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A few years back after having visited a hill station in India.. i got this sort of coating on my upper lip that couldn't be scraped off easily, a lot of my friends did too.. but even now my problem persists, this was followed by dryness around my lip and white patches that were spreading and cuts started forming. on consulting several dermatologists, they prescribed Fluticasone Propionate ointments of varying concentration saying that its caused by the fact that I was born by extremely dry skin and the saliva dries the area more, but I've been using petroleum jelly on my lips since I was small as I always used to get chapped lips.. I similar sort of dry patch developed on my finger which went on to spread over the years to my entire finger, for which i use the the same medication.. the itching on the finger and the dryness goes away after a couple of days of use but then it comes back when not used and the texture of my finger has turned out to be slightly glossy looking compared to the rest of my fingers..

2 Answers

Dr. Puneet Madan answered : 11 years ago

Hi,

The way you have described me about the disease ,seems you have leucoderma (but it can have multiple causes like vitiligo,may be fungal infection,and some more)

For proper diagnosis you will need to get it examined,may be a biopsy also needs to be done.

The disease is very difficult to treat if it is leucoderma. The usual cause of the disease(leucoderma) are burns,ulcers,accidental cuts due to which the melanocytes are damaged and they stop producing melanin cells and at times they spread very fast and at time they spread slow. There are times they may even shrink with time.

The available options for treatment are

1) Exposure to UV rays
2) Cosmetic grafting
3) Steroid creams

But for all this you will have to make a proper diagnosis which can be only made after a proper examination and some investigation by a dermatologist.

Feel free to ask more questions

Patient asked followup Question: 11 years ago

The thing is that I dont have depigmentation of the skin so it cant be leucoderma.. the skin just looks slightly lighter in shade if I dont apply the medicine for a few weeks followed by cuts which makes it difficult to open my mouth cause it stretches the wound.. Its completely normal if I keep applying the steroid which I know is not good. And for the patch on my finger.. it gets horizontal cuts followed by itching if medicines like Elacon aren't applied regularly.. no depigmentation as such on my finger

Dr. Puneet Madan answered : 11 years ago

Hi,

As you said that you don't have leucoderma,and it is just simply dried lips then primary cause for dried lips is allergy.

Try out following methods

1) Use oil based prepartion,use petroleum gel
2) Cover your lips with something when going out
3) Avoid licking your lips
4) Drink a lot of water
5) Try and breathe through your nose
6) Avoid allergens,if you know about them(dust,skin care cosmetics)common allergens
7) You may try ayurvedic treatment also,i have seen some people benefit out of it
because there is nothing much in allopathic that can help you,if it because of allergy.
Try applying simple lotion on your hand and notice the effects,if it works you might feel relieved.

Feel free to ask more question

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