Red rashes

Dear Dr. Jen,

I just had the hair on my legs waxed. For some reason, this time I developed very itchy, red rashes on my legs.  What do you think is going on?  I've been waxing my legs for years. What can I do?

Shiela

Dear Shiela,

There are many factors to consider.  First of all, allergy should be considered, allergy to the wax that was used.  Perhaps the salon changed brands without informing you.  It can also be allergy to the soap or lotion that you used immediately after waxing.  Skin is very sensitive after waxing. The outermost skin, the stratum corneum, is partially removed with the wax.  Using papaya or kojic soap can be irritating to just-waxed skin.  Lotion containing strong fragrances can also be allergenic to just-waxed skin. Anti-inflammatory lotions will get rid of this problem quickly.

Secondly, folliculitis can also be considered. This means that the hair follicles are open to the entrance of bacteria or yeasts.  This can lead to further inflammation and itching.  This requires anti-bacterial or anti-fungal treatment.

Whatever you do, do NOT compound the problem by applying hot water or alcohol.  Both folliculitis and contact dermatitis look different.  Your PDS derma can easily make the diagnosis.  I think it is time you visit your derma so it can be medicated appropriately.

Dear Dr. Jen,

I've just started some pimple treatments from my derma for the past three months.  However, it looks like my pimples have worsened.  I am so red.  There are many bumps on my face.  I've stopped my treatment for the time being until I can see my derma.What can I use?

Denise

Dear Denise,

Usually, upon your first visit to your PDS dermatologist, your doctor will explain the probable cause of your acne.  This takes into consideration your age, personal and family history of acne and possible hormonal imbalance.  Along with this, stress, work, diet and cosmetics are also discussed.

If all these factors have already been clearly talked about and controlled (the ones that can be controlled anyway), it is possible that throughout the first few weeks of treatment there can be a flare-up.   This is only temporary and usually by week 4-6, improvements will begin to be noticed.

However, if you do find any redness, stinging or peeling on your skin, it is a sign that you should stop whatever it is you are using. This can be a sign that your skin is getting irritated.  Some people can also have allergies to their anti-acne medications. It may be time to go back to your derma and re-evaluate your treatment regimen.

Dr. Tan is a diplomate of Philippine Dermatological Society (PDS) and is affiliated with Perpetual Succour Hospital (PSH). For information on PDS, check http://www.pds.org.ph/. For questions or concerns, please text to: 0932 857 7070; or email to: [email protected]; or call The Freeman: (032) 2531276, or PSH: (032) 233 8620 and 232 5929. Your inquiries will be forwarded to Dr. Tan.