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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 55454
Experience:  GP in the United States
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Can a Dermatologist please help with my matter? I suffered

Resolved Question:

Can a Dermatologist please help with my matter? I suffered from longterm fungal skin infection in 2015, the fungus was removed after two courses of Itraconazole. However, I was left with lichen in my skin and numerous LSC lesions, and due to the lack of medical information, my skin barrier became eroded from head to toe. I have lichen stuck to my scalp, throughout my face and body, and my hand and toe nails are either bitten down or the surface is damaged. I have learned that lichen is a symbiotic partner of fungus.I have tried my utmost with this for many months; steroid cream has repeatedly failed with the LSC lesions, Elidel seemed to work, but they returned, home light therapy has helped with the skin barrier, but I suffer bad headaches from it. I am applying Vaseline/Hydromol and moisturiser before getting out of the bath. My suffering has been horrendous and it is persisting; I would like to know:1. Shouldn't the Itraconazole have also killed the lichen? If so, should I have been given a further course of Itraconazole?2. What treatment is left to cure me of this lichen in my skin?.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.
Do you have a pic?
Customer: replied 1 year ago.
Not to publish online, but I have already stated what my condition is.
Customer: replied 1 year ago.
Can you please answer the questions: Would further Itraconazole have removed lichen also? Do you think oral immunosuppressants are indicated now, since nothing else is working?
Expert:  Dr. Phil, MD replied 1 year ago.
1)No. LIchen often comes with fungal infections but it is not treated by antifungals2)Absolutely. Immunosuppressants are needed. Humira is one example. They are very safe and work well
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Customer: replied 1 year ago.
Thank you for your answers. I have to see Dermatologist privately this week.