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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Spots On Face And Chest ?

I've brown coloured spots on my face , back and chest , I am 68 years old .
These spots do not itch or ooze any liquid, they don't hurt either sometimes a crust kind of thing forms on one of them which gets rubbed off, but the spot remains. Email is " YYYY@YYYY .
Thank you
Fri, 25 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic.

I would keep a possibiltiy of Pityriasis versicolor, which is a superfial fungal infection of the skin over the shoulders, chest and some times face. Clinically it presents as brawny scaly patches with post inflammatory hypopigmentation.

Treatment is topical antifungals like 2% ketoconazole wash once daily for 5 days along with a single oral dose of an antifungal e.g fluconazole 400mg.

Even though the scaly patches resolve with treatment but they leave behind post inflammatory hypopigmentation, which is slow to resolve and the resolution can be hastened by sun exposure.

regards
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What Is The Treatment For Spots On Face And Chest ?

Hello and welcome to healthcaremagic. I would keep a possibiltiy of Pityriasis versicolor, which is a superfial fungal infection of the skin over the shoulders, chest and some times face. Clinically it presents as brawny scaly patches with post inflammatory hypopigmentation. Treatment is topical antifungals like 2% ketoconazole wash once daily for 5 days along with a single oral dose of an antifungal e.g fluconazole 400mg. Even though the scaly patches resolve with treatment but they leave behind post inflammatory hypopigmentation, which is slow to resolve and the resolution can be hastened by sun exposure. regards