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Home Eminent Columnists Dr K Sai Krishna

Dr K Sai Krishna

Dr. Kotla Sai KrishnaDr. Kotla Sai Krishna is a consultant Dermatologist and Cosmetologist with varied experience in skin and beauty related subjects. He will address your doubts and queries regarding dermatology & cosmetology related issues.

Working as a Consultant Dermatologist, Yashoda Hospital, Secunderabad; Consultant Dermatologist and Cosmetic Surgeon, Sri Sai Skin Clinic, Secunderabad; Counsultant Dermatologist, Vimta Labs, Hyderabad; Consultant, Kaya Skin Clinic, Hyderabad and Consultant  Dermatologist Biotrailpharma, Hyderabad, Dr. Sai Krishna has many Award Winning Scientific papers and Presentations to his credit.

With an MD in Dermatology, he is also the Associate Professor and Consultant Dermatologist in the Department of Dermatology at SVS Medical College Hospital at Mahaboob Nagar.

He has presented several seminars and his professional abilities and clinical research interest lies in cosmetic dermatology, dermatopathology and clinical research. You could send in your queries to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

My Chin Starts Itching When I Shave

In summers when I have a-couple-of-days hair growth on my face, my chin starts itching. And when I shave, I have red spots that  at times bleed. I can tell this is going to happen before I shave due to the itching. It’s always only on my chin and it’s not every time I shave. What is the cause and how to prevent it. Please suggest a remedy. - Noel.

Itching in the beard area can be because of Seborrheic Dermatitis, something similar to dandruff on the scalp. Post shaving you might be developing Pseudofolliculitis, which is a reaction pattern to ingrowing tough hair. Also there is a possibility of Seborrheic Folliculitis again because of Seborrheic Dermatitis. Kindly approach a dermatologist for proper evaluation and further management. Meanwhile, you can try not to go in for a close shave. Apply good moisturizing creams such as Emoderm at night.

I have two questions about my skin. My first question is about persons who have white patches on their skin; there is a common belief that if milk is taken after fish it might cause these disorders. Is it true? Kindly tell me about the reality and also what are the real factors behind it? Is it curable? My second question pertains to hair; kindly tell me how can we get rid of dandruff? Is it possible to cure falling hair? Hope you can help clarify my doubts. - Suguna.

Regarding your first question I presume that you are asking on behalf of somebody so let me answer in a more general way. People say so many things, most of the time without any scientific background. Today’s medicine practice is evidence based and not hear say. I have not come across anything in my practice till date which has suggested that combination of milk and fish causes white patches or Leucoderma. Leucoderma or to be exact Vitiligo is an autoimmune condition, something similar to thyroid or diabetes problem, where in our cells are attacked by our own body Lymphocytes. In Vitiligo, Melanocytes, the colour producing cells in the skin are destroyed by these cells leading to its formation. White patches can also be produced if these cells are destroyed by outside factors such as chemicals or burns. Regarding its curability there are different patterns of Vitiligo, such as those occurring only on lip and tips of fingers, those which occur in only one side of the body, those which occur around bony prominences and those which are generalized in appearance. One can roughly say Vitiligo in areas which have abundant hair has better prognosis than compared to areas affecting non-hair bearing areas. There are several medications which can effectively treat Vitiligo. Including latest NB UVB therapy and Excimer Laser, can be used to treat the lesions effectively. Cases where there is poor response to treatments but the disease has not progressed for more than one year, we can consider surgical options of management such as grafting or melanocyte transfer techniques.

Regarding the hair problem, dandruff is absolutely treatable with various anti-fungal shampoos such as ZPTO (zinc pyrithione) containing shampoos. But unfortunately it is recurrent i.e. it is going to repeat itself. Dandruff is superficial flakes of skin dead layers which accumulate on the scalp and excess formation is associated with a fungus called Malassezia furfur. Eradication with good anti-fungal products can give remissions for long duration.

Third part of your question about curing of hair fall depends on the cause for the hair loss and it is beyond this article to go into details of the causes. Taking good nutrition and avoiding stress are important. Kindly consult your dermatologist for further information and treatment.

Month: December 2010.

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