help

[soha84]

hi. im a 26 yr old female. from the past 2-3mths iv been having hypopigmented patches on my forearms. i think it was due to sun exposure as i used to wear half sleeves. initaily it used to itch but now it doesnt. i went to a dermatologist who said it was hypopigmentation sec to dermatitis, he gave me cilix (vit c ) for 2wks but it had no effect. on my next visit he gave me beprosalic acid to use for 2 wks. it has been 4 days since iv been usuing but it feels like it has become a litle more prominent. Wont the slaicylic acid in it cause further hypopigmentation?

I asked for a second opinion n the other doc said that it was some form of psoriais and told me to stop beprosalic acid and use nerisone fatty ointment.
im confused as to who to follow.
please help.

soha

[soha84]

thanku so much for replying. if its pitryasis versiculor y hav both the doctors prescribed me steroids? iv been using nerisone which is diflurocortilone.so far there has been no improvement,

[Dr J Singh]

Hello,
The symptoms are suggestive of pityriasis versicolor. Pityriasis versicolor is caused by a fungus that lives in the skin of almost all adults. Factors that can cause the fungus to become more visible include high humidity and immune or hormone abnormalities. Treatment involves topical and oral antifungal medicines.

Also apply topical antifungals like Lamisil or Monistat. Severe cases may need oral antifungals for which I suggest you to consult a dermatologist. Also if the hyperpigmentation becomes more dark then get acanthosis nigricans of the neck ruled out.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[soha84]

sorry i need to add. it wasnt psoriasis that he said, he said it was pitryasis.