HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Discoloration Around Forehead Of Child?

Posted on Tue, 28 Jul 2015

Question: Hi,my 5 year old daughter has developed abt 1 cm round discolouration on her forehead all of a sudden.it happened after she had fallen off on the table and hit her forehead.we don't know this discolouration is due to the effect of fall or not.Doc prescribed loprolif and efficient and told this is due hyper pigmentation..
Is everything or should I take more advice?

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Kindly upload an Image

Detailed Answer:
Hello. Thank you for writing to us.

I have read your question and i have noted down your concern.

I request you to kindly upload an image of the affected area so that i am able to guide you better.

You may upload an image either at reports section

Or

you may mail me an image at YYYY@YYYY with the subject line of the mail as Attn: Dr. Kakkar.

Also let me know how long back she had that trauma due to fall?

Regards

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

Follow up: Dr. Dr. Kakkar (2 days later)

Hello Doc.she fell in the house about 20 days back.the fall was just a typical fall in the house on the floor hitting the forehead.. No wound and no bruise observed.but after about 3 days we observed the discolouration on fore head.Right now dermatologist prescribed loprolif 0.03 and efficort.After reading about their side effects am afraid.am attaching the photos and sending to your mail I'd YYYY@YYYY now.
Thanx n Regards

Hello Doc,I have send 4 attachments of my daughters forehead in the email.plz review

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
I suggest you to continue with this Rx for 4-6 weeks and then follow up

Detailed Answer:
Hi. Thank you for Images.

She seems to have an illdefined hypopigmented patch on forehead and this is most likely either post-inflammatory hypopigmentation Or pre-vitiligo.

The treatment which she has been prescribed contains tacrolimus ointment 0.03% and hydrocortisone aceponate cream 0.127% cream.
I completely agree with this treatment approach and it could not have been better than this to begin with.

Therefore I suggest you to continue with this treatment for at least 4-6 weeks and then follow up with your dermatologist. Tacrolimus ointment is to be applied twice daily (morning and afternoon), to be rubbed in, for 20-30 seconds. Hydrocortisone aceponate cream is to applied once daily at night.

There are practically no side effects with these topical medications except that tacrolimus ointment may give rise to a mild smarting sensation at the site of application but that is usually not of much of a concern in patients.
Hydrocortisone aceponate is a moderately potent topical steroid and is also absolutely safe if used under supervision of a doctor for the duration recommended.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad