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If a mole has a white pale area around it, is it malignant? Does it need to be removed immediately?
September 25, 2018

This is termed a “halo ” mole.  It means that your body is attacking the pigment producing cells of the mole.

In general, halo moles are benign.  But we often excise them, since we don’t understand why the body has selected that particular mole to depigment.

Sophia J Hendrick, MD

What does it mean when a mole starts showing a white pale area around it?
September 25, 2018

That is termed a “halo” mole.  The body is attacking the pigment producing cells of the mole and destroying them.    The question is “why?”

In general,  a halo mole is benign, but we often excise them because of uncertainty.

Sophia J Hendrick, MD

Does your office specialize in scalp issues. I have see 4 MDs and I have studied UPtodate throughly. I think it may be folloicutlitis r/t long term yeast or fungal overgrowth, complicated by stress, pre menapause. Chronic getting worse greater than one year. Are you able to do a fungal culture? Considering treatment with oral diflucan or lamisal. I have tried multiple modalities of topical therapy included natural remedies. Can you help please. I ready to shave head to get a full picture of the distribution pattern. It started in the crown and now has move to forhead( hair line receding now) and now moving down side of scalp down behind ears. Was able to take a comb and pull greay yellow flakes from scalp with fine tooth comb( only visualized in mirror magnified x 10.
September 25, 2018

Dermatologists take care of problems of the skin, hair and nails.  Yes, we do fungal cultures.  It takes 2-6 wks to get results back, and we would not treat with an oral medicine unless the culture showed fungus.  Fungal scalp infections are most common in children and less common after puberty, although possible.  Seborrheic dermatitis is a more common problem in adults.

Sophia J Hendrick, MD

Can you get SCC inside your nose? I have a spot just inside my nostril that looks like some of the other spots I have had removed.Thanks!
September 25, 2018

It is possible but not common.  Infection would be more common.  But if the area has been present for a couple weeks, it should be evaluated.

Sophia J Hendrick,MD

My son is two we have been to his pediatrician atleast 5 times about his eczema. They have prescribed us 3 different creams which nothing is helping! He keeps his self up all night itching and it’s around his eyes now. Which they say there’s nothing they can do about his eyes! Is there anything else at home I could do? And anything I can put around his eyes that wouldn’t harm him? I have switched his laundry detergent to dye free and his soap/lotion to dye free. Help!
September 12, 2018

Eczema can be a really tough and chronic problem.  And it may require daily maintenance.  A heavy moisturizer such as Vanicream, Eucerin, or CeraVe CREAM should be applied “all over” twice daily.  If the products previously prescribed did not help enough, then it may be time to see a dermatologist, or perhaps allergist (although most cases are NOT due to allergy).  Eczmea is the most common problem we see in children.

For the itching you could try an appropriate dose of Benadryl at bedtime.

The long term outlook is good.  Most children do outgrow the condition.  Half will outgrow it by kindergarten.

Hope this helps!

SJ Hendrick,MD

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