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Brown spots on back, stomach, breasts. Applied miconazole nitrate ointment. Permanent cure?

Since a couple of years I have been getting brown spots over my back and stomach and a few of them near my breast . I consulted a skin specialist who prescribed me miconazole nitrate ointment. I applied it, they disappeared after two days but after a month returned back. Sometimes I even find them on my neck . They are non itchy, but look really bad. and they recur frequently
Asked On : Thu, 22 Nov 2012
Answers:  2 Views:  593
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Dermatologist 's  Response
Jul 2012
Hi there Rutu.

As i always say, sadly dermatology is a visual field & as such, it is best to visit a dermatologist (second one for another opinion) near you.

The condition you describe could be a simple fungal infection called Pityriasis Versicolor.

This can be diagnosed by a simple test involving skin scraping & examination under a microscope using KOH (potassium hydroxide 10%).

The treatment can also involve an oral medication (has to be taken with a prescription) of fluconazole 400mg as a single dose & topical ketoconazole cream.

Do treat the fmites & undergarments et al in hot water, dry them well & iron out the creases for best results & recurrences.

Good Luck!

Dr Praveen Rodrigues MD
Dermatologist, Cosmetologist, Venereologist
Vikram Hospital, Bangalore
Answered: Thu, 22 Nov 2012
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Dermatologist Dr. Jawad Shahzad's  Response
Hi there,
it seems like yiu are having Pityriasis Versicolor which is a common yeast infection and can recur in some individuals.
At this point i think only topical therapy will not be enough to prevent the recurrence so you need to ask your doctor to prescribe you with some oral anti fungals like Ketoconazole or Itraconazole for 7-10 days course.
In the meantime i ll advise you to use Ketoconazole shampoo,NIZORAL AD shampoo,apply it to the body like a shower gel,make a fine lather and leave it for 5-10 minutes and then wash. Dry the skin and apply the cream which you have been prescribed. Repeat the application for 10 days.
I hope this information will help.
thanks alot and all the best.
Answered: Thu, 22 Nov 2012
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