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Brown patches on the buttock - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 614 Questions

User :   Hello doctor
Doctor :   hello
Doctor :  
how can i help u?
User :   sir, i hav a skin problem
Doctor :  
ok
User :   For the past 5 months, im having brown patches in my buttocks. i cant able to find out whats the problem. Sometimes puzz it created and it gives pain. Same problem started last week at my back near the shoulder. I ve attached the image. Someone pls help me to identify the problem and whats the remedy for it?
Doctor :  
please proceed
User :   These are the images
Doctor :  
give me 1 minute
User :   ya
User :   in tht portion, skin is rough with pimple like thing
Doctor :  
ok
Doctor :  
whats ur age/sex?
User :   male 24
User :   im getting married in 6 months. im afraid of this problem.
Doctor :  
from how many days u are having this problem?
User :   For past 6 months
Doctor :  
ok
User :   whats the actual problem doctor?
Doctor :  
have u seen any doctor?
User :   no
Doctor :  
are u using any medication?
User :   i started to put miconazole
Doctor :  
asuming it to be fungal infection?

Doctor :   hello
User :   ya doctor
User :   i ve explained things
User :   what shud i do now?
Doctor :  
yes
Doctor :  
is it painful?
User :   its itching if anything is in contact with it
User :   not painful at all other than the times puzz is there
Doctor :  
ok
Doctor :  
anything in the sense?
User :   if im with bare body, it wont itch at all
User :   itching sendation is commonly there now at my back
Doctor :  
ok
Doctor :  
then it must be contact dermatitis
Doctor :  
Dermatitis is an inflammation of the skin.
Doctor :   Contact dermatitis is a localized rash or irritation of the skin caused by contact with a foreign substance.
User :   doctor itching is now continuous
Doctor :   ok
User :   does it cause puss like pimples?
Doctor :  
now itching is present even with out contact of anything?
User :   ya
Doctor :  
first how was the appearance?
User :   no problem in buttocks
User :   but in back side, its itching
User :   i remember how it was created
Doctor :  
ok
User :   at first, there were no patches at all
Doctor :  
ok
User :   only, i could sense tht the skin was rough with things like goosebumbs
User :   then slowly brown patches came
User :   same thing is happening at my back now
Doctor :  
ok
Doctor :  
was there any red patch initially?
User :   tht area is always rough similar o the skin during goosebumbs
User :   no
User :   in my back too, a couple of times, rough skin came but it went within few days
User :   this is the 1st time, im getting these patches at back
Doctor :  
ok
User :   If i sit in a place for more time or during travelling, buttocks loses its sense
User :   can u pls tell whats the actual probem is and abt the medicine
Doctor :  
with out examining we cannot come to aconclusion..but i can tell u the most probable diagnosis
Doctor :   there are three things which we have to rule out
User :   ya
User :   tell doctor
Doctor :  
1) it may be contact dermtitis which is an allergic reaction
Doctor :  
2)it may be eczema with secondary bacterial infection ...
Doctor :  
as u are telling there is pus..which indiactes that there is secondary bacterial infection
User :   oh
Doctor :  
for that matter brown patch is just due to inflamation of the skin..almost any condition with infalamtaion of the skin will have similar brownish appearance
User :   k doctor
User :   can i try any medicine ?
Doctor :  
Intense itching is generally the first symptom in most people with eczema. Sometimes, eczema may lead to blisters and oozing lesions, but eczema can also result in dry and scaly skin. Repeated scratching may lead to thickened, crusty skin.
User :   i wont scratch doctor
User :   itching is not so intense
Doctor :   what are ur basic complaints regarding this brown patch?
User :   in tht brown patched only pus is coming
Doctor :  
ok
User :   its not regualr. its coming once in a month
Doctor :  
pus indicates bactrial infection
User :   k
Doctor :  
but it is secondary due to some other reason
Doctor :  
and brown spots are due to inflamation of the skin
User :   ok doctor
Doctor :  
some times sucha a condition will be present even in essentila fatty acid deficiency
User :   but tht bumps are due to eczema ?
Doctor :  
yes may be
User :   so wht shud i do now?
Doctor :  
in skin diseases we can come to diagnosis only after detailed examination
Doctor :  
i will give u a cream
Doctor :  
along with tablets
User :   k doctor
Doctor :   u take DERMADEW cream
Doctor :  
and apply that before sleeping
User :   Is DERMADEW, name of the medicine or chemical name?
Doctor :  
it is the name of the cream
Doctor :  
i amgiving safest cream with no sideeffects
User :   k doctor
User :   is it available in Tamil NAdu?
Doctor :   yes
Doctor :  
it is avaialble anywhere in india
User :   k doctor
Doctor :  
and also take tab allegra 180 mg 2 times a day
Doctor :  
moring once and night once after taking food
User :   allegra is for?
Doctor :   eczema
Doctor :  
and generalised inflamation of skin
User :   whats the chemical composition of allegra? Im asking coz if the tablet i unavailable, i can ask for other company tablets
Doctor :  
it is fexofanidine
Doctor :  
it is the most advanced drug used for eczema
User :   ok doctor
Doctor :  
a bit costly but u will get results
User :   approx. cost per tablet?
Doctor :  
alon with that u take mild antibiotic cifran 500mg 2 times a day morning once and night once after taking food
Doctor :  
app may be 10-15 rs per tab
User :   no prob doctor
User :   chemical composition of CIFRAN ?
Doctor :  
i am not giving any drugs with out side effects
Doctor :  
with sideeffects*
User :   k doctor
Doctor :  
ciprofloxacin
Doctor :  
use this tablets for one week
User :   k doctor
User :   how can i contact u then?
Doctor :   is there anything else i can help u?
Doctor :   u take free chat ..and tell me

User :   k doctor, i ll try this and contact u after a week
Doctor :  
sure
User :   bye dctor
Doctor :   have u filled the feedback form?
User :   hope they ll be some gud change
User :   yeah
Doctor :  
yes
Doctor :  
wishing u speedy recovery
User :   k doctor
User :   bye
Doctor :   bye take care

Question is related to
Diseases and Conditions
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