- Deputy Head of Immunodermatology Unit, National Skin Centre, Singapore
- Core Clinician in the divisions of Paediatric Dermatology, Dermatologic and Laser Surgery units, National Skin Centre, Singapore
Hi, it depends on the cause of your guttate psoriasis. If it is due to an infection, eg Streptococcus infection, your psoriasis will improve after treating the infection.
Depending on your severity, Guttate psoriasis can be treated with topical steroids, topical creams containing a Vitamin D derivative, or phototherapy and systemic oral medicines.
You will need to see a dermatologist and be assessed thoroughly in person before a diagnosis can be given. I will need a detailed history and examination of your skin, with investigations before appropriate treatment can be prescribed. The estimated cost for a consultation in my clinic starts from SGD 180.
I will suggest seeing a dermatologist to assess what is the type and cause of your pigmentation. Many whitening creams bought over the counter or online are later tested to contain some degree of harmful substances which may result in the skin irritation that you are experiencing. I will suggest stopping the whitening cream for now and seek professional medical advice.
This can be due to dry skin so using a gentle soap and moisturiser will help. If there are rashes associated with itch, you will need to consult a dermatologist.
Hi, it sounds like you have sensitive skin that is prone to allergies. Dust in the environment can trigger rashes to appear, which usually subsides fairly quickly when you leave that environment. Do avoid dusty places if that is a trigger for you. There are allergy tests to house dust mites which can be done.
Sweating helps your body to cool down if you are warm. If you sweat excessively compared to your peers, it can be due to a thyroid problem, that can cause excessive sweating. It is good to have a blood test to check that out. If thyroid test is normal and you sweat excessively, that can be treated with topical anti-perspirants to the armpits, palms and soles, or oral medication for generalised excessive sweating.
Warts are caused by the Human papillomavirus (HPV) virus. When you touched certain surfaces which have the virus and touched your face it cam spread like that. No food to avoid. Depending on exact location and size of warts they can be treated by liquid nitrogen or laser therapy. Estimated cost ranges from SGD 100-800.
Moles are generally not dangerous and they are benign. Danger signs which suggest a mole turning bad will be sudden enlargement over a few months, change in colour eg brown to pale white, irregular borders, asymmetric shape, diameter >6mm, and a new nodule on top of existing one. Do see a dermatologist if any of your moles show the above features.
Hello, the bald spots have to be assessed in person by a dermatologist. It is difficult to ascertain an exact cause without seeing the patient. Several causes may be:
1. Alopecia areata where there are bald patches on the scalp caused by an immune system problem.
2. Localised fungus infection where there may be redness and scales on the bald patches.
3. Pulling of hair can also cause bald patches.
Do see a dermatologist for appropriate treatment options.
Hi, this sounds like hand eczema which is sensitive irritated skin on the palm. The dishwashing detergent may be too harsh and caused damage to your skin. It is not a form of allergy but it is an irritation from harsh soaps. You can start wearing gloves when you wash dishes. This can be treated by a topical anti-inflammatory cream and moisturisers.
Hi, you should use a gentle skin cleanser to wash your face so as not to strip your skin of moisture. Next, use a ceramide-containing moisturiser on your face twice a day as that helps to retain moisture. For the lips you can use a lip balm as frequently as you can.
Hi, there are no foods to consume to whiten the skin unfortunately. Use sun block daily and avoid excessive sun exposure as that will worsen the brown patches. There are whitening creams which are gentle, you may want to consult a dermatologist on that, to determine the type of pigmentation you have and advise on appropriate treatment.
Hi, if you have been born with it then it is likely a birthmark. It will be more accurate to have a dermatologist assess it. Lasers can be done for removal.
This will have to be assessed by a dermatologist in person as there are many causes of red spots, such as irritated skin on the sensitive area, or fungus infection. Please see a doctor for assessment. Thank you.
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