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What Do These Images For Hyperpigmented Lesions On Thighs Indicate?

Posted on Mon, 14 Sep 2015

Question: Hi there-

Per your instructions here are the photos. Please get back to me on if these are cafe au lait spots ASAP as I am sick with worry!

Thanks.

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
One or 2 Cafe au lait macules are quite common in healthy poulation

Detailed Answer:
Hi. I have reviewed the Images.

Image1.png is Cafe au lait macule. The other Image is not cafe au lait macule.

Regards

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

Follow up: Dr. Dr. Kakkar (10 minutes later)

I don't know which is image 1 and which is image 2...could you please specify by body part

Answered by Dr. Dr. Kakkar (24 minutes later)

Brief Answer:
The spot on leg/ thigh is Cafe au lait macule.

Detailed Answer:
Hi.

The one on leg/ lower part of thigh, is cafe au lait macule. It is sharply defined and is irregularly triangular in shape.
The other probably is image of back with a blue fabric visible in its upper right corner. The spot in this image is not cafe au lait macule.

Regards

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

Follow up: Dr. Dr. Kakkar (10 minutes later)

Thanks. Any idea what it could be if not a cal spot? It's not a bruise as it has been present for years.

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

Brief Answer:
Use a topical steroid cream for pigmentation on back

Detailed Answer:
Hi.

Seems non specific type of pigmentation, probably secondary to irritation and scratching Or secondary to fungal infection but certainly not due to CALM.
You may use a moderately potent topcal steroid e.g triamcinolone acetonide 0.1% cream twice daily. It should fade away with this.

Regards

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