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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Brown Patch On My Daughters Leg?

Hi, my six year old daughter has recently developed a flat light brown patch in her leg, like a very large freckle. Just found another one on her leg and am getting concerned. Do you know what this could be? It s not painfull, raised or dry. It actually looks like a birth mark but has only developed since she has come home from a holiday in France.
Tue, 27 Jun 2017
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Dermatologist,  's  Response
Mam/sir,
First of all you have to examine your daughter's body thoroughly for other lesions and similar patches. flat light brown patch can be:
1. cafe au lait macule which is seen physiologically in 5%of patients and can also be associated with other conditions like neurofibromatosis(95%), Mc cune albright syndrome, tuberous sclerosis. these skin lesions develop in early infancy, and they may become obvious after 2 yrs of age. 2 cafe u lait macules are physiological, and you need not to be worried for them.
2. second possibility, it can be post inflammatory hyperpigmentation, since she has gone out for a holiday. some eczematous lesion would have occured before leaving light brown patch. it can be treated with potent topical coricosteroids like betamethasone valerate(0.1%) twice a day application.
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What Is The Brown Patch On My Daughters Leg?

Mam/sir, First of all you have to examine your daughter s body thoroughly for other lesions and similar patches. flat light brown patch can be: 1. cafe au lait macule which is seen physiologically in 5%of patients and can also be associated with other conditions like neurofibromatosis(95%), Mc cune albright syndrome, tuberous sclerosis. these skin lesions develop in early infancy, and they may become obvious after 2 yrs of age. 2 cafe u lait macules are physiological, and you need not to be worried for them. 2. second possibility, it can be post inflammatory hyperpigmentation, since she has gone out for a holiday. some eczematous lesion would have occured before leaving light brown patch. it can be treated with potent topical coricosteroids like betamethasone valerate(0.1%) twice a day application.