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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dry, Circular, White Patches On Legs, Arm. No Help With Medications. Suggestions?

Hi doc, in recent days I have noticed the appearance of dry, circular, white patches on my legs and arm . It started as a small patch on my right knee but I notice that each time I try to traet a patch with hydrocortisone cream, another patch appears elsewhere. I am now uncertain about the diagnosis as my doctor keeps giving me different medications . This makes me wonder if even he is certain about what is wrong. I was recently given Flucos Plus. Can t say it is working. I could send photos of the disorder to you. Just give me an email addy and I will or preferably a Blackberry pin.
Tue, 19 Feb 2013
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Dermatologist 's  Response
Hi,
From the description, it could either be a fungal infection tinea corporis where one gets itchy round red scaly patches which eventually clear from centre to form ring shaped lesions or it could be psoriasis where one gets red round elevated thick skin lesions covered with densely adherent silvery scales.
While tinea will respond to oral fluconazole and topical antifungal like clotrimazole or terbinafine, psoriasis would require stronger topical steroids.
As the treatment varies in both the conditions, a consultation with dermatologist is mandatory. For the same either consult a dermatologist nearby or use premium features of this website .
Regards
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Dry, Circular, White Patches On Legs, Arm. No Help With Medications. Suggestions?

Hi, From the description, it could either be a fungal infection tinea corporis where one gets itchy round red scaly patches which eventually clear from centre to form ring shaped lesions or it could be psoriasis where one gets red round elevated thick skin lesions covered with densely adherent silvery scales. While tinea will respond to oral fluconazole and topical antifungal like clotrimazole or terbinafine, psoriasis would require stronger topical steroids. As the treatment varies in both the conditions, a consultation with dermatologist is mandatory. For the same either consult a dermatologist nearby or use premium features of this website . Regards