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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Hyper Pigmentation On Face,neck And Upperback

My query is to a dermatologist. My Name is Mrs. Nair, age- 38 years, female. My problem is listed below:

In 2006 April I started having hyper pigmentation on my face, neck and upper back. I consulted a specialist at Manipal Hospital, Bangalore and underwent blood test. As per the blood test my IGE (immunoglobin E) was 460, high above normal. Therefore, I underwent a patch test and the result of the patch test said I was allergic to PPD and some parabens. So my problem was diagnosed as hyper pigmentation due to contact dermatitis. I had used hair colour since February 2006 and as per this result I completely stopped using the same. I underwent chemical peeling, micro dermabrasion and laser treatment subsequently. My facial skin improved a bit, but not much. I had to shift to Egypt on official assignment and here again I consulted two dermatologists. They suggested a skin biopsy for Macular Amyloidosis and a biopsy was done. As per the biopsy report "bundles of collegen found in the dermis and slightly reactive to congo red staining. diagnosis: Amyloidosis."I do not have any itching on the skin except sometimes which i take as due to dryness. Can you please confirm what is my condition? Is there any treatment for this? I would really be grateful for your reply as I cannot consult a doctor from India face to face now as I am still in Egypt.
Wed, 1 Aug 2018
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Dermatologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Amyloidosis usually affects uppr back, arms and chest whereas face and neck are usually spared. On the other hand hair dye may cause discoloration of face, neck as well as upper back. Anyways you have not mentioned about any topical treatment for your skin condition.Though microdermabrasion, laser etc may improve hyperpigmentation to an extent but they are usuallg effective when used in combination with standard treatment for hyperpigmentation i.e sunscreen along with depigmenting creams containing ingredients like kojic acid, glycolic acid, arbutin, mometasone furoate or fluocinolone acetonide. I suggest you to visit a dermatologist in your region and discuss regarding this.

Hope I have answered your query. Let me know if I can assist you further.
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Suggest Remedy For Hyper Pigmentation On Face,neck And Upperback

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Amyloidosis usually affects uppr back, arms and chest whereas face and neck are usually spared. On the other hand hair dye may cause discoloration of face, neck as well as upper back. Anyways you have not mentioned about any topical treatment for your skin condition.Though microdermabrasion, laser etc may improve hyperpigmentation to an extent but they are usuallg effective when used in combination with standard treatment for hyperpigmentation i.e sunscreen along with depigmenting creams containing ingredients like kojic acid, glycolic acid, arbutin, mometasone furoate or fluocinolone acetonide. I suggest you to visit a dermatologist in your region and discuss regarding this. Hope I have answered your query. Let me know if I can assist you further.