Visual exam needed for cause of skin rash

DEAR DR. GOTT: I’m an 87-year-old woman with a circle about the size of a quarter on my right thigh, about four inches above my knee. All the skin around it is very smooth, but it is rough to the touch and appears to be flaking. Sometimes it is pale pink; other times it is an angry, dark pink. Occasionally, it itches. Neosporin and other creams don’t help. Can you?

DEAR READER: I don’t know without seeing it, but my first thought is eczema or psoriasis. My recommendation is that you see your primary-care physician or a dermatologist for a diagnosis. Once the lesion is examined, appropriate medication can be prescribed.

While you are waiting for your appointment, be sure to keep your skin moistened. Treat the area with a petroleum-based product. If you bathe in a tub instead of shower, add Epsom salts or bath oil to the water.