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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does My White Spots Relate To Sun Burn?

Hi, I have white spots around my neck and they itch really bad... its like my scraping my skin off with my nails. it did show up like that at first it was like i had a sun burn. Do u think i have sun poisioning and how is that cause i m mixed black and white?
Mon, 27 Oct 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

I would keep a possibility of Pityriasis Versicolor, which presents as scaly brown colored patches on the shoulder, neck and trunk.
The patches may leave behind post-inflammatory hypopigmentation, which is the result of azaleic acid, a skin lightening agent, synthesized by yeast.
The etiology of P. versicolor is a yeast, "Malassezia Furfur" which is a part of the normal commensal flora of skin.
If I was the treating doctor I would have asked you to us a topical antifungal cream e.g Ketoconazole 2% cream, twice daily over the patches.
A single dose of an oral antifungal e.g Fluconazole 400 mg is also curative.

These are prescription drugs, therefore I would suggest that you visit a dermatologist in your region for confirmatory diagnosis as well as a prescription of these.

Hypopigmentation may persist for a few more days after the infection is treated.

Sun exposure for 10 - 15 minutes daily, may prove beneficial in bringing the color back.

Regards
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Does My White Spots Relate To Sun Burn?

Hello. Thanks for writing to us at healthcaremagic I would keep a possibility of Pityriasis Versicolor, which presents as scaly brown colored patches on the shoulder, neck and trunk. The patches may leave behind post-inflammatory hypopigmentation, which is the result of azaleic acid, a skin lightening agent, synthesized by yeast. The etiology of P. versicolor is a yeast, Malassezia Furfur which is a part of the normal commensal flora of skin. If I was the treating doctor I would have asked you to us a topical antifungal cream e.g Ketoconazole 2% cream, twice daily over the patches. A single dose of an oral antifungal e.g Fluconazole 400 mg is also curative. These are prescription drugs, therefore I would suggest that you visit a dermatologist in your region for confirmatory diagnosis as well as a prescription of these. Hypopigmentation may persist for a few more days after the infection is treated. Sun exposure for 10 - 15 minutes daily, may prove beneficial in bringing the color back. Regards