Best Skin Diseases Treatment in Tirupati - Dr Premika Skin & Hair Clinic

Eczema (Atopic Dermatitis)

Eczema is a chronic inflammatory skin condition characterised by dry, itchy, red, and inflamed skin . It is one of the most prevalent inflammatory skin diseases, with both prevalence and incidence steadily increasing .

Causes: Genetic factors, allergies, irritants (soaps, detergents), and environmental triggers . The condition involves a complex interplay of genetics and environmental factors .

Treatment:

• Moisturising creams and ointments

• Steroid creams for inflammation

• Avoiding triggers like harsh soaps and allergens 

• Advanced therapies including JAK inhibitors and biologics for severe cases 

Psoriasis

Psoriasis is an autoimmune disorder causing rapid skin cell growth, resulting in thick, red patches with silvery scales . The condition is driven by a complex interplay of genetics and environmental factors .

Causes: Autoimmune response causing rapid skin cell turnover. In some cases, may be associated with psoriatic arthritis causing joint pain .

Treatment:

• Topical treatments (steroids, vitamin D creams)

• Light therapy (phototherapy)

• Oral or injectable medications for severe cases 

• Biologic agents targeting specific immune pathways 

Vitiligo

Vitiligo is an autoimmune condition characterised by white patches on the skin due to loss of pigment-producing cells (melanocytes) .

Causes: Autoimmune destruction of melanocytes. Studies show a strong association between vitiligo and other autoimmune conditions like alopecia areata .

Treatment:

• Topical steroids or light therapy

• Cosmetic cover-ups

• Skin grafting in severe cases 

Urticaria (Hives)

Urticaria presents as red, itchy welts that appear suddenly on the skin . Chronic spontaneous urticaria (CSU) may be associated with other inflammatory skin conditions .

Causes: Allergic reactions to food, medications, or insect bites. In chronic cases, may be related to immune system dysfunction .

Treatment:

• Antihistamines to reduce itching and swelling

• Avoiding known triggers 

• In severe cases, biologic therapies like omalizumab or dupilumab 

Fungal Infections

Fungal infections are very common in tropical climates like Tirupati, affecting the skin, hair, or nails . Fungi thrive in warm, moist environments and frequently colonise the skin surface .

Common Types:

• Tinea Infections (Ringworm): Red, itchy, flaky rings that grow outward 

• Pityriasis Versicolor: Yeast-based infection causing white or brown flaky patches on the chest and back 

• Athlete's Foot: Fungal infection affecting the feet

• Nail Fungus: Thickened, discoloured nails

Treatment:

• Topical anti-fungal creams and washes

• Oral anti-fungal medication for extensive infections or resistant cases

• Keeping skin dry and clean 

Bacterial Infections

Bacterial infections occur when bacteria enter the skin through cuts, abrasions, or hair follicles . The main pathogenic bacteria are Staphylococcus and Streptococcus .

Common Types:

• Abscesses (Boils): Deep, painful, warm swellings filled with pus 

• Cellulitis: Spreading red patches that feel warm to touch, may cause fever 

• Impetigo: Bacterial infection at the skin surface 

Treatment:

• Topical or oral antibiotics 

• For deeper abscesses, surgical drainage may be required 

• Surgical drainage usually required for deeper skin abscesses 

Viral Infections

Viral infections occur when a virus enters skin cells to replicate, creating distinct surface changes .

Common Types:

• Viral Warts: Thickened skin, sometimes with tiny black dots, caused by HPV 

• Shingles (Herpes Zoster): Painful, blistering rash following a nerve pathway 

• Molluscum Contagiosum: Smooth, pearly, dome-shaped bumps, common in children 

• Cold Sores: Herpes simplex virus infection 

Treatment:

• Cryotherapy (freezing) for warts 

• Oral antiviral medication—critical to start within 72 hours for shingles 

• Electrosurgery or laser ablation for stubborn warts 

Rosacea

Rosacea is an inflammatory skin disorder causing facial redness, visible blood vessels, and acne-like bumps . It often occurs alongside seborrheic dermatitis—studies show 26% of rosacea patients also have facial seborrheic dermatitis and 28% have scalp involvement .

Causes: Unknown, but triggers include spicy foods, alcohol, sunlight, and stress . Contributing factors may include fair skin types .

Treatment:

• Topical or oral antibiotics 

• Laser therapy for visible blood vessels

• Avoiding triggers and using gentle skincare 

Seborrheic Dermatitis

Seborrheic dermatitis is a common, chronic inflammatory skin disorder affecting areas where oil glands are prominent . The condition is not harmful but can be uncomfortable and unsightly .

Common Sites: Scalp, forehead, creases around the nose, inner eyebrows, and external ear canal .

Causes: Unknown, but contributing factors include abnormality of oil glands, yeast fungus, hormone fluctuations, stress, and winter weather .

Treatment:

• Antifungal preparations—especially when occurring with rosacea, as steroids can worsen rosacea symptoms 

• Medicated anti-dandruff shampoos for scalp involvement 

Contact Dermatitis

Contact dermatitis occurs when the skin comes into contact with an irritating substance or allergen. The risk of allergic contact dermatitis is increased in patients with atopic dermatitis, with studies showing 54.8% of AD patients had positive patch tests compared with 47.3% of non-AD patients .

Causes: Allergens (nickel, fragrances, preservatives) or irritants (soaps, detergents, chemicals).

Treatment:

• Allergen avoidance remains the mainstay of therapy 

• Topical corticosteroids for inflammation

• In severe cases, oral corticosteroids or systemic immunosuppressants