Answers and questions on dermatology

I have a question for a dermatologist. Is it possible to have online consultation if I have psoriasis? I was prescribed ointments and pills but they do not help me. Can you please tell me what to do?
Answer: 22.12.2020

Online consultation is possible for any disease. But in the case of unsuccessful treatment of psoriasis, a personal consultation with the additional examination is still desirable.

Vitsinskaia Olena Ihorevna
Dermatologist-trichologist. Higher category. Work experience 28 years.
Hello! Could you please help me: somewhere 6-7 months into the pregnancy, very large quantities of hair began to fall out (hair was thick and long), within 7-8 years I tried almost everything (shampoos, masks, vitamins, visits to a dermatologist), but nothing helped me ... Hair continues to fall out to this day ((.. What shall I do in this case?
Answer: 03.12.2020

Hello! Typically, hair loss begins after childbirth and is a normal reaction of the body to changes in a woman’s hormonal levels. Skin and hair are a mirror of the body state and are among the first to react to endocrine profile disorders, diseases of internal organs or a deficiency of vitamins and minerals. Without examination and identification of the cause of hair loss, any methods of treatment and stimulation of hair growth may have a temporary effect or even be ineffective. I sincerely wish you to find “your” trichologist who will help you identify the cause of hair loss and solve the problem!

Tominets Oksana Vasilevna
Dermatologist. The highest category. Experience 13 years.
Hello! Some pimples appeared on the body in a bunch, they itch a little, something like water appears after scratching them, then it dries up, becomes rough. I have it on the arm at the elbow, on the leg under the knee, at the wrist on the arm. What can it be, how to treat it?
Answer: 03.12.2020

Hello! This picture is characteristic of several dermatological diseases; dermoscopy and more information will be needed to establish an accurate diagnosis.

Hello! Five years ago, I found a light pink spot 5 cm in diameter on my side. I thought I had rubbed it or scratched off somewhere. It didn't bother me. Two months ago I noticed that it had tripled and darkened a little. I also found 3 small spots on the opposite arm and one small similar spot on the other side. The skin feels a little calloused at a touch and is less sensitive to touch than on normal skin areas. What is it? I suspect that it may be lichen or something else and how to cure it?
Answer: 03.12.2020

Hello! The rashes described by you can be of a fungal or bacterial nature, or simply inflammatory and not infectious (like Gibert’s disease). Unfortunately, it is impossible to make a diagnosis in absentia, and the treatment will depend on the diagnosis. To do this, the dermatologist will need to examine the skin and do additional tests (scraping of smooth skin for parasitic fungi, culture, etc.)

Hello! I have a problem: the skin on the hands in the biceps area itches, there is no rash or redness, it only turns red after scratching. What could it be?
Answer: 03.12.2020

Hello! Itching can be a symptom of various skin diseases (mainly of an allergic or infectious nature) or an independent disease, the so-called idiopathic itching, which requires a thorough examination and search for internal causes to identify the causes. An antihistamine can be taken to relieve itching (symptomatic treatment).

Bobrova Angelika Viktorovna
Dermatologist. The highest category. Experience 24 years.
Hello! I need a consultation with a dermatologist. The fact is that I have a tumor under the skin; I searched the Internet for information and found out that it could be a lipoma. What should I do now? Is this wen threatening my health? I failed to find the answer in the Internet article.
Answer: 03.12.2020

Hello! A lipoma is a benign non-life-threatening neoplasm. Unfortunately, a dermatologist does not treat lipomas and other subcutaneous neoplasms. You need a consultation by a surgeon. You may also need a soft tissue ultrasound to make a diagnosis.

I have red spots on my hands, which began to peel off, I am worried that it could be eczema. Do I need a consultation by a dermatologist first, or do I need to take some tests before taking it? And can you see a dermatologist online?
Answer: 03.12.2020

Before consulting a dermatologist, you do not need to take any tests. But if you have the latest test results, you should show them to your doctor. Yes, we conduct online consultations, you are welcome to contact us!

I have tinea versicolour, but no ointments and creams help to cure it. Am I doing something wrong? I adhere to all recommendations, but nothing helps, I don't know what to do. Is it possible to have an online consultation with you?
Answer: 03.12.2020

Tinea versicolour is a fungal disease that is quite easily treated with local, sometimes pill, antifungal drugs. Tinea versicolor often leaves light spots that fade over time, but can be misleading. There are several methods of confirming the diagnosis, one of them is a microscopic examination of scrapings from the rash site. Yes, we conduct online consultations, you are welcome to contact us!

Petrusenko Oksana Pavlovna
Dermatologist, trichologist. Second category. Work experience 12 years.
A strange rash appeared on the body and face, bulging spots of a large size, with a clear outline, they are itching. Facial edema is present. I already had this once last year, rashes appeared in the evening, and by the evening of the next day, everything was gone. Last time I went to a dermatologist in Kyiv, but this time I don't even know if it makes sense to see a doctor. Maybe I can wait and everything will pass by itself?
Answer: 03.12.2020

We recommend you to consult a dermatologist for diagnosis and treatment tactics. You may have an allergic reaction given the swelling of your face. You should see a specialist as soon as possible. Delay can be dangerous!!

I have a lot of acnes on my back. What could cause it and how can it be treated? I have already made a lot of tests but still the treatment failed. I would like to consult a dermatologist from Kyiv.
Answer: 03.12.2020

Аcne is a chronic disease of sebaceous glands. There are plenty of initiating agents ranging from endocrine profile disorders to unhealthy diet and inadequate skin care. Genetic predisposition (heritability) proves rather essential. Indeed, there may be no significant deviations in the tests in case of acne. The doctor will select the proper care, local or systemic treatment, give recommendations on nutrition and (if necessary) prescribe additional examinations, consultations by related specialists. Unfortunately, it is impossible to choose an effective treatment regimen without personal consultation and, moreover, it is unsafe.

Hello! I was recently diagnosed with psoriasis of the scalp. I would like to consult with you as another specialist to confirm the diagnosis. I am 41. About 2 months ago, I began to notice as if dandruff on the head, severe itching. If I scratch, it bleeds, and the dandruff itself is of some strange color. Tell me, could it be psoriasis or something else? Thank you!
Answer: 27.05.2021

Yes! The diagnosis "Sebopsoriasis" at this time is an integral symptom in the psoriasis manifestation. To make a diagnosis, a method for determining the psoriatic triad and dermatoscopy are carried out, a scraping is taken for pathogenic fungi, after which a diagnosis is made.

Rozhkova Natalya Viktorovna
Doctor-dermatovenereologist, trichologist. The highest category. Work experience over 25 years.
Hello, doctor! I am 30 years old, I have fair skin and a lot of moles on my body. There are so many of them that I cannot track the possible changes that may occur to them. When I take sun bathes (I do this very rarely), new moles may appear, and this scares me. Please tell me, how often do I need to see dermatovenerologist to be calm about melanoma, and how does this examination go?
Answer: 27.05.2021

It is recommended for you to visit to dermatologist once a year, necessarily with examination (dermatoscopy) of each neoplasm. In the spring-summer period, you need to avoid sun exposure, and also use professional dermato-cosmetics with SPF protection 50+ for open areas.
 

Rozhkova Natalya Viktorovna
Doctor-dermatovenereologist, trichologist. The highest category. Work experience over 25 years.