Skin, Hair and Nail Problems
Solitary patch of hair loss on my vertex
Clinical Presentation:
Morphology: Approx 3cm circular patch. The center is smooth. The border shows roughness, which appears to be short, broken hairs.
Sensory Deficit (Crucial): I have tested the area with thermal (ice) and mechanical (pin) stimuli. The patch shows definite Hypoesthesia (diminished sensation) compared to the surrounding scalp. It is not totally anesthetic but significantly duller.
Associated Symptoms: No itch in the spot itself. However, the rest of my scalp has severe dandruff and pruritus (I recently stopped using shampoo).
My Concern:
Given the hypopigmentation and sensory loss, I am worried about Hansen’s Disease (PB) vs. Alopecia Areata vs. Tinea Capitis.
Questions:
Based on the morphology (smooth center, broken hair border), does this look more like autoimmune or infectious?
Does the sensory loss warrant an immediate biopsy/slit skin smear?
What is the recommended immediate course of action?"
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Is rhis serious aanf life threatninng
I had some growth near anal and no pain, ots just light itching and no bleeding and easily moveable, what is the cause, is it curable, is it cancer, please tell me, very worried, find the image in attachment
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Probable Exfoliative Cheilitis
I’ve been dealing with dry, peeling lips for years, and it’s like a new layer pops up every couple of days. I can easily peel off this dry, flaky layer. It’s frustrating because no lip balm like Chaptex, NMFe, Sebamed, or Vaseline has ever worked for me. Sometimes, when I peel them off, they even bleed.
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Hair thinning at hairline – finasteride
Hello Doctor,
I am 20 years old and experiencing gradual thinning in the frontal scalp/hairline from the past few years.
I have used topical minoxidil in the past, but stopped and the gained hair was lost.
I want to avoid minoxidil and am considering low-dose finasteride.
I would like your guidance on:
• Whether finasteride is suitable for me
• Oral vs topical finasteride
• Safe starting dose
I have no known medical conditions.
Thank you.
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Regarding pigmentation above my mouth
I have severe and stubborn pigmentation after picking the acne that pigmentation got spread in surrounding area. My derma told to try tca peel but I am afraid to do it. Please suggest any inoffice peel that is safe and fades pigmentation at earliest. Please I am very much concerned about it
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Wart on palm side and finger
I have multiple warts on my hand side of the palm. Any suggestions? I used cone tape removed one wart but its to long process.
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Pcod, acne, pigmentation uneven skin
Struggling with pcod, acne on face, pigmentation, undereye darkness, darkness around mouth, uneven skin, hair on face, darkenss on neck tried many creams but none is working
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Scalp pain with tangled curly hair
All my life I had naturally curly hair but from past 2 years I have scalp pain i don't know weather it's headache or scalp pain. After 3 days of hair wash, scalp pain is more and unbearable feels like removing curls and when curls are removed it keeps tangled and more hair loss is seen. Pls help with pain and hair loss
remedy.
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Hives and itching
From last few weeks in i am having a itching in my body mainly in under knee area, waist, neck, scalp or sometimes on lips. Generally happens in evening n morning i ignore to scratch but it happens continuously then later hives appears on that area sometimes the itching get so bad. Please advice why is it happening
Other than that itching no problem at all. No breather issues nothing
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Painless pimple with no head
I have a small, painless pimple with no head on my cheek since November. It hasn’t gone away. Could you please advise
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