Thank you for providing more details about your skin lesion and overall health. I support your healthy lifestyle!
Acquired, solitary hyperpigmented (tan colored in your case) macule (patch) with intermittent dryness (subsides when treated with moisturizers) sounds benign and is most likely a presentation of: chronic eczematous patch, or seborrhoic keratosis, or lentigo.
However, when there is a pigmented lesion, we dermatologists always want to rule out melanoma. In your case actinic keratosis (precancerous lesion) should be ruled out too.
Stay well!
Dr. Jasmina Jankicevic
If possible, please provide more specific description of caracteristics of your skin lesion: dimensions, shape, color (more yellow, or brown or red hue), is it above skin surface or not, are borders elevated, what is the texture of this skin change, when does scaling go, for how long you have had it, how old are you, etc.
Yours in Optimal Helath,
Dr. Jasmina Jankicevic
It is no bigger than a quarter if that big, it is not elevated, the scaling just comes and goes. If I put some type of moisturizer on it, it doesn't scale at all. The color is sort of tan, just a shade darker than my skin. I guess is has come and gone for about 6 weeks now. I am 56 years old and in good health, non-smoker, not overweight, etc. Like I said, it doesn't itch, burn, or hurt in anyway. It is kind of in heart shaped.
Is there a particular cream or treatment I should be using?
Thank you.
For dry skin patches, it is recommended to:
- use mild, moisturizing soap or shower cream;
- use gentle towel just to pick up excess of water, not to dry it completely;
- then, apply a moisturizing cream (ideally hypoallergenic, fragrance-free), and repeat application several times throughout days of exacerbation, and 1-2 times per day after active lesions subside.