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Suggest treatment for dark discolouration of skin between thighs

Answered by
Dr. Kakkar S.


Practicing since :2002

Answered : 8400 Questions

Posted on Wed, 4 Nov 2015 in Skin Hair and Nails
Question: how to get rid off black coloured skin in between thighs? 10 yrs before i got tenia infection and skin becomes black and lichenification of skin.
Clotrin B cream oral fluconazole 150 mg for 4-6 weeks tried... but skin still black...
chemical peeling possible?
Answered by Dr. Kakkar S. 40 minutes later
Brief Answer:
I suggest you to try a skin lightening cream e.g a kojic acid based cream

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have also reviewed the Images.

You seem to have post-inflammatory hyperpigmentation (PIH) which is a common complication of fungal infection of groins and also is a part of lichenification. If I was the treating doctor I would first suggest you to try a cream containing a skin lightening agent e.g Kojic acid. Kojic cream is a kojic acid based cream. It can be used twice daily. Kojic cream is a prescription product and should be used under supervision and guidance of a dermatologist.
Chemical peeling is also an option with lower strengths of glycolic acid e.g 20% Or 35% glycolic acid usually producing good results. Higher strengths e.g 50% or 70% are to be avoided because this area is prone to irritation.
Chemical peels are usually done by the doctor himself/herself at his/her office. A session is usually performed once in every 2 weeks. Chemical peels can be combined with topical treatment with a kojic acid based cream.
Before all these measures, your dermatologist should ensure that there is no active fungal infection and it has been cured adequately with antifungal treatment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

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