Question 1

I'm dealing with lichen planus pigmentosus on my underarms and inner thighs and it's starting to spread. I'm really concerned about how to actually address these marks and what the best treatment options are for lichen planus. Can you help me understand how I can stop it from spreading and get rid of these brown marks?

Accepted Answer

Lichen planus pigmentosus (LPP) can be challenging to treat, but various options are available.

_Treatment Options_

1. _Topical corticosteroids_: Reduce inflammation and slow down the spread.
2. _Topical retinoids_: Help reduce pigmentation and prevent further darkening.
3. _Hydroquinone creams_: Fade brown marks and hyperpigmentation.
4. _Chemical peels_: Exfoliate the skin, reducing pigmentation.
5. _Laser therapy_: Targeted treatment to reduce pigmentation and inflammation.

_Preventing Spreading_

1. _Avoid scratching_: Scratching can cause further inflammation and spreading.
2. _Keep the area moisturized_: Dry skin can exacerbate LPP.
3. _Avoid irritants_: Steer clear of harsh soaps, detergents, and fragrances.

_Fading Brown Marks_

1. _Sun protection_: Avoid prolonged sun exposure, and use sunscreen with at least SPF 30.
2. _Skin-lightening creams_: Containing ingredients like hydroquinone, kojic acid, or azelaic acid.
3. _Chemical peels and laser therapy_: Can help reduce pigmentations

Question 2

I'm really worried about this condition on my leg. There's something like "KARATMarathi" there, and the blood around it has just turned into a solid red clot under my skin. It looks really concerning and I'm unsure if what I'm doing is right. I've started taking DISPERZYME and CEFCHAMP 325, twice every day, as prescribed. Do you think I'm on the right track to treat this issue, or should I consider something else?

Accepted Answer

Karat (Marathi word) typically refers to a boil or abscess.

Question 3

I'm a guy who sleeps with guys and I've been pretty active when it comes to oral and anal sex, sometimes without protection. I noticed I've got these round red rashes on my palms and feet that don't itch, and they've been around for like six months. I tried allergy meds, but they're not going away. Plus, I've started getting these molluscum contagiosum warts on my chest, elbow, and even my anal area. My serology test came back as weakly reactive for the RPRVDRL test. Could these be early signs of an STD? I'm thinking about trying Benzathine penicillin injections. Do you think it's safe, and are there any side effects I should worry about?

Accepted Answer

Dermat opinion.

I've been using MINTOP USP 2 for about 6 months now, and I'm wondering if it's okay for me to start using KZ lotion for my dandruff. Could you give me some advice on whether it's safe or effective to use them together?

yes u can use the kz lotion lotion , if any allergic reactions dermat opinion is advised.

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