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Doctors Lounge - Dermatology Answers
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| minstalls
- Sun Sep 20, 2009 4:05 pm |
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Hi. I was wondering if i can use Derma-Smoothe/FS and Clotrimazole at the same time? My scalp has been itching intensely for over a year and I've lost a lot of hair very quickly. It is also pretty sore, and i've noticed a one or two red dots, one of which has remained for the entire year. I've been to the derm, but they give me only 2 minutes of their time, and pass off my hair loss as male pattern baldness... it is however not... i'm sure of it. my scalp is sore, and the hair loss is only where the itching occurs. I've been using Derma-Smoothe for 4 nights, but hasn't helped the itching one bit. However, I noticed that the crystals that used to build up, no longer do (they were like grains of salt). I believe I have a fungal issue, because i've had a fungal infection on my feet and groin, and i recall scratching my head during these times. I'm also on Accutane for acne. Can i take all these at the same time? The hair loss is becoming very bad. Also... Although it itches, i refrain from scratching.
Here are some pictures of my scalp... can this be attributed to a fungal infection?
http://alex2dns.dyndns.org/upriv818derm/scalp1.jpg
http://alex2dns.dyndns.org/upriv818derm/scalp2.jpg
http://alex2dns.dyndns.org/upriv818derm/scalp3.jpg
Thank you.
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| Camille Stubbs, RN
- Thu Oct 08, 2009 1:46 am |
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Hello minstalls,
First, were you instructed by your dermatologist to use the Derma-Smoothe/FS and the Clotrimazole at the same time? The Derma-Smoothe/FS is usually prescibed for psoriasis and the Clotrimazole is usually prescribed for fungal/yeast infections.
Secondly, are taking any other medications and/or have any other medical conditions at this time that you have not listed?
Thirdly, the pictures of your scalp were not very clear; not a good visual. Actually, a physician's assessment visually inspecting the area would be more indicated than pictures to give a accurate diagnosis.
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| Dr.M.jagesh kamath
- Thu Oct 08, 2009 3:03 am |
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 Hello,Tinea capitis ie fungal infections of the scalp are commoner in children than in adults.In your case the picture shows male pattern hairloss,and in association possly a seborrheic dermatitis.This is caused by Malassesia furfur and indicate an internal diathesis.Infact seborrheic dermatitis can affect the groin area and mistaken occasionally for fungus.The way to rule out fungus is to get a skin scraping,and do a woods lamp which will show fungi if any.Seborrheic dermatitis is treated with topical ketoconazole.and topical steroids.Many drugs interact with accutane,and make sure that the other drug is safe with your physician.Best wishes.
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