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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dark Brown Itchy Patches On Neck, Chest Face, Arms And Legs, Break Outs Of Pimples. What To Do ?

I have dark brown patches on my neck , chest face, arms and legs. when i itch these marks appear. i have been to two dermatologists and each one has a different diagnosis. I need help as i am scarred and this is increasing. My next appointment with another dermatologist is in may and I am also haveing breakouts of pimples .
Mon, 25 Feb 2013
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Dermatologist 's  Response
Hi.. Thanks for your query
You have two different concerns..as for the brown patches, you might be suffering from an eczematous disorder. They are frequently recurrent and moderate to severely itchy. Topical steroids/ tacrolimus/ pimecrolimus are he mainstay of therapy. You can start oral anti histaminics to combat the itching, as the itching creates an itch scratch cycle which perpetuates the lesions. Keep the areas moist , it reduces the recurrence.
As for the acne, you can start application of Clindamycin gel twice daily n face. Use Cetaphil Cleanser for oily skin .you can apply the Retinoid creams topically at night starting with alternate night application and as your skin tolerates it, you can use it daily.do not use heavy creams and stick to gel based moisturisers and sun screens.
Hope this helps.Take care.
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Dark Brown Itchy Patches On Neck, Chest Face, Arms And Legs, Break Outs Of Pimples. What To Do ?

Hi.. Thanks for your query You have two different concerns..as for the brown patches, you might be suffering from an eczematous disorder. They are frequently recurrent and moderate to severely itchy. Topical steroids/ tacrolimus/ pimecrolimus are he mainstay of therapy. You can start oral anti histaminics to combat the itching, as the itching creates an itch scratch cycle which perpetuates the lesions. Keep the areas moist , it reduces the recurrence. As for the acne, you can start application of Clindamycin gel twice daily n face. Use Cetaphil Cleanser for oily skin .you can apply the Retinoid creams topically at night starting with alternate night application and as your skin tolerates it, you can use it daily.do not use heavy creams and stick to gel based moisturisers and sun screens. Hope this helps.Take care.