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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blackish Brown Spots On Face, Neck And Hands, Diagnosed As LPP. Prescribed Vitamin Capsules. Cure?

i have a dark black brown spot on my face , neck and hands from last 5 to 6 yrs. i have shown my problem to my local dermatologist they said that it is a symptoms of lpp and they suggested me various types of vitamin capsules and ointments but there is no satisfactory result to me and the problem remains the same. its look very odd and shame to me to have a dark spots on the face . so pls. suggest me some advice about the disease
Wed, 20 Mar 2013
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Dermatologist 's  Response
Hi,
I can understand your concern.
Lichen planus pigmentosus is characterised by dark brown to slate gray pigmented skin lesions and unfortunately these do not resolve completely as pigmentation is deep.
The treatment modalities supposedly giving desirable results are
Use of sunscreen with SPF 50
Oral vitamin c and antioxidant supplement intake daily
Application of steroid cream or tacrolimus ointment along with hydroquinone 4 percent cream
If the lesions are spreading, oral steroids might be required
Oral vitamin A analogue like acitretin
Some advocate chemical peels or lasers to improve the lesions cosmetically.

Hope that helps. Take care
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Blackish Brown Spots On Face, Neck And Hands, Diagnosed As LPP. Prescribed Vitamin Capsules. Cure?

Hi, I can understand your concern. Lichen planus pigmentosus is characterised by dark brown to slate gray pigmented skin lesions and unfortunately these do not resolve completely as pigmentation is deep. The treatment modalities supposedly giving desirable results are Use of sunscreen with SPF 50 Oral vitamin c and antioxidant supplement intake daily Application of steroid cream or tacrolimus ointment along with hydroquinone 4 percent cream If the lesions are spreading, oral steroids might be required Oral vitamin A analogue like acitretin Some advocate chemical peels or lasers to improve the lesions cosmetically. Hope that helps. Take care