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Skin and Hair Disorders

Skin and Hair Disorders Online Doctors Consultation

166 questions

Experience the Precision of Evidence-Based Medicine in Managing Skin and Hair Disorders Through Our Online Consultations Discover science-backed solutions for a wide range of skin and hair concerns with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based dermatological and trichological treatments, providing timely and accurate guidance tailored to your needs. We address conditions such as acne, eczema, psoriasis, dermatitis, rosacea, fungal infections, hair loss (alopecia), dandruff, scalp conditions, hyperpigmentation, and more. Through confidential and accessible consultations, our doctors provide personalized treatment plans based on the latest clinical research. Early intervention can improve your appearance, prevent complications, and enhance your confidence. Whether you’re dealing with persistent skin rashes, hair thinning, or other dermatological issues, our team is here to provide expert support and solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with both free and paid consultation options available. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take the first step toward healthier skin and hair—consult an evidence-based specialist online today!

Questions about Skin and Hair Disorders

Psoriasis meaning and concerns about chronic skin conditions

20 days ago
1 answers

I’ve been hearing a lot about psoriasis and how it affects the skin, but I don’t fully understand the psoriasis meaning and what causes it. From what I read, it’s a chronic autoimmune condition that leads to rapid skin cell growth, causing red, scaly patches. But how is psoriasis different from other common skin conditions like eczema or dermatitis? I’ve seen pictures where some people have mild psoriasis with just a few dry patches, while others have large, inflamed areas all over their body. What determines how severe it gets, and does it always spread over time? I don’t have psoriasis, but I do get dry, flaky skin on my elbows and scalp sometimes, and I wonder if that could be an early sign. Are there specific symptoms that make psoriasis different from regular dry skin? Also, what triggers psoriasis flare-ups—does stress, diet, or weather play a role? I read that it’s an autoimmune disease, but does that mean it’s linked to other immune disorders? If someone has psoriasis, what treatments do allopathic doctors usually recommend? I know there are creams, but do severe cases require medications like biologics or light therapy? Lastly, is psoriasis something that can be fully cured, or is it a lifelong condition that has to be managed?


Dr. Evgeny Arsentev
19 days ago
Psoriasis is indeed a chronic autoimmune condition characterized by accelerated skin cell growth, leading to the formation of thick, red, scaly patches on the skin. This condition can vary in severity from mild, with just a few patches, to severe, where extensive areas of the body are impacted. The severity and distribution of psoriasis can depend on various factors, including genetics, the individual's immune response, and environmental triggers. Understanding how psoriasis differs from other skin conditions like eczema or dermatitis is key. While eczema is often characterized by itchy, inflamed skin that can ooze and crust over, psoriasis is more commonly associated with well-defined red patches covered in silvery-white scales. Psoriasis lesions can often be itchy but may not always be the primary symptom. Eczema also tends to present more frequently in childhood and can be closely linked to allergies or asthma, while psoriasis often develops in late adolescence or adulthood. Regarding your concerns about dry, flaky skin on your elbows and scalp, this can be associated with numerous skin conditions, including psoriasis, but also conditions like dry skin or seborrheic dermatitis. Symptoms that are more indicative of psoriasis include the presence of distinct, raised plaques that are silvery or shiny, particularly in areas such as the knees, elbows, and scalp. Psoriasis can sometimes involve nail changes, such as pitting, and may also be associated with psoriatic arthritis, which can lead to joint pain. Psoriasis flare-ups can indeed be triggered by various factors, such as stress, certain infections, skin injuries, specific medications, or weather conditions (particularly cold and dry weather). Dietary influences can vary by individual, so while some may find that certain foods (like those high in sugar or dairy) trigger their symptoms, others may not have a clear dietary link. Psoriasis is classified as an autoimmune disease, meaning it arises from an abnormal immune response. It can sometimes be associated with other immune-related conditions, such as inflammatory bowel disease or arthritis. For treatment, allopathic doctors typically begin with topical therapies for mild cases, which may include corticosteroids, vitamin D analogs, or retinoids. For moderate to severe cases, options extend to systemic medications, including biologics that target specific immune pathways, phototherapy (light therapy), or newer oral medications like JAK inhibitors. Severe cases may require a combination of treatments tailored to the individual's needs. Currently, psoriasis is considered a manageable lifelong condition, rather than one that can be fully cured. While treatments can significantly improve symptoms and quality of life, ongoing management is usually necessary to control flare-ups and maintain skin health. If you have concerns about your skin condition, consider consulting a dermatologist for a comprehensive evaluation. They can provide an accurate diagnosis and create a tailored treatment plan based on your specific symptoms and health history.
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Does retinol really help with skin aging?

73 days ago
1 answers

I’ve been hearing a lot about retinol lately and how it’s supposed to be amazing for reducing wrinkles and fine lines. I’m considering adding a retinol cream to my skincare routine, but I’ve also heard it can irritate your skin. How do you use retinol safely without causing redness or peeling? Does it really work for anti-aging, or is it overhyped?


Dr. Evgeny Arsentev
67 days ago
Retinol, a form of vitamin A, is one of the most well-researched and effective ingredients for anti-aging. It can help reduce fine lines, wrinkles, and even improve skin texture by increasing cell turnover and stimulating collagen production. So, yes, it definitely works, but the key is using it correctly to avoid irritation. To start, use a lower concentration (like 0.25% or 0.5%) and apply it only 2-3 times a week at first to allow your skin to adjust. You can gradually increase the frequency as your skin gets used to it. To minimize irritation, apply it to clean, dry skin, and make sure to follow up with a gentle moisturizer. Avoid using it on the same nights as other strong actives, like exfoliating acids. If you experience redness or peeling, scale back and focus on moisturizing. The irritation should subside as your skin builds tolerance. And, don’t forget sunscreen in the morning, as retinol can make your skin more sensitive to the sun. Retinol is definitely worth trying for anti-aging, but it's important to be patient with your skin while it adjusts. If you continue to have trouble with irritation, a dermatologist might be able to recommend other formulations or alternatives.
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How to control hair fall and prevent thinning

23 days ago
1 answers

I’ve been struggling with hair fall, and I’m trying to figure out what’s causing it and how to stop it. From what I read, hair fall can be due to stress, poor diet, or genetics, but how do I know what’s causing mine? I also saw that using the wrong shampoo can make hair fall worse—does that mean switching to a sulfate-free shampoo can help? Another thing I’m wondering about is whether hair oils actually work—do they strengthen the roots, or is that just a myth? I also read that hair loss can be linked to vitamin deficiencies—does that mean taking supplements like biotin or iron can help? Another thing I’m curious about is whether hair fall is reversible—if someone loses a lot of hair, can it grow back, or is it permanent? Also, are there specific treatments like PRP therapy or medications that work better than home remedies? I just want to understand how to control hair fall and whether there’s a way to stop it from getting worse.


Dr. Evgeny Arsentev
22 days ago
When addressing your hair fall, it's essential to first understand the potential underlying causes. Common factors include genetic predisposition, stress levels, nutritional deficiencies, hormonal imbalances, and even specific hair care products that may not suit your hair type. Here's a structured approach to help you determine the cause of your hair fall and explore management strategies: 1. Identify Underlying Causes: - Keep a journal to track your hair fall pattern. Take note of when hair loss occurs, any accompanying symptoms (like changes in stress or diet), and the types of products you use. This may help narrow down potential causes. - Consider stress management techniques such as mindfulness or yoga, as emotional stress can contribute to hair loss. 2. Evaluate Your Diet: - Ensure your diet is well-balanced, including adequate protein, iron, vitamins (like A, C, D, E), and minerals. Deficiencies in certain vitamins can lead to hair loss. If you suspect a deficiency, consult a healthcare professional to consider blood tests for vitamins like iron and basic health markers. - Supplements like biotin and iron may be beneficial if deficient, but it's crucial to talk to your doctor before starting any supplementation to avoid excessive intake or potential interactions. 3. Hair Care Products: - Switching to sulfate-free shampoos can be beneficial if your scalp is sensitive or if you experience irritation. These shampoos are generally gentler and may help maintain scalp health. Monitor how your hair responds to this change over a few weeks. - Hair oils can aid in moisturizing and potentially strengthening hair, but the effects vary. Oils like coconut or argan oil can help improve the overall condition of hair but won’t necessarily prevent hair fall unless the hair loss is due to dryness or scalp issues. 4. Assess Treatment Options: - If hair loss continues, consult a dermatologist or a trichologist for a thorough evaluation. Treatments such as PRP (Platelet-Rich Plasma) therapy can be effective in certain types of hair loss, especially androgenetic alopecia. Other FDA-approved treatments include topical minoxidil and oral finasteride for men. - It's important to note that while some people may experience hair regrowth, results can vary widely, and not all cases of hair loss are reversible. 5. Long-Term Management: - Avoid harsh hair treatments (like bleaching or excessive heat), which can exacerbate hair loss. Gentle handling of your hair is critical. - Regularly check in with your healthcare provider to analyze your progress and adjust treatment plans as necessary. In conclusion, understanding the exact cause of your hair loss is vital for effective management. Make an appointment with a healthcare professional to discuss your symptoms comprehensively. They can provide guidance tailored to your specific situation and advise on the best course of action to help control hair fall and improve regrowth.
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Clotrimazole and Beclomethasone Cream Uses

30 days ago
1 answers

I've been dealing with a skin issue for about a couple of weeks now, and my doctor recently prescribed clotrimazole and beclomethasone cream to help treat it. I’ve been applying the cream as directed, but I'm still unsure about the specifics of how this treatment works and whether I’m using it correctly. So far, the condition hasn’t worsened, but I’m not completely sure it’s improving either. I want to be sure that I’m using it right and that it's actually helping. I’ve had a rash on my arms that started small but quickly spread to my chest and neck. It was red and itchy, and I noticed it would sometimes burn, especially after showering. I didn’t think much of it at first, but when it didn’t go away and started spreading, I decided to see my doctor. She told me that it looks like some kind of fungal infection but also a possible inflammatory issue, and that’s when she prescribed the clotrimazole and beclomethasone cream. She said that the clotrimazole is for the fungal infection, and the beclomethasone is a corticosteroid to help reduce inflammation and irritation. Since I started using the cream, I’ve noticed that the itching and burning have decreased a little, but the redness and patches are still there, and it sometimes looks a bit worse after I use the cream. I’m worried that maybe I’m using the cream too much or not in the right amount, or maybe my skin isn’t responding as expected. I’ve been applying it twice a day like my doctor said, but I also noticed that I’ve had a couple of new spots near where the rash started, and it kind of feels like the rash is still active. I’ve also read some things online about the side effects of beclomethasone and how using it for too long or on large areas of the skin can have side effects like thinning skin, and I’m worried that might happen if I keep using this cream. I’ve been careful to use it sparingly, but it’s hard to know how much is too much. I’d really like some clarification on whether the combination of clotrimazole and beclomethasone cream is likely to clear this up or if it might just be masking the symptoms. Is this kind of treatment really effective for this kind of rash, or should I be considering something else? I’ve been keeping track of how my skin feels after each application, but I’m still unsure about the best course of action. How long should it take before I see the full effects of this cream? Is it okay to continue using clotrimazole and beclomethasone cream if the rash is still not gone? Are there any signs that would indicate I should stop using it or try something different? Also, should I be worried about the side effects from beclomethasone? I’m just trying to figure out the best approach so I can get rid of this rash once and for all!


Dr. Evgeny Arsentev
27 days ago
Clotrimazole and beclomethasone cream is commonly prescribed for conditions like yours, where there’s a combination of fungal infection and inflammation. Clotrimazole is an antifungal that targets the underlying fungal cause of the rash, while beclomethasone is a corticosteroid that helps reduce inflammation and itching. It’s good that you’ve noticed some reduction in itching and burning, but the redness and patches can take a little longer to improve, especially when dealing with both fungal infection and inflammation. It’s not uncommon for the rash to seem a little worse before it gets better, as the skin heals. As for the frequency of use, it's important to follow your doctor’s instructions closely. Using the cream twice a day is typical, but if you’re concerned about side effects like skin thinning from beclomethasone, you can check in with your doctor to ensure you’re using the right amount. In some cases, reducing the frequency after a few weeks can help minimize side effects. If the rash is still not improving after a couple of weeks, or if it’s getting worse, I recommend checking in with your doctor. They may want to adjust the treatment or consider other options. Most rashes like yours can improve with the right treatment, so I encourage you not to be discouraged, but to keep track of any changes and consult your doctor if needed.
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Retinol cream and its effects on skin health

20 days ago
1 answers

I recently started looking into skincare products, and I keep seeing retinol cream mentioned as one of the best ingredients for anti-aging and acne treatment. I understand that retinol is a form of vitamin A, but I don’t fully understand how it works or what makes it so effective for improving skin texture and reducing wrinkles. From what I read, retinol increases cell turnover and boosts collagen production, but how long does it take to see visible results? I have slightly sensitive skin, and I’ve heard that retinol can cause irritation, dryness, and peeling in the beginning. Is that something everyone experiences, or does it depend on the skin type? Also, are there specific ways to minimize these side effects, like applying moisturizer before or after using retinol? I read that retinol should be introduced slowly into a skincare routine, but how often should it be used at first—once a week or every few days? I also wonder if there are certain ingredients that shouldn’t be used with retinol, like exfoliating acids or vitamin C. I’ve seen some people say that retinol makes the skin more sensitive to the sun, so does that mean it should only be applied at night, and is sunscreen absolutely necessary the next day? I also want to know if retinol cream is safe for long-term use, or if it should only be used for a few months at a time. If someone stops using it, does the skin go back to how it was before, or do the benefits last? Lastly, how does retinol compare to stronger prescription retinoids like tretinoin—is the over-the-counter version just as effective but takes longer to work, or is it significantly weaker?


Dr. Evgeny Arsentev
19 days ago
Retinol is indeed a well-regarded active ingredient in skincare, particularly for its anti-aging and acne-fighting properties. It is a form of vitamin A that works by promoting cell turnover and stimulating collagen production, ultimately leading to improved skin texture, reduced wrinkles, and treatment of acne. 1. Timeline for Results: Visible improvements can typically be seen within 4 to 12 weeks of consistent usage. However, this can vary based on individual skin type and the concentration of retinol used. 2. Sensitivity and Side Effects: It's common to experience some irritation, dryness, or peeling when first using retinol, especially if you have sensitive skin. The degree of irritation can vary significantly among individuals. If your skin is more reactive, you might experience milder reactions compared to someone with more resilient skin. 3. Minimizing Side Effects: To help minimize irritation, consider the following approaches: - Start by applying retinol every few days, increasing gradually to nightly use. - Use a gentle, hydrating moisturizer before applying retinol (the "sandwich method") or afterward to help buffer it and reduce irritation. - Consider using a lower concentration of retinol initially. 4. Usage Frequency: Initially, using retinol once or twice a week is advisable. Gradually increase frequency to every other night and then nightly as tolerated. 5. Ingredient Compatibility: Avoid layering retinol with strong exfoliating acids (like AHAs or BHAs) as they can exacerbate irritation. Similarly, using vitamin C products together may not be ideal due to potential for irritation; instead, you can use vitamin C in the morning and retinol at night. 6. Sun Sensitivity: Retinol can indeed increase sun sensitivity, so it is recommended to apply it at night. Daily sunscreen use is essential during the day when using retinol, regardless of whether it’s applied at night. 7. Long-term Use: Retinol is generally safe for long-term use. However, skin may become accustomed to retinol, and its efficacy might diminish without breaks or adjustments. If you stop using it, some benefits may last for a while, but skin will gradually revert to its previous state over time without ongoing treatment. 8. Retinol vs. Tretinoin: Tretinoin, a prescription retinoid, is more potent than over-the-counter retinol. While retinol is effective, it may take longer to show results compared to tretinoin, which has a more immediate impact on skin turnover due to its higher strength. Your specific skincare needs and sensitivities can help guide the decision on which to use. As you begin incorporating retinol into your routine, pay close attention to how your skin responds and adjust accordingly. If you experience severe irritation, discontinuing use and consulting with a dermatologist might be helpful to find a regimen suited for your skin type.
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Bullous pemphigoid and symptoms of autoimmune skin conditions

20 days ago
1 answers

I recently read about bullous pemphigoid, and I don’t fully understand what it is or why it happens. From what I gathered, it’s an autoimmune skin disorder where the immune system mistakenly attacks the skin, causing large fluid-filled blisters, but I don’t understand what triggers it. Does it happen suddenly, or do symptoms develop gradually over time? I read that it mostly affects older adults, but can younger people get it too? Also, are the blisters painful, or do they mostly cause itching and discomfort? I’ve seen pictures where the blisters appear on the arms, legs, and abdomen, but does bullous pemphigoid only affect certain areas, or can it spread all over the body? Another thing I’m wondering is whether it’s contagious—if someone has bullous pemphigoid, can they pass it to others through skin contact, or is it purely an immune system issue? I also read that some medications can trigger bullous pemphigoid—does that mean certain people are at higher risk based on their prescriptions? If an allopathic doctor suspects someone has this condition, what tests do they perform to confirm it? Do they take a skin biopsy, or are blood tests enough to diagnose it? I also want to know about treatment options—do mild cases go away on their own, or is medication always needed? I saw that corticosteroids are often used, but do they just control symptoms, or can they actually stop the disease from progressing? Lastly, does bullous pemphigoid ever go into remission, or is it something people have to manage for life?


Dr. Evgeny Arsentev
19 days ago
Bullous pemphigoid is indeed an autoimmune condition that primarily affects the skin, characterized by large, fluid-filled blisters due to the immune system mistakenly attacking the junctions that hold the outer layer of skin (epidermis) to the underlying layer (dermis). This process is driven by the presence of autoantibodies against specific proteins in the skin. The exact triggers of bullous pemphigoid are not fully understood; however, it is thought that factors such as age, genetics, and possibly certain medications might contribute to its onset. Symptoms can develop gradually, often starting with localized itching or hives before progressing to the formation of blisters. While it is more common in older adults (typically those over 60), younger individuals can also be affected, though this is less frequent. The blisters can be painful and typically are accompanied by itching and discomfort. They commonly appear on areas such as the arms, legs, and abdomen, but can potentially occur anywhere on the body. The condition is generally not contagious, as the underlying issue is a disordered immune response rather than an infection or transmissible disease. Certain medications, especially diuretics, non-steroidal anti-inflammatory drugs (NSAIDs), and some antibiotics, have been associated with triggering bullous pemphigoid in susceptible individuals, suggesting that people on these drugs may be at higher risk. If a healthcare professional suspects bullous pemphigoid, diagnosis commonly involves a skin biopsy to evaluate the presence of autoantibodies and confirm the condition. Blood tests might be conducted as well, but the biopsy is more definitive. Regarding treatment, mild cases can occasionally resolve on their own, but treatment is often necessary to manage symptoms and prevent complications. Corticosteroids are typically the mainstay of treatment; they reduce inflammation and blister formation. While these medications effectively control symptoms, they may not "stop" the disease's progression entirely in all cases. Other immunosuppressive treatments may be introduced if necessary. Remission is possible. Some individuals experience prolonged periods without symptoms, but for others, bullous pemphigoid can be a chronic condition that requires ongoing management. It's crucial to have regular follow-ups with healthcare providers to monitor the condition and adjust treatment as needed. If you suspect you or someone else may have symptoms consistent with bullous pemphigoid, it is essential to seek a professional evaluation for appropriate diagnosis and management.
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Ringworm and baltod(hair boil)

2 days ago
0 answers

How to cure ringworm and hair boils or baltod, it occurs frequently. Whenever I stop taking vitamin c tablets it automatically appears. Ringworm is persistent from the past few 3-4 years. Have Tried several medicines but not achieved a good result.


Small bumps on the face that are not acne

23 days ago
1 answers

I’ve noticed small bumps on my face that are not acne, and I don’t fully understand what they are or what’s causing them. From what I read, they could be clogged pores or milia, but does that mean they always form from trapped oil, or can other factors cause them? I also saw that some people get tiny bumps from allergic reactions—does that mean skincare products or foods can trigger them? Another thing I’m wondering about is whether exfoliating helps remove these bumps—does physical scrubbing work better than chemical exfoliants, or can over-exfoliation make them worse? I also read that some small bumps are caused by fungal infections—does that mean antifungal creams help in some cases? Another thing I’m curious about is whether dry skin contributes to bumps—does moisturizing improve them, or do they need specific treatments? Also, if these bumps don’t go away with skincare changes, should someone see a dermatologist, or are they usually harmless? I just want to understand what small bumps on the face could be, how to treat them, and whether they need medical attention.


Dr. Evgeny Arsentev
22 days ago
It's great that you're looking to understand the small bumps on your face more clearly. Based on your description, these bumps could potentially be milia, clogged pores, or folliculitis, among other things. The causes of such bumps can indeed vary widely. 1. Causes: While clogged pores and milia are often due to trapped oil or skin cells, other factors may contribute. Allergic reactions to skincare products or foods can lead to small bumps. Conditions like eczema or contact dermatitis could also be responsible, so note if you have introduced any new products or dietary changes. 2. Exfoliation: Exfoliating can help with some types of bumps. Chemical exfoliants, such as those containing alpha-hydroxy acids or beta-hydroxy acids, can be effective for unclogging pores without the potential trauma of physical scrubbing. However, over-exfoliation can irritate the skin and exacerbate existing bumps. A good rule of thumb is to exfoliate gently about one to two times a week, especially if you're using strong active ingredients. 3. Fungal Infections: If there’s suspicion of a fungal infection, like tinea, topical antifungal creams can help. If the bumps have a scaly appearance or itchiness, this could be worth discussing with a healthcare provider. 4. Skin Moisturization: Dry skin can contribute to the appearance of bumps as well, so maintaining a good moisturizing routine might improve their appearance. Look for non-comedogenic moisturizers that won’t clog your pores. 5. When to See a Dermatologist: If the bumps persist despite changes in your skincare routine, worsen, or are accompanied by symptoms such as redness, itching, or discomfort, it would be wise to schedule an appointment with a dermatologist. They can assess the bumps properly, rule out any underlying conditions, and suggest targeted treatments. 6. General Advice: Monitor your skin's response to any changes you make. Keep a record of any new products or dietary changes to identify potential triggers. If the bumps are causing you concern, seeing a specialist can provide clarity and reassurance. Remember, thorough evaluation by a healthcare professional is essential for an accurate diagnosis and effective treatment plan tailored to your specific needs.
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Acne and dark spots

3 hours ago
0 answers

Solution for acne and marks should I do chemical peel how to treat pigmentation I have pigmentation after acne heal so I want to ask does black peel good for acne and marks for this aur what is right solution for this


Epidermolysis bullosa

33 days ago
1 answers

I recently learned about epidermolysis bullosa (EB), and I was shocked by how severe it can be. What exactly is epidermolysis bullosa, and why does it cause such fragile skin? From what I read, EB is a rare genetic disorder that makes the skin extremely sensitive, leading to painful blisters and wounds from even minor friction or injury. But what causes it—does it happen because of a mutation in collagen or keratin genes? I also learned that there are different types of EB, including simplex, junctional, and dystrophic EB. How do doctors diagnose which type a patient has, and is there a cure? Another thing I wonder is how people with epidermolysis bullosa manage their condition. Since the skin is so delicate, do they need special bandages, medications, or pain relief to avoid infections and complications? For those who have epidermolysis bullosa, what has helped you manage symptoms and improve your quality of life?


Dr. Evgeny Arsentev
32 days ago
Epidermolysis bullosa is indeed a rare genetic disorder that causes the skin to be extremely fragile. It results from mutations in the genes responsible for producing proteins that help hold the layers of skin together, like collagen or keratin. When these proteins are missing or defective, even minor friction or injury can cause painful blisters and wounds. There are several types of EB, including simplex, junctional, and dystrophic EB, and they are diagnosed based on a combination of clinical symptoms and genetic testing. Doctors may perform skin biopsies or genetic tests to identify the specific mutation causing the condition. Unfortunately, there is no cure for EB, but management focuses on preventing trauma to the skin and treating symptoms as they arise. For managing EB, patients often use special dressings to protect the skin, avoid friction, and reduce the risk of infections. Pain relief and antibiotics may also be necessary to manage pain and prevent complications. It's essential to consult with a dermatologist or a specialist to create a care plan tailored to the specific type of EB.
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