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Dear sir My sister is having serious problem in leg with thick black skin with itching and as per doctors advice done biopsy and the results read as" Histopathological features are suggestive of lichen planus-Hypertrophic variant"
Hello doctor, my face have too much acne, as I break it there is so many dark spots in my face. How can I reduce these dark spots?
Sir I'm a student, my age is 21, my skin is very sensitive, my face skin is very very oily, when I wash my face, after 20 minutes it became again oily, others part of my body is dry, rough, but face is very oily, I use daily 2-3 times neem face wash, face pack, cleansing milk, but the problem is still now, how should I do, how have I get a normal skin?
I'm 23 years old, and I have black heads along with small holes on my nose. Please advise me which product should I use to fill up the holes, and I'm using right now action face wash but it doesn't help to fill up the holes.
What treatments are available for tinea versicolor and which do you recommend? What side effects can I expect from treatment? How long will it take for my skin to return to normal?
My face has so many pimples and my skin is very oily in the morning and I also have dark circles around my eyes. What should i do? Please advise.
I have seen my face skin pores get open day by day , the blackheads on my nose looks dull and I have pimples problem too. How can I get out from it ?
Hi doctor. I have a pigmentation problem. My original skin color is normal whitish. I'm using borewell water. I used melacare an ointment for the pigmentation problem. But there is no use of it. Please suggest me some good natural products to get back my complexion.
I have suffering from fungal infection and itching problems in my lower parts in between the joints. I have used the medicine before but the problem doesn't cured completely. What should i do ? Please advice.
Hi my name is fahim basha I have black scars on the face please suggest me with the perfect medicine to treat scars.
I have too much hairs on my body how can I get rid of all of these? please suggest me any natural way.
I am male, 30 years old, I have hyper pigmentation (melasma) on face, which is best sunscreen lotion for better, please kindly suggest. My skin normal.
I have a black spot on skin as well as pimples and use the scar cream to remove the pimples but no response so what can I do?
Puberty brings hormonal changes which affect the body in a number of ways and the skin is one of the main affected organs. While acne is the more common issue, there are also other lesser known skin lesions, which can bother teenagers. The less common trichoepithelioma is one such disease.
In this health condition, multiple hair follicle tumors are seen on the face after attainment of puberty. These are benign, but not very common. They form small hair shafts, but do not develop into full fledged hair follicles. While the exact cause of these lesions is not identified, they are related to a syndrome called Brooke-Spielger Syndrome. There is also a genetic component where the CYLD gene is affected, and the proteins required for self-protection of the skin are missing. There is also a theory which states this condition to be an autosomal dominant condition. In such a scenario, multiple lesions are seen, and it is also the most common variant of the disease.
The lesions are small, less than 1 cm, isolated, firm, round, and shiny. Their color can vary from brown, to blue, yellow, or pink. The face is first affected, starting from the cheeks, and then slowly moving to the eyelids, and the nose. Multiple lesions are easier to diagnose, while individual lesions can be confused with basal cell carcinoma. The lesions grow very slowly and when multiple lesions are present, they can cause aesthetic concerns. There could be ulceration and recurrence in these patients. The genetically correlated ones have a higher incidence of aggressive behavior both in terms of severity of the lesions and the rate of recurrence.
Treatment: Though they are benign, aesthetic concerns may mandate treatment. The treatment is usually multipronged and includes the following genetic counseling, drug therapy (mostly topical creams and lotions), and minor invasive procedures.
- The best solution is to let them run their natural course, as they usually subside with age, both in terms of numbers and the severity of the lesions.
- Dermabrasion or carbon dioxide laser is useful in improving facial appearance too.
- In more severe cases, surgical removal may be done, which is partial and does not cover the entire depth of the lesion.
- However, in some cases, if there is a concern for malignancy, the lesions are completely excised (excision biopsy) and then sent for biopsy to confirm their benign nature.
Trichoepithelioma is also known by the name hereditary multiple benign cystic epithelioma, which explains the nature of the disease quite well. Other than cosmetic concerns, more so because if affects females, these are harmless in nature. But a detailed discussion with your dermatologist is suggested to confirm the state of the condition.