Brownish Red Bumps On Hands, Legs| LICHEN AMYLOIDOSIS & Its Treatment-Dr Amee Daxini|Doctors' Circle

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Dr. Amee Daxini | Phone 📞 099013 54408 (Online & in-person appointment can be booked online or by call)| Registration No: 89509 Maharashtra Medical Council, 2003 | Consultant Dermatologist & Cosmetologist | Think Skin Clinic, Sarjapur Road, Bangalore, India
Lichen Amyloidosis is a skin condition and not an infection it is characterized by deposition of amyloid under the skin. Generally in the upper layer of our dermis what is amyloid. Amyloid is nothing but a protein but it is a deranged protein. Generally it gets converted from collagen so when collagen the regular bundles of collagen become irregular or amorphous that’s when you form amyloid. Therefore when you see amyloid it is brown in color unlike collagen which is skin colored amyloidosis is a condition which is also genetic. So many times it runs in the family because the trigger for amylodosis is generally chronic friction. Now you have to remember that we would clean our skin or when we would bathe especially in the yester years we would use scrubs or we would use a loofah or stones like a pumis stone or many of times a brush to use on our arms and legs especially thinking that if we use that the dirt and the dust gets removed. But this chronic friction is one of the major causes of leading to amyloidosis the skin because of chronic friction changes its pattern and forms this deposit called amyloid. Now what is amyloidosis and how do you see it? It is noticed as small brownish red mustard coloured seeds you know which are raised generally seen on the arms and the shin but at times you can also see it on the lower back and the buttocks. It is generally without any symptoms. But sometimes because it causes dryness in the local area it can lead to lot of itching and sometimes scratching which can lead to more dryness and more lesions of amyloid. One important thing you need to remember in amylodois is that we cannot reverse this process but we can keep the symptoms under control. The first thing is to reduce the itching and dryness by using a Moisturizer in amyloidosis moisturizer is the key to maintain the skin and prevent it from scratching . So use a moisturizer morning and night if you need to use it three times please most welcome please use it as many times as you need. The second is when you visit your dermatologist they will give you certain exfoliants to remove the superficial bumps that you notice with lichen amyloidosis ere we sometimes use steroids sometimes we use exfoliants like calcineurin Inhibitors like tacrolimus or pimicrolimus. We also sometimes use retinol and retinol derivatives like tretinoin so that there is good exfoliation of the skin which then with proper moisturization will give you some benefit from itching as well as reduce the bumps. But Lichen amyloidosis can extend even to other tissues of our body it can also get deposited into other tissues and other organs of our body. Therefore going to a dermatologist getting yourself completely investigated is very essential with this condition although the treatment is very symptomatic and you never get a complete resolution. It is worth meeting your doctor and getting some symptomatic treatment for your lichen amylodosis. I hope this helps you and in case you have any specific questions please do write to me and I will answer you back.

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