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Small, White Patches On Lower Back. Nizoral Shampoo Did Not Help. Suggestions?

Posted on Sat, 16 Jun 2012

Question: Hi,
I have skin problem. please see the attached pic.Lower back skin has white small patches. I have consulted dermatologist and was recommended to use nizoral shampoo -Ketoconazole 20mg/g. which didn't help.
Please suggest
Thanks XXXXXXX

Answered by Dr. Rohit Batra (13 hours later)

Dear XXXXXXX

Unfortunately, the picture sent by you can't be seen. Kindly send it in a different format.
Going by your history, it seems that you are possibly suffering from tinea versicolor which is a superficial fungal infection. I will be able to tell you the treatment once the diagnosis has been confirmed.

Regards

Dr.Rohit Batra

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Rohit Batra (51 minutes later)

Hi Dr.Batra,

I have uploaded the pic again and should be visible to you now. If this doesn't work,let me know your email id i will email the pic to you.

I searched the images of tinea versicolor and it looks close to my symtoms.Kind let me know the medication & control measures to be taken to avoid getting worse.

Thanks XXXXXXX

Answered by Dr. Rohit Batra (3 hours later)

Dear XXXXXXX
Thanks for your reply.

You have multiple hypopigmented macular slightly scaly lesions on your back and these are characteristics of Tinea Versicolor.

Versicolor means various colours and hence the condition can show lesions starting from hypopigmented to de pigmented, hyperpigmented to reddish discoloration lesions.

Tinea versicolor is a common superficial fungal infection. Dandruff is also caused by a fungus and can coexist with tinea versiocolor.
People who share common towels, sweat a lot or don't maintain hygiene are more likely to have this infection than others.

Lesions are mostly limited to upper body and the treatment involves topical and oral antifungals. These drugs can be obtained on prescription from your treating dermatologist.
Some shampoos containing antifungals are to be used in routine to clean the scales of the superficial fungus.

Even after the infection is cured, the coloured lesions might persist and a topical steroid cream may be required for a better colour match.

To prevent the infection, one can use antifungal soaps for the affected area for a couple of weeks.

Please accept my answer if you are satisfied with the reply.

Regards

Dr.Rohit Batra

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Rohit Batra (2 days later)

Hi Dr.Batra,

Please see the another pic uploaded .I have observed the hair loss off late and from the pic you can see there are lots of gaps between hair.I was wondering if this problem has any related to the my current problem tinea versiicolor.If not ,any specific reason related to hairloss.

Thanks XXXXXXX

Answered by Dr. Rohit Batra (17 hours later)

Dear XXXXXXX

Thanks again.

The hair fall is not related to Tinea versicolor. It might be related to hereditary inheritance.

Hope I have answered all your queries. Please accept my answer if you do not have any further queries.

Regards

Dr.Rohit Batra

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Prasad