Pediatric Dermatologist

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Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...

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I was prescribed betnovate for blackness under my eyes and as soon as i stopped, my cheeks were full of rashes and red bumps, then a dermatologist advised me momate. i have used for 4 years and it used to give me clear skin but now i want to stop using these steroids as i start getting rashes the moment i stop using them. From past 1 week i am facing the side effects of momate, my face is full of rashes and little red bumps. i know i used it for pretty long time now but please give me permanent solution to get rid of these steroids. My face is looking very ugly, please help me. Thank you

Hi again, Yes this is fine. The skin does dry and flake as it recovers from any inflammatory event like an anceiform eruption. You can use a bland moisturizer like Cetaphil cream for the dryness if you like and use a soap free face wash like Cetaphil-OS face wash. All the best and regards! ...

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Sir, I had protected sex with a women / sex worker around 37 days back. She was having periods at that time, which I was not aware about. While removing the condom, a drop of blood came on my finger (My condom was not torn or damaged). After around 20 days, I developed a small genital wart on my pence. I immediately went to a dermatologist / STD specialist and told him the entire episode correctly. He told me that it was an HPV virus and the immune system of the body will eventually clear it with passage of time. For the wart I was advised to apply a topical cram "Imiquimod" every alternate day. I was also asked to get a VDRL test. My VDRL test came "Non Reactive" after 21 days of the exposure. However as I was extremely worried about the entire edisode, I decided to get the HIV test done today i.e. after 37 days of exposure. So I got an HIV 1/2 & P24 Combo Test done from . My report has come out to be "Index Value = 0.12" "Result= Non Reactive". My question is, in your opinion how reliable is this report?

Yes that's right - the antibodies can take up to 3 months, sometimes longer, to appear but the p24 antigen assay becomes positive much sooner after exposure. Still no test is fool proof and you should get retested in 8 weeks time - just the HIV 1/2 antibodies will be enough. This is just a precaution to be doubly sure - as it stands you are HIV negative based on your test results. And yes that is a standard laboratory. Regards. ...

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My 3 year old has bad hives. I believe they are hives like urticaria but he was diagnosed with eczema since he was 1 year old. Now hes over 3 1/2 and it has exploded covering 80% of his body like rashes, bumps, very dry skin. His skin on legs looks like a bad sunburn and regular baths are a nightmare as the water irritates him as well as ANY kind of moisturizer. He look away Lanoline from AMD and spent over $1k in lotions and stuff alone. Food allegies were done and low on corn, wheat, oranges, soy, and few other items. Just keeping him 100% in home with air conditioner set at 68 degrees with air purifier going, new blanket, strict diet IT DOES ZERO. Im so frustrated. He went from little manageable eczema to a full blown mess. Been to doctors so many times as well as dermatologist and allergist to no aval. Also had soft yellow stools for a long time. Any kind of pressure to face turns it to a red mess and with hot skin.

Hello, Thank you for your question. I'm sorry to hear about your son's problem. Unfortunately it is not possible to give on opinion on management without seeing the rash and the extent of the problem. For that I would need photographs and this would require asking a premium question on the site. I'll do my best if you choose to do so. Regards. ...

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I have a pimple prone skin ,and very sensitive to sunlight.my dermatologist prescribed sunban forte sunscreen with spf 50+.does it cause any pimples?is it safe for my skin type.or what type of sunscreen should i use.?

YES IT IS COMPLETELY SAFE YOU CAN CHOOSE ANY GEL BASED SUNSCREEN.AND MOISTURIZER .TAKE PELS TREATMENTS FOR ACTIVE ACNE,TAKE 10 TO 12 GLASS OF WATER PER DAY ...

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I have freckles on my face n my dermatologist has suggested m to use melagaurd cream..is it useful

Hello, Melagard is a sunscreen and available in SPF 30 and SPF 50. Both will help reduce Freckles but must be used 2-3 times a day irrespective of whether you are going out or not (e.g 8 am, 12 pm, 4 pm). In addition ask your doctor about a Retinol/Tretinoin cream for night use and a Vit C serum for the day - these have additional benefits for freckles and are safe for long term use. Please note that the information I have provided is for general purposes only and does not establish a patient- ...

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I have discovered tiny fibroids on my tongue with white thrust and my dentist told me it's nothing that there's nothing to worry. Should I visit a dermatologist or an ENT or should I just wait?

Kindly consult a an Oral & maxillofacial surgeon in person for further suggestion. We need more investigations (Full mouth x-ray) & clinical examination to decide upon treatment. ...

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My daughter has a chalazion on top eyelid and a stye on lower eyelid the lower one keeps changing in appearance sometime subdued at other times swollen like a boil what homeopathy options we can explore. She has been seen by 2 options 1 is pediatric ortho, 2 pediatricians and 1 homeopath. Except the homeopath all tell us to get surgery done but homeopath is not solving the problem.

Try Silicea 6,in liquid form,1drop diluted in 1 spoon of filtered water,3 times a day 10 days, report ...

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1)My Mother 81 Yr Old. Last 6 months is having high B.sugar (@250 ). 2)Earlier last 15 years she has been taking Stamlo 2.5, Nebistar 5mg, Telesartain, etc. BP/ Palpitation under control. 3) Whenever now she has taken Diabetics tablets - Always associated with loose motion . Diabetic Specialist has tried different diiferent drugs but result is same. 4)Now she is having Rash all over body . Dermatologist consulted . Tablets oinments applied for last 1-year .no improvement. Dermatologist attributing to BP Tablets & Blood sugar.

sugar control is necessary for dermatological infections. RBS of 250 is high. Get her HbA1c test done. at her age ideal goal should be somewhere near 7% -7.5%. some antidiabetic medication like metformin is known to cause gastric discomfort. there are certain other newer options of anti diabetic medicines like DPP4 inhibitors that might help to control sugars. More details of blood & urine reports required to advice further ...

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