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Suggest Treatment For Brown Psoriasis Spots On Body

Posted on Mon, 14 Sep 2015

Question: Hello Doctor,

I have been suffering from psoriasis from age of 10. I had flaky spots all over my body and it got worsen in Winters. I visited many doctors for the same, used different creams and oils for years but nothing worked. Later, I started using homeopathy medicine which reduced my condition but not totally. Slowly after years, I stopped homeopathy also. Now I'm 25, I rarely get the flaky spots on my legs. However, I have brown psoriasis spots all over my body. Is there any treatment to get rid of these spots?

Thank you.

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Post inflammatory hyperpigmentatiin; use either kojic acid or topical stero

Detailed Answer:
Hello. Thank you for writing to us.

I have gone through your query and I have understood it.

These brown spots are most likely due to post inflammatory hyperpigmentation.

I suggest you to use either a moderately potent topical steroid e.g fluticasone propionate 0.05% cream twice daily Or kojic acid 2% cream twice daily, for these brown spots.

Regards

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

Follow up: Dr. Dr. Kakkar (4 hours later)

Thank you for your reply doctor.

Are they any precautions that I need to take while using any of these creams. And is it safe to use these creams on a regular basis until my spots disappear completely or do I need to stop for sometime after a certain period?

Answered by Dr. Dr. Kakkar (57 minutes later)

Brief Answer:
Topical steroid cream for 2 wks only; Kojic acid is safer on a longer run

Detailed Answer:
Hi.

There are no particular precautions.

A moderately potent topical steroid e.g fluticasone propionate 0.05% cream is quite safe. I would suggest you to use it for only 2 weeks and you should notice the difference. I won't suggest long term use of a topical steroid cream because long term use of topical steroids can precipitate psoriasis. This is my only concern for you, and that too if you use a topical steroid cream on a longer run. Using it for 2 weeks is fine. Therefore if required to be used for more than 2 weeks I would suggest you to substitute topical steroid with kojic acid cream beyond 2 weeks

Alternatively, you may use a kojic acid cream from the start rather than using a steroid cream for initial 2 weeks. Kojic acid is also effective in post-inflammatory hyperpigmentation. It can be used on a longer run without any side effects. It is safer too as compared to a topical steroid cream considering that you have a history of psoriasis and using a topical steroid cream for a period longer than 2 weeks Or stopping them suddenly can precipitate a relpase of psoriasis.

Regards

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

Follow up: Dr. Dr. Kakkar (18 hours later)

Thank you for the prompt and detail reply doctor.

I was wondering if you could suggest me any particular brands for the kojic acid cream. From what I researched online, seems like there many brands having this cream in their product line along with few other ingredients like latic acid and hydroquinone included in it.

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
Kojic acid cream, twice daily for 2-3 weeks

Detailed Answer:
Hi.

There are a lot of brands available e.g Kojic cream (curatio pharma), clearz plus cream (dr. reddys labs) are few good product brands.
These are just a few examples and there may be different other brands that may be commonly prescribed by dermatologists in your region.
I suggest you to use these under supervision and consent of your treating doctor.

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