This is a very limited piece of information and and is very non specific to comment any thoughts on this. The best recommendation will to be a see a dermatologist and understand the disease and follow the recommendations suggested. Four years is a long time frame and you should not delay it any further.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Skin, Hair and Nails
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