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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have A Red Area Under The Arm, Chests, Neck. No Hurting, Itching. Get Darker. Have Poor Health, Soreness. Treatment?

About 4 years ago I started to get a small red area under the skin on my upper arm. Over time it grew to a quarter size spot and now I have several more on my upper arms, a couple on my upper chests and one is now appearing on my neck. They do not hurt, itch, or bother me in any way. They also get darker when I take a bath or get hot. I have also experienced poor health in these years, with periods of fatigue, no energy, slowed mental capabilities, weakness in extremities, general soreness (even to the touch) over the entire body. Do you have any idea what could be the cause?

Mon, 27 May 2013
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Dermatologist,  's  Response
Hi

Thanks for your query

From the description of the skin lesions that you have developed, i suspect that you have developed lesions of Fixed drug eruption.

Now this is a type of skin reaction to the intake of certain drugs especially nitroimidazoles , pain killers and diuretics although there is a long list of drugs which can cause such a reaction over skin.
The lesions are round or oval.
Initially the lesions are reddish and with time ,they turn darker and become blackish or brownish in color.
Firstly, it is important to find out the cause.
So try to see if you have any history of intake of the above drugs or other common causes of FDE.
Next you need to apply a topical lightening agent like kojic acid over the affected area atleast twice a day .
You can use it for for months together till the time the pigmentation subsides.

Hope it helps

Dr Geetika Paul
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Have A Red Area Under The Arm, Chests, Neck. No Hurting, Itching. Get Darker. Have Poor Health, Soreness. Treatment?

Hi Thanks for your query From the description of the skin lesions that you have developed, i suspect that you have developed lesions of Fixed drug eruption. Now this is a type of skin reaction to the intake of certain drugs especially nitroimidazoles , pain killers and diuretics although there is a long list of drugs which can cause such a reaction over skin. The lesions are round or oval. Initially the lesions are reddish and with time ,they turn darker and become blackish or brownish in color. Firstly, it is important to find out the cause. So try to see if you have any history of intake of the above drugs or other common causes of FDE. Next you need to apply a topical lightening agent like kojic acid over the affected area atleast twice a day . You can use it for for months together till the time the pigmentation subsides. Hope it helps Dr Geetika Paul