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Suggest Treatment For Lesions At The Back Of The Neck

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Posted on Wed, 16 Dec 2015
Question: Hello Doctor,

My father is getting the attached lesions on the back side of neck. He is suffering from diabetes already and undergoing medication for the same since last 6 to 7 years. Could you please prescribe appropriate medication. I have enclosed a copy of photograph of the same for your review.

Regards,
XXXX
doctor
Answered by Dr. Dr. Kakkar (20 minutes later)
Brief Answer:
Image not recieved. kindly upload again

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query but i could not find the image. Kindly upload it once again. You may upload an image either at "Reports Section" Or You may mail me the image as an attachment at the following email ID: YYYY@YYYY with the subject line of this mail as Attention:Dr.Kakkar.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (1 hour later)
Hello Doctor,

I have enclosed the images again for your review.

Regards,
XXXX
doctor
Answered by Dr. Dr. Kakkar (2 hours later)
Brief Answer:
Acanthosis nigricams with a patch of lichemoid dermatitis

Detailed Answer:
Hi. Thank you. I have reviewed the Image.

He has acanthosis nigricans along with a patch (2cmX2cm) of lichenoid eruption, on the back of his neck. Acanthosis nigricans is more common in diabetics and overweight individuals and presents with dark, velvetty texture of skin of neck folds. Acanthosis is quite stubborn to treatment, however, topical tretinoin 0.05% cream, once daily at night, has been tried with positive results in acanthosis nigricans. Specifically for the lichenoid patch, I suggest him to use a topical potent steroid cream e.g clobetasol propionate 0.05% cream (tenovate cream), twice daily, for 2-4 weeks. Since this lichenoid patch may also be itchy, therefore he may also take a tablet of cetrizine 10 mg once daily, in evening for symptomatic relief from itching.

Regards
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Lesions At The Back Of The Neck

Brief Answer: Image not recieved. kindly upload again Detailed Answer: Hello. Thank you for writing to us I have gone through your query but i could not find the image. Kindly upload it once again. You may upload an image either at "Reports Section" Or You may mail me the image as an attachment at the following email ID: YYYY@YYYY with the subject line of this mail as Attention:Dr.Kakkar. Regards