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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Severe Cold Be Due To An Allergic Reaction To Calcipotriene?

I use calcipotriene topical solution, 0.0005% for treatment of hair loss. my dermatologist believes I have the start of frontal fibrosing alopecia. I have burning lips, sometimes they become sweollen, but not always. But always seem like I have been out in the severe cold or wind and hurt. I tend to believe this started once I started this topical solution last fall. Could this be the sing of an allergic reaction to this medication?
Sat, 24 May 2014
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Dermatologist,  's  Response
Hello,
Welcome to healthcare magic.
Calcipotriene is not known to be associated with any allergies s per your description.
The burning on your lips could be because of dryness/ excessive licking ( lip lick cheilitis).
You could try to apply petroleum jelly every 2 hours and avoid licking your lips.
Since you have been diagnosed with a type of scarring alopecia, the other possibility I would keep in mind is an entity called Lichen planus. This could affect the mucosa (like lips and buccal mucosa) as well as cause a scarring alopecia ( called Lichen planopilaris). The mucosal component of the disease could cause symptoms as you have described.
The diagnosis can be made by a skin biopsy. I would suggest a scalp and lip biopsy along with a Immunofluorescence study. Please discuss with your treating doctor who can decide on the further management.

Hope this helps you.
Take care.
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Could Severe Cold Be Due To An Allergic Reaction To Calcipotriene?

Hello, Welcome to healthcare magic. Calcipotriene is not known to be associated with any allergies s per your description. The burning on your lips could be because of dryness/ excessive licking ( lip lick cheilitis). You could try to apply petroleum jelly every 2 hours and avoid licking your lips. Since you have been diagnosed with a type of scarring alopecia, the other possibility I would keep in mind is an entity called Lichen planus. This could affect the mucosa (like lips and buccal mucosa) as well as cause a scarring alopecia ( called Lichen planopilaris). The mucosal component of the disease could cause symptoms as you have described. The diagnosis can be made by a skin biopsy. I would suggest a scalp and lip biopsy along with a Immunofluorescence study. Please discuss with your treating doctor who can decide on the further management. Hope this helps you. Take care.