Brief Answer:
Pictures requested

Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the skin lesions. It seems you have got post-inflammatory pigmentation but its difficult to point specific diagnosis in absence of clinical examination.
Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

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Brief Answer:
Hydroquinone, kojic acid etc

Detailed Answer:
Hello,
Thank you for the pictures.
It seems like the pigmentation you have is due to your acne/ pimples.
I would suggest you application of cream containing kojic acid, arbutin, liquorice extract and tetrahydrocurcumim ( MELAGLOW) twice a day over dark spots and hydroquinone 4% cream at night time over dark spots.
Use a good quality sunscreen everytime you out is sun.
Kindly report me your condition after regular use of above medications for 3 weeks.
I am sure you will be fine soon.
Thank you
Dr Hardik Pitroda

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Brief Answer:
Avoid Nuforce soap and Terbinaforce plus cream

Detailed Answer:
Hello,
Nuforce soap is basically antifungal soap and as far I know there is no role of antifungal soap in the kind of pigmentation you are having.
Terbinaforce plus cream contains a very strong steroid clobetasol which is not recommended for use on face for pigmentation and it should be strictly avoided as its use will cause side effects like skin thinning, skin depigmentation etc.
Hope you got my point here.
Thank you
Dr Hardik Pitroda

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Brief Answer:
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Detailed Answer:
As such topical steroids dont pose any risk to pregnancy but potent steroid like clobetasol is absolutely not indicated for use on sensitive areas like face except in very few conditions.
As your chief problem is pigmentation, I strongly advise against further use of clobetasol on face.
Thanks
Dr Hardik

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