Brief Answer:
Kindly provide pictures and details

Detailed Answer:
Hi

I understand your concern regarding your skin problem and I hope I am able to help you in the same.
I can see that your problem is that of psoriasis of scalp along with hair fall along with some patches over the forehead .
I would like to have a look at the forehead patches .
Please click some close up pictures of the affected area and upload them here on this page .
I will surely guide you regarding the further treatment ,but please tell if you are currently using any medicines ,both over the face and the scalp .


Dr Geetika Paul

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Brief Answer:
Related to weight gain

Detailed Answer:
Hi

I have seen the attached picture.
You seem to have developed acanthosis nigricans.
This is basically a type of pigmentation of the skin seen in certain people .
It can also cause pigmentation in the skin folds like axilla ,neck and groin.
Since this problem is related to weight gain ,it tends to increase further as the person gains weight .
So it is important for you to make some lifestyle changes in the form of diet modification and incorporation of exercise in your routine to prevent its further progress .
As far as treatment is concerned ,you need to start application of a lightening agent like kojic acid over the affected areas twice daily .
In addition ,you should regularly use a medicated sunscreen everytime before going out in the sun .
Avoid using mustard oil since it might increase the pigmentation further .
Take a diet rich in citrus fruits and salads.

Your problem will take sometime to completely heal but I am sure it will get better .

Dr Geetika Paul

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Brief Answer:
Psoriasis scalp

Detailed Answer:
Hi mr XXXXXXX

I have reviewed all the pictures .
My view is that the face pigmentation is not related to psoriasis .
It is s completely different problem from sco psoriasis and needs to be managed the way I have described earlier .
As far as psoriasis of scalp is concerned, topical steroid lotions in combination with salicylic acid are useful in controlling the problem . I usually recommend application of clop s lotion or halovate s lotion at night to the affected areas of scalp at night to my patients .
Using a tar shampoo twice weekly also helps in controlling psoriasis lesions .
These are available as protar shampoo in the market .
While washing hair with this ,you need to leave it over the scalp for five to seven minutes for it to act and then wash it .
Use it twice weekly .
In mild to moderate cases of psoriasis of scalp , only topical therapy is given .
Oral drugs are usually reserved for the more severe and resistant cases .

So you can follow the treatment as advised.

I am sure it will help you .

Dr Geetika Paul

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