Concerns About Mai Li Enzyme Tablets for Skin Issues - Dermatology

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When it comes to skin issues, particularly those involving inflammation or irritation, the use of topical steroids like Mometasone Furoate can be effective. However, the interaction between topical steroids and moisturizing lotions can sometimes lead to confusion regarding treatment efficacy, especially in different climates.
In your case, you mentioned experiencing redness and decortication on your skin, which improved with Mometasone Furoate in Taiwan but has recurred since moving to a colder and drier European climate. The dryness and cold can exacerbate skin conditions, leading to increased irritation and the potential for flare-ups.
Topical steroids like Mometasone Furoate work by reducing inflammation and suppressing the immune response in the skin. However, they do not address the underlying issue of skin hydration. Applying a moisturizing lotion after using a steroid can help maintain skin hydration and barrier function, which is crucial in dry environments. However, if the lotion contains irritants or allergens, it could potentially worsen the symptoms.
It's important to note that while using both a steroid and a moisturizer can be beneficial, the order of application matters. Generally, it is recommended to apply the steroid first, allow it to absorb, and then follow up with a moisturizer. This sequence ensures that the steroid can penetrate the skin effectively before being sealed in by the moisturizer. If you are applying the lotion immediately after the steroid and noticing no improvement, consider evaluating the ingredients in the lotion. Some lotions may contain fragrances or other additives that could irritate sensitive skin.

If your symptoms persist despite using both treatments, it may be wise to consult a dermatologist. They can assess whether the steroid is still appropriate for your condition or if an alternative treatment is necessary. Additionally, they can help determine if the moisturizer you are using is suitable for your skin type and condition.

Regarding your question about the efficacy of Mometasone Furoate, just because it worked previously does not guarantee it will work the same way again. Skin conditions can change over time due to various factors, including environmental changes, skin barrier function, and individual skin responses.
As for the Mai Li Enzyme Tablets you mentioned, these are typically marketed for various health benefits, including digestion and detoxification. However, their relevance to your skin issue, particularly the swollen lymph node under your arm, is questionable. Lymphadenopathy (swollen lymph nodes) can indicate an underlying infection or other medical conditions, and while enzymes may support overall health, they are unlikely to address the specific issue of lymph node swelling.
If the lymph node remains swollen or painful, or if you experience other symptoms such as fever or persistent fatigue, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging or laboratory tests, to determine the cause of the lymph node enlargement and recommend appropriate treatment.

In summary, while topical steroids and moisturizers can be effective for skin issues, their application and the specific products used matter significantly. If symptoms persist or worsen, consulting a dermatologist is advisable. Additionally, for concerns regarding the swollen lymph node, further evaluation by a healthcare provider is essential to rule out any serious underlying conditions.