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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurring Brown Spots On The Foot

I have a cluster (about 1x2cm) of very tiny brownish-tan spots on the bottom of my foot. They can be easily scrapped off especially when wet but comes back and spreads a few days after I do(not to other parts of the skin, just gets bigger). I ve had it for about 2-3 years or so. It doesn t itch or bleed or anything and really only spreads if scratched. I m planning on going to get it looked at soon but thought I d ask before hand. 23y/o female. Any ideas or treatments to try before spending more money than I have at the doctors?
Tue, 20 Jun 2023
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General & Family Physician 's  Response
Hi,

Here are some potential causes and treatments for recurring brown spots on the foot:

* Hyperpigmentation: Brown spots on the foot can be caused by hyperpigmentation, which is an overproduction of melanin. Treatment options for hyperpigmentation may include:
- Topical creams: Prescription creams containing hydroquinone, retinoids, corticosteroids, or other lightening agents may be recommended to reduce the appearance of brown spots.
- Chemical peels: A chemical solution is applied to the skin to exfoliate it and lighten the affected areas of the skin.
- Laser therapy: Certain laser treatments can target and reduce pigmentation irregularities on the skin.

* Fungal Infection: Fungal infections, such as tinea versicolor, can cause brown spots on the foot. Treatment options may include:
- Antifungal creams or ointments: Over-the-counter or prescription antifungal medications can be used topically to treat fungal infections.
- Oral antifungal medications: In more severe cases or if the infection is widespread, oral antifungal medications may be prescribed.

* Lentigines: Lentigines are flat, brown spots caused by sun exposure. Treatment options may include:
- Sunscreen: Regularly applying sunscreen with a high SPF to the feet can help prevent further darkening of the spots.
- Topical creams: Prescription creams containing hydroquinone or retinoids may be recommended to lighten the spots.
- Cryotherapy: Freezing the spots with liquid nitrogen can help lighten or remove lentigines.

* Other Causes: Other potential causes of brown spots on the foot, such as moles or birthmarks, may require specific treatments or monitoring by a healthcare professional.

Consult a dermatologist for accurate diagnosis and treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammad Umer Farooq, General & Family Physician
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Suggest Treatment For Recurring Brown Spots On The Foot

Hi, Here are some potential causes and treatments for recurring brown spots on the foot: * Hyperpigmentation: Brown spots on the foot can be caused by hyperpigmentation, which is an overproduction of melanin. Treatment options for hyperpigmentation may include: - Topical creams: Prescription creams containing hydroquinone, retinoids, corticosteroids, or other lightening agents may be recommended to reduce the appearance of brown spots. - Chemical peels: A chemical solution is applied to the skin to exfoliate it and lighten the affected areas of the skin. - Laser therapy: Certain laser treatments can target and reduce pigmentation irregularities on the skin. * Fungal Infection: Fungal infections, such as tinea versicolor, can cause brown spots on the foot. Treatment options may include: - Antifungal creams or ointments: Over-the-counter or prescription antifungal medications can be used topically to treat fungal infections. - Oral antifungal medications: In more severe cases or if the infection is widespread, oral antifungal medications may be prescribed. * Lentigines: Lentigines are flat, brown spots caused by sun exposure. Treatment options may include: - Sunscreen: Regularly applying sunscreen with a high SPF to the feet can help prevent further darkening of the spots. - Topical creams: Prescription creams containing hydroquinone or retinoids may be recommended to lighten the spots. - Cryotherapy: Freezing the spots with liquid nitrogen can help lighten or remove lentigines. * Other Causes: Other potential causes of brown spots on the foot, such as moles or birthmarks, may require specific treatments or monitoring by a healthcare professional. Consult a dermatologist for accurate diagnosis and treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Umer Farooq, General & Family Physician