organ transplant. It is also used to treat conditions like eczema, psoriasis, uveitis, and vitiligo.
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My sister has swelling, cushingoid facies and proximal myopathy. Why?
Query: Hi doctor, My sister is 37 years old with previous 2 LSCS. She has symptoms such as swelling over whole body and face. Along with these complaints she has weakness, tiredness, cushingoid facies, proximal myopathy, palpitation, trembling of hands and amenorrhea or slight on and off spotting. She is s... Read Full »
Answer: Hello, Welcome to icliniq.com. I checked your sister's complete details (attachments removed to protect patient identity). She is suffering from relapsing nephrotic syndrome. Her cushingoid facies and proximal myopathy are steroid induced as you must be already knowing.Gradually replacing the steroi... Read Full »
How to treat chronic paronychia?
Query: Hi doctor, I have painful swelling in my lateral nail fold of the right finger in my right hand. Previously, I had chronic paronychia in my index finger of the right hand. For that, I used Onabet cream twice a day for three weeks and Loceryl nail lacquer once a week for six months. I cannot take ... Read Full »
Answer: Hi, Welcome to icliniq.com. Chronic paronychia is a resistant disease and you have taken all the treatments necessary to solve this issue. In this case, treatment depends on the incriminating factors of the disease. Most of the time, it occurs due to irritants, repeated washing increases your fung... Read Full »
What is the reason for the pale skin on my glans penis over ten years?
Query: Hi doctor, I have had pale skin on my glans for over ten years. Since I was a kid, I have never had a problem. There are no symptoms like soreness or irritation. It is just purely the appearance of it that I do not like. People had said it could be a fungal infection. I have tried creams and oral ca... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I have gone through the pictures attached (attachment removed to protect the patient’s identity). The possible differentials for your condition include lichen sclerosus et atrophicus (LSA) and genital vitiligo. Therefore, there is no need to p... Read Full »
I have lip swelling and am worried about using Tacrolimus ointment because of the associated risk of causing cancer. Please help.
Query: Hi doctor, Is Tacrolimus ointment 0.03 % safe to use, or might it cause cancer? I have lip swelling, and my doctor suggested to use it twice daily. However, I am worried as I read that it has a higher risk of causing cancer. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Tacrolimus ointment is safe for you to use. I will state the reasons for the same- 1. It is an ointment and not a tablet. Oral absorption leading to systemic toxicity is far less in topical ointment than in oral t... Read Full »
Query: Hello doctor, I have a problem with alopecia for four months. My hair is not growing. Kindly suggest some medicine. I am on vitamins. Read Full »
Answer: Hello, Welcome to icliniq.com. I saw your clinical picture (attachment removed to protect patient identity). The diagnosis is alopecia areata. The most effective treatment will be intralesional steroid injection. This is the injection given straight to the bald area. You need to meet a dermatol... Read Full »
What is the treatment for ingrown hair that came after waxing?
Query: Hello doctor, I have an uneven skin tone with dark forehead and dry skin. I want to brighten my complexion. Also, I have small bumps and ingrown hair after waxing. I have attached pictures of the same. Please suggest a treatment. Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query and examined your picture (attachment removed to protect patient identity). You have developed ingrown hair or keratosis pilaris and also have dark circles. I suggest the following: Use Mometasone cream in the morning and evenin... Read Full »
I have had severe hair fall and had developed bald patches over my head. What are the side effect of Tacrolimus?
Query: Hello doctor, For the last six to seven weeks, I have had severe hair fall where strands of hair are falling out. As a result, I see hair everywhere, and when I rinse them, they are all over the sink (up to 40 to 50 strands). As a result, I have developed bald patches on my head. I saw a dermatologi... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. With your description, it looks like it is alopecia areata, which is an autoimmune disorder. There are a few types of alopecia areata, like alopecia totalis, alopecia universalis, ophiasis, sisaipho, and diffuse alopecia areata, for which the... Read Full »
How can the white patch on my forehead be treated?
Query: Hello doctor, I have had a growing white patch on my forehead for a month now. I visited my PCP and she thought it was either vitiligo or a fungal infection. She gave me a Ketoconazole shampoo and ointment. Then I visited a dermatologist to see if it was vitiligo. She used a wood lamp and she confir... Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your concern and I have viewed the attachment images (attachment removed to protect patient identity). It certainly does not look like vitiligo. I will keep a possibility of postinflammatory hyperpigmentation secondary to an underlying seborrheic dermati... Read Full »
Are the white spots on my wrist and hands due to vitiligo?
Query: Hello doctor, I have white spots on my wrist and fingers. Is it vitiligo? Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I have seen the attached pictures (attachments removed to protect the patient's identity). Unfortunately, it is difficult to identify early vitiligo in photographs as it starts with slight hypopigmented macules. The wrist lesion looks dep... Read Full »
What kind of diet should I follow to prevent FSGS from progressing to kidney failure?
Query: Hello doctor, I was diagnosed with FSGS through kidney biopsy. What is the best thing to do regarding my diet? And also, how to prevent this from developing into a kidney failure? Read Full »
Answer: Hello, Welcome to icliniq.com. In FSGS (focal segmental glomerulosclerosis) as with most of the kidney diseases with protein leak, it is beneficial to restrict protein in the diet, especially animal protein. Salt restriction and restriction of oil and fatty foods are also recommended. Proper medicat... Read Full »