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What should I do to cure the abnormal scales on my face?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a skin problem on my face. The skin has abnormal scales on the area to the side of my upper lip. When I remove the skin, the area is reddened. It has happened ever since I was on Doxycycline for a prostate infection. I stopped it four months ago. I am also on Daonil for diabetes. I am currently on Atacand, Lipitor, Reaptan, Daonil, Duodart, Aurorix, and a low dose Aspirin. Please help. I have attached photographs for your reference.

Answered by Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have gone through the attachments (attachment removed to protect patient identity). It is most likely psoriasis which is an autoimmune condition which affects the skin causing white silver scales. This could be drug-induced, genetic, or an idiopathic infection. Removal of the scales leaves red dots called Koebner phenomena which suggests psoriasis. I advise you to have a dermoscopy by a specialized dermatologist in order to confirm the diagnosis. Dermoscope is an instrument with great magnification power that detects certain features to confirm the diagnosis before starting treatment.

Medically reviewed by Dr. K. Shobana
Published At December 27, 2017
Reviewed At May 15, 2025

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBCh

Professional Bio:

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim is a dedicated General Practitioner and Family Physician with expertise in primary care, chronic disease management, preventive medicine, and acute illness treatment. He provides comprehensive, patient-centered care for individuals and families across all age groups. Dr. Abouibrahim is committed to promoting long-term health and wellness through accurate diagnosis, personalized treatment plans, and a compassionate, holistic approach to healthcare.

This doctor is not available for online consultations on the platform anymore.

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