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White patch on back of neck, no itching. Medicine? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:Dr. XXXXXXX here
Doctor:How can I help you?
User:Good Morning Dr.
Doctor:Good morning...
Doctor:Proceed with your query.
User:I have a white patch on my back of my neck
User:no itching but a white patch
User:short of melanine
User:but its increasing in size slowly
User:what medicine would you prescribe
Doctor:White patches occur due to variety of causes ranging from simple infection to complex infection.
Doctor:It can also be due to an inflammatory condition, sun burns an autoimmune conditions.
Doctor:If there is no infection, a steroid containing creams should treat the problem.
Doctor:However, without knowing the cause use of any treatment is not safe.
Doctor:Therefore, I would like to know if you have seen a dermatologist.
User:I had checked with my family doctor ... and she gave a cream made of something (one item was glycerine) and asked me to apply and it would heal ... it did not help me
User:besides that I haven't met a Dermatologist yet
Doctor:I am sure a steroid containing medications will help you. However as steroids can flare up infective conditions, it is advisable that you consult a dermatologist.
Doctor:I would want to exclude presence of infection.
User:the patch is at the root of my hair (at my neck)
Doctor:Infections such as fungus (pityriasis) which is commonly associated with dandruff infections needs to be excluded primarily.
Doctor:If this or any other infection is ruled out, steroid containing cream will be effective here.
Doctor:An infective condition on the other hand will need respective antibiotic/antifungal treatment.
Doctor:Hence I strongly urge you to see a dermatologist and confirm the cause.
Doctor:Have you followed?
User:no I haven't ... but will visit my dermatologist this week
Doctor:I mean, have you followed what I suggested. And yes visiting a dermatologist to exclude infection would be the appropriate step now.
User:My family Dr. had mentioned its just reduction of Melanine on that area as there is no direct sun
User:no dandruf, no infection she mentione
Doctor:I think I can be able to clarify to you over a phone call. Can I call you to discuss further?
User:I have a meeting to attend in the next 10 mins
User:should be free post lunch by 2pm
Doctor:I shall request the customer support team to arrange a call back after 2 pm.
Doctor:We can discuss about this concern then.
Doctor:Bye for now.
User:alright Dr. Yes Bye for now.
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