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Acne | Dry Skin | Eczema | Hyperpigmentation
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Q. My daughter has eczema. Her pediatrician suggested cortisone creams. I am afraid of the long term effects as my daughter is only five. She itches on a daily basis - can you help? A. Eczema is a skin sensitivity condition that tends to wax and wane depending on internal and external factors. (See YourSkinDoctor.com write-up on Eczema.) Basically, this condition is controlled through puberty. Most of the time this resolves during adolescence. Treatment is conservative and should address exacerbating factors. In some children emotions play a key role. Mild cortisone creams can be used under the supervision of a physician. Usually over-the-counter cortisone creams pose no threat with long term use. The stronger cortisone creams are absorbed and can thin the skin with overuse. If conservative treatments are ineffective, there is a new prescription medication on the market called Protopic. This is not a steroid and is very effective for this condition. See your dermatologist. Back to Top Q. I am 15 and have snake skin legs. I do everything I can to moisturize and it doesn't seem to help. A. Dry skin can sometimes run in families. There is a condition called Ichthyosis vulgaris that is hereditary. This conditon presents as dry "fish-like" scales especially on the lower extremities. It is a condition that is controlled but not cured. Conservative dry skin management is very helpful. (See YourSkinDoctor.com write-up on Dry Skin.) Also helpful are moisturizers with an acid base. Remember, improvement is maintained with daily treatment. Back to Top Q: Can you develop eczema from fake jewelry? I wore a fake necklace and developed a rash. Now there is a dark spot that won't go away. A: No, you cannot develop or acquire eczema from irritation to the skin. Eczema is a skin sensitivity condition that can be exacerbated. Usually, if you can isolate a cause, such as fake jewelry, it suggests more of a contact sensitivity than anything else. Stop the irritation by wearing the real stuff. Over-the -counter cortisone cream (such as YSD’s Soothing Cream with Aloe) helps irritation. As far as dark areas, these should fade with time - assuming that you stop irritating it. Back to Top Q: I have discolored areas on my face from acne. Is there anything I can do to hide the scars? If the discoloration is red or pink, use a pale yellow concealer. If the discoloration is bluish or purple, try a green or yellow concealer and then your powder or foundation over it to cover the green. Make sure all your products are oil free. Back to Top Q: I have dark circles under my eyes. Is there anything I can do? Concealers may be applied in addition. If the area is red or pink, use a pale yellow color. If the discoloration is bluish or purple, try a green or yellow concealer and then apply a powder or foundation to cover the green. Back to Top Q: I am near 40 and still having acne. What is the best acne medication? Back to Top Q: I swim and my acne medications are drying out my skin. I am using hydrocortisone and moisturizers but this doesn't help. A: Acne treatment is not the same for everyone. Instead of just acne, now you've got dry skin and acne. There are acne medications that are not drying. Discuss this with your dermatologist. Make sure your moisturizer is oil free (not water-based). Finally, I have my patients use products every other night if they are too irritating. Back to Top Q: I have a rash on both ankles that is itchy and red. A: A symmetrical itching rash on the lower extremities is very suggestive of eczema. Eczema essentially means irritation of sensitive skin. The most common offender is overdrying of the skin. See the write-up on Eczema in YourSkinDoctor.com and see if this is helpful. Back to Top Q: What is the medical definition of "small bumps" under the skin and how do I get rid of these? A: Most "small bumps" on the face are usually a type of acne called comedones. The common term is blackhead. Comedones can be open or closed. "Bumps" on the face can also represent small moles or overgrowth of glands in the skin. If you squeeze or push a "small bump" and a white to clear core comes out, then you have confirmed the condition. Be careful not to pick at your skin as this can worsen the problem. See the write-up of Acne in YourSkinDoctor.com on how to address comedones. Back to Top Q: How do you clear dark areas around the neck and under the arms? Back to Top Q: I have eczema and am looking for natural ways to treat it. Back to Top
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