Dear Sandra, Welcome to Healthcaremagic!
Thanks for describing all this in good details. I hope I may take few problems one by one & may help you:
1) Pigmentation = melasma. The doctors are right that it may be due to hormonal
or CUMULATIVE sun damage but not definitely due to you not having acne in teenage. LASER or Dermabrasion
may leave postinflammatory pigmentation, which may be difficult to treat in a white person living in tropical country.
2) Hydroquinone/kojic acid/retinoic acid
cream do help in melasma-- but pigmentations return if there is exposure to sunlight again. So its very problematic for you.
3) As per your symptoms, I donot diagnose you as a case of scleroderma
). You have not described systemic complaints which are necessary for diagnosing scleroderma. [Note-- there are certain criteria-- clinical as well as blood tests].
4) 1-few cysts may be present in kidney or liver or spleen-- in absence of symptoms they should not be treated.
So we are left at almost nowhere-- what to do. I sincerely advice you to please stop all treatments & investigations for some time, stop all detox or dietary restrictions. Please try to enjoy life & take help of a counsellar. Sometimes we may have to accept few problems in life & move on. Take some positives (like not being overweight
) over negatives (like raised cholesterol
). May mail me on firstname.lastname@example.org