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Undiagnosed scaly and ulcerated skin patches

Hello,
For the past 6 months I have been dealing with a skin problem that has resisted the dermatologists I have seen.
First thinking it was impetigo, I treated it with Fusidine orally, then thinking it was Echtyma, treated with another oral antibiotic which did not work.
The dermatologist then thought it was psoriasis, treated with enstilar but that didn't work either.

Pictures can be seen here :
https://drive.google.com/drive/folders/10-gl-nRgXmf0kOmnOt6-uKB2zyPWjeyw?usp=share_link

Does anyone have any idea what it could be? Bacteriological samples did not give anything either (5 done ...)
The appearance of the pimples can be scaly, and some become ulcerated with a large crust that lasts for weeks...
Thank you!

  1. Hi , I'm not a medical professional so unfortunately can't really say or help much in this case. But I wanted to ask if your dermatologist did a skin biopsy? I know you mentioned the swab, but wondering about an actual biopsy as that would give more insight. Also, how are you doing now? -Nina (AtopicDermatitis.net Team Member)

    1. Hi Seb,
      I am a moderator on the site. I am so sorry this has been a conundrum for you and other dermatologists. I can only imagine how vexing this is. Just brainstorming -- have you checked to see if you may have circulation issues? Here is a link to other possibilities that may not have been looked over (like diabetes, etc) -- https://idatb.com/skin-ulcers/. I hope this may help you down a new path to an answer!

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