Spots on Face & Neck

[diana140]

After severall years of travelling, on my most recent vacation I ended up getting a pretty bad sunburn which ended up being sun poisioning and left me with swelling of the face, i got a cortizone shot and took some prednisone and i was fine, the other day I was outside for just a short period of time and I woke up with 2 odd looking red spots the size of a dime one on my forehead the other on my neck the one on my neck was very itchy the one on my forehead was not, I'm wondering if this is a reaction to the sun, as I've been putting cortizone cream on and nothing is happening...or could this be something more serious?

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be due to discoid eczema,ringworm or pityriasis rosea.

Wash the areas several times with fresh water. Do not use any cosmetic products at the sites. You can apply some calamine lotion at the rash as it will help in soothing the skin. You can take some OTC oral antihistamine medications like Benadryl or Claritin and see if it helps.

For mild-moderate symptoms a weak steroid may be used (e.g. hydrocortisone as dermacort), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).Also use good quality moisturizers to prevent moisture loss from the skin.

If still the symptoms do not improve then pls get a clinical examination done by a dermatologist.

Hope it helps. Take care and pls do keep me posted on how you are doing or if you have any additional queries.Kind regards.

[jagesh50]

More like a nummular dermatitis.Calamine lotion,and an antihistamine at bedtime should be ok.