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Suggest Treatment For Post-inflammatory Hyperpigmentation

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Posted on Fri, 9 Jan 2015
Question: Hi,
in my teen years, i developed some infection in my legs. And i also was in a habit of strongly scratching my legs. The brusies and cut got filled with puss, when i went away..
the brusises left dark sopts and noy my calves are very dark, it looks ugly.
i want it to go away and make it normal again.
How do i do that.
doctor
Answered by Dr. Dr. Kakkar (16 minutes later)
Brief Answer:
You may use a mid potent topical steroid for PIH

Detailed Answer:
Hello again!

I have taken note of your query.
You have developed post-inflammatory hyperpigmentation (PIH) which is a complication of any inflammatory insult to the skin.
I suggest you to use a topical mid potent steroid e.g Mometasone furoate 0.1% cream, twice daily, at the dark spots.
That should help them lighten and fade away in about 2-4 weeks.
This is a prescription steroid and I suggest you to talk to your doctor for the needful.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (30 minutes later)
How can i upload a photo that i want to show you

I have uploaded a photo, please review it and tell me how to get it normal again.
doctor
Answered by Dr. Dr. Kakkar (6 hours later)
Brief Answer:
I suggest a superpotent steroid and a moisturizing cream (1:1)

Detailed Answer:
Hi.

Thank you for the image
In the Image I can see there is scaling as well as excoriations (likely due to scratching) along with pigmentation.
This is most like a case of eczematous dermatitis;itching and scratching causing the skin in this area to become dark and thickened.
I suggest you to use a topical super potent steroid e.g clobeatsol propionate 0.05% rather than a mid potent steroid which I had suggested earlier.
You may mix it with an equal proportion of a moisturizer (1:1) and apply it twice daily to the affected areas.
Again, this is a prescription topical steroid and I suggest you to talk to your doctor for the needful.
An OTC oral antihistamine e.g cetrizine 10 mg once daily wil provide you symptomatic relief from itching.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (20 hours later)
i donot feel any itching, that is the dryness that causes me to scratch my legs.
can you suggest some cream which i can use without the need of a docto'rs prescription.
doctor
Answered by Dr. Dr. Kakkar (5 hours later)
Brief Answer:
Need to visit a doctor

Detailed Answer:
Hi.

Unfortunately potent topical steroid are not available without a doctors prescription.
Only mild steroids like hydrocortisone are available OTC but they wont benefit as good as potent one.
Moisturizers like vaseline can be obtained without a doctor's prescription.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Post-inflammatory Hyperpigmentation

Brief Answer: You may use a mid potent topical steroid for PIH Detailed Answer: Hello again! I have taken note of your query. You have developed post-inflammatory hyperpigmentation (PIH) which is a complication of any inflammatory insult to the skin. I suggest you to use a topical mid potent steroid e.g Mometasone furoate 0.1% cream, twice daily, at the dark spots. That should help them lighten and fade away in about 2-4 weeks. This is a prescription steroid and I suggest you to talk to your doctor for the needful. Regards