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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Of Spots On Chest And Around Neck?

Brown Spots
hey my name is abhishek. I'm looking for advice on skin diseases. I have some spots on my chest and around my neck. I don't actually feel any itching in them. I want to get rid of them and looking for the solution. please help ...
Fri, 27 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of pityriasis versicolor. Clinically it presents as light colored patches with fine, brawny scaling and post-inflammatory hypopigmentation.

Pityriasis versicolor is a superficial fungal infection caused by Malassezia Furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus.

A single oral dose of an oral antifungal e.g fluconazole 400 mg is curative OR Itraconazole 200 mg once daily for a week, is an alternative.

If i were your treating dermatologist, i would have also asked you to apply 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days.

Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for 5-10 minutes

Repeated recurrences are common and the patches may seem to persist for ever, with new patches appearing while older one resolve.

Those who have repeated recurrences should use a prophylactic 3 days therapy with topical antifungals, every month i.e 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days.

Regards
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How To Get Rid Of Spots On Chest And Around Neck?

Hello and welcome to healthcaremagic I would keep a possibility of pityriasis versicolor. Clinically it presents as light colored patches with fine, brawny scaling and post-inflammatory hypopigmentation. Pityriasis versicolor is a superficial fungal infection caused by Malassezia Furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus. A single oral dose of an oral antifungal e.g fluconazole 400 mg is curative OR Itraconazole 200 mg once daily for a week, is an alternative. If i were your treating dermatologist, i would have also asked you to apply 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for 5-10 minutes Repeated recurrences are common and the patches may seem to persist for ever, with new patches appearing while older one resolve. Those who have repeated recurrences should use a prophylactic 3 days therapy with topical antifungals, every month i.e 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. Regards