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Hi my name is***** , Dermatology Consultant. I would like to help with yourskin problem. Please let me know if you experience sny itching, pain or bleeding. Can I also ask for some images of it in order to assess it. I will reply back once reviewed.
Thank you for the photos they are very useful. From what I can see you may have a localised form of a condition called Rosacea. Rosacea is a chronic but treatable skin problem that affects the glands under the skin. They become inflammed causing soreness, red spots and white pus heads that come and go. Sunlight, alcohol, stress and hormonal changed can be triggers. Plasevisit www.bad.org.uk where you can find somemore information.My recommende treatment would be:
1. A cream called soolantra to use every night to affected areas for4 weeks. This may need to be repeated from time to time and requires a prescription fromyour GP. An alternative to that is metronidazole gel ( Rozex, Metrogel)
2. use daily high factor sunscreen to the affected areas as sunlight is a known trigger
3. Avoid things that may cause flares ( spicy food, alcohol, if they do) and use a gentle wash ( not scrub) such as Cetaphil gentle wash.
This plan should get things under control. Let me know if you have any questions, happy to answer
Happy to have a look
Thank you, I 've had a chance to view this on abigger screen. There is a mixed picture here with different skin signs. You do have acne on the chest which is what gives you the spots. You have a patch of discolouration and although I cannot compare with the other side it appears that hair growth is increased on the side of the darker patch. This could be something called a Becker's naevus, an isolated pigmented patch on the chest or back. Without having a close up look I cannot be certain whether you have pityriasis (tinea) versicolor, a superficial yeast infection.
My recommendation would be to first have a course of Itraconazole tablets (as long as no allergies ) 200 mg for 7 days whilst using Ketoconazole (Nizoral ) shampoo 3 times a week for 4 weeks (left on the skin for 10 minutes). This will eliminate any fngal infection. Then treat the acne type spots with an antibiotic called Lymecycline 408 mg once daily for 12 weeks. These are on prescription. If you do indeed have a Becker's naevus this will remain at the end of this treatment as there is no good therapy for it. Your skin on the chest however will improve
Let me know if you have any more queries.
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