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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Some Hypo Pigmentation On Face. Not Vitiligo. Why Does Skin Dry?

Hi, I am African american and i have been having some hypo pigmentation on my face for the last four or five months. At first it started on my cheek bones right under my eyes. and now it appears to be spreading to the sided of my nose and checks, I went to two dermatologist and they both said that it was not Vitiligo , One used a woods lamp to confirm. However, since I went to see them it has become worse. I was prescribed an anti fungal cream, but it does not appear to be helping. I actually dries my skin out really bad. Is it possible that i was misdiagnosed. And if in fact it is a fungal infection how long does it take for anti fungal creams to work and normal pigmentation to come back.
Mon, 30 Sep 2013
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Dermatologist 's  Response
Hi,
Thanks for writing to us.
From the description it seems you could be having seborrheic dermatitis or Pityriasis alba. Use a mild steroid cream like hydrocortisone cream along with tacrolimus 0.01% cream. Hopefully in two to three weeks time, you should see desirable response. i would have been in better position to answer this query, if you could send me an image of your lesions. For the same, you may tag me using ask a specialist feature of this website.
Hope this helped.
Take care
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Have Some Hypo Pigmentation On Face. Not Vitiligo. Why Does Skin Dry?

Hi, Thanks for writing to us. From the description it seems you could be having seborrheic dermatitis or Pityriasis alba. Use a mild steroid cream like hydrocortisone cream along with tacrolimus 0.01% cream. Hopefully in two to three weeks time, you should see desirable response. i would have been in better position to answer this query, if you could send me an image of your lesions. For the same, you may tag me using ask a specialist feature of this website. Hope this helped. Take care