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I have dry, red, flaky non-itching spots on my arms and legs.

 
Skinner's Avatar
  • Answered by:Skinner
  • Dermatologist
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Customer Question

I have dry, red, flaky non-itching spots on my arms and legs. Do you know what this is. They seem to heal in one spot to reappear in another. Mainly on arms and legs.

 

Optional Information:
Gender: Female
Age: 39

Already Tried:
Vicks salve, vaseline.

Submitted: 953 days and 10 hours ago.
Category: Dermatology
Value: $15
Status: CLOSED
Picture
Expert:  Skinner replied953 days and 10 hours ago.

They are most likely to be psoriasis.A photograph will certainly confirm the diagnosis.Suggest regular application of moisturiser like Cetaphil cream by day, use soap free cleansers only, oral omega 3 capsules twice daily for a month, hydrocortisone ointment by night for a month.Thanks.Queries welcome.

Customer replied953 days and 9 hours ago.

Well I thought it might be that as well, but I have friends who have that and I don't think it looks like that. My friends psoriasis look white and flakey, but mine is red dots.I took a picture but I do not see a place to attach it here. I have had it for months.

Picture
Expert:  Skinner replied953 days and 9 hours ago.

The red spots could be guttate psoriasis.An important differential diagnosis is pityriasis lichenoides chronica which was previously called parapsoriasis.Click on the tree icon in the window and insert image.Or upload at www.photobucket.com or www.mediafire.com and send me the link.Thanks.

Customer replied953 days and 9 hours ago.

I do not see the tree icon. I am not familiar with the other links but will try one of them....the pics are not that great.

Picture
Expert:  Skinner replied953 days and 8 hours ago.

If you are using Internet Explorer Browser, in this window where you reply you can see the tree icon to the left of youtube icon.Click on that and insert image.The best way of confirming your diagnosis is by skin biopsy.You can also visit www.dermatlas.org to look at some of the pictures of psoriasis and pityriasis lichenoides chronica for further verification.Thanks

Customer replied953 days and 8 hours ago.

Ok thank you...I will look at the pics... the pics are on photobucket if you want to take a look...If you will look at those then I will be happy to pay.

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Expert:  Skinner replied953 days and 8 hours ago.

yes please send me the link in photobucket.Thanks

Customer replied953 days and 8 hours ago.

http://s1212.photobucket.com/albums/cc447/triciashipley/

Picture
Expert:  Skinner replied953 days and 8 hours ago.

Except for photo 9 all others are somewhat out of focus.The last picture shows the reddish plaque and post inflammatory hyperpigmentation of previously resolved lesions.This could be PLC. A biopsy can confirm the diagnosis.Thanks.

Customer replied953 days and 7 hours ago.

If this is PLC do you still recommend the Cetaphil, Omega Oral and antibiotics?

Accepted Answer

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Expert:  Skinner replied953 days and 7 hours ago.

If PLC you will require long term antibiotics like Doxycycline 100mg daily for 2 months along with Cetaphil lotion and omega 3.Narrow band UVB therapy, oral methotrexate are other effective alternatives.Thanks.

Expert TypeDermatologist
Category: Dermatology
Pos. Feedback: 97.8 %
Accepts: 1548
Answered: 11/9/2010

Experience: MD , DNB ( D &V), FAAD

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