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How To Treat Red Splotches On Neck And Back Inspite Of Using Fluconazole And Hydrocortisone Cream?
Hi Doctor,I m African American and have been diagnosed with psoriasis and eczema of the skin on my trunk over the past 4 years. My dermatologist gave me hydrocortisone cream usp, 1% for the skin disorder, and it did help it when I used it. More recently, within the past year, I was getting red splotches on my neck at the sides and back. Initially they were red, but then darken to darker brown (darker than my skin). Another dermatologist recommended Luzu cream 1%, which initially seemed to help, but then more darker splotches occurred afterward. then, that dermatologist prescribed 2 Fluconazole 150mg tablets once a week. That, too, seemed to work, but then the splotches got worse. Even now the 1% Hydrocortisone cream tends to irritate the skin around my neck and turns it red like it was burnt. Another thing to know is that I only have one kidney (the other was removed 5 years ago). What should I do? Do I have a vitamin or mineral deficiency?
Wed, 30 Sep 2020
Hello,
Psoriasis is a skin condition that can make parts or all of your skin red, thick, and flaky. In people with dark skin tones, the psoriasis spots might look purple, dark brown, or dark gray. There are treatments that can relieve the symptoms of psoriasis. But the condition cannot be cured. Treatments for psoriasis come in creams and ointments, pills, or shots. There is also a form of light therapy called phototherapy that can help with psoriasis.
Treatments of psoriasis work by slowing the growth of skin, controlling the immune response that causes psoriasis, or both. Most people need to try different treatments or combinations of treatments before they figure out what works best. If you are not respond to topical medicine you need to talk to your doctor to change your management.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Heang Chan Raksmey, General & Family Physician
Psoriasis is a skin condition that can make parts or all of your skin red, thick, and flaky. In people with dark skin tones, the psoriasis spots might look purple, dark brown, or dark gray. There are treatments that can relieve the symptoms of psoriasis. But the condition cannot be cured. Treatments for psoriasis come in creams and ointments, pills, or shots. There is also a form of light therapy called phototherapy that can help with psoriasis.
Treatments of psoriasis work by slowing the growth of skin, controlling the immune response that causes psoriasis, or both. Most people need to try different treatments or combinations of treatments before they figure out what works best. If you are not respond to topical medicine you need to talk to your doctor to change your management.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Heang Chan Raksmey, General & Family Physician
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