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Doctor insights on: Hypopigmented Skin Macules

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My son (5 months) was born with a hypopigmented macule on his chest he only has one but how do I know if it's nevus depigmentosus or ts?

My son (5 months) was born with a hypopigmented macule on his chest he only has one but how do I know if it's nevus depigmentosus or ts?

Be sure the pediatri: Might be a depigmented nevus: no concern. If an ash leaf lesion it could be the first sign of tuberous sclerosis. Be sure your pediatrician reviews what to look for. The tuberous sclerosis society can supply you with literature which you can share with your dr. If there are suspicians, take the baby to an academic center known to be doing studies on this. Most drs have no experience or knowledge o. ...Read more

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Guttate hypomelanotic macules, what is this?

Guttate hypomelanotic macules, what is this?

Ideas: This is often an age-related change on the shins and forearms of middle aged folks. It's not really treatable and not dangerous. If it comes and goes, rule out tines versicolor. If it keeps popping up in new places, consider vitiligo. ...Read more

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Can an oral melanotic macule start off with some texture to it, meaning feeling a slightly rough? Or can a freckle start off this way? Thank you

Can an oral melanotic macule start off with some texture to it, meaning feeling a slightly rough? Or can a freckle start off this way? Thank you

Warning signs: of a pigmented lesion all fit with growth. so, if it is growing upward, outward, changes in color these are all worrisome signs. Pigmented wart http://www.patient.co.uk/doctor/seborrhoeic-wart is not malignant but I'm glad I don't have one. dermatologic questions are tricky w./out seeing them. ...Read more

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Small hyperpigmented macules on back - very superficial in appearance - came on suddenly 8 years ago and never went away. They're just on back and very small areas on chest.

Small hyperpigmented macules on back - very superficial in appearance - came on suddenly 8 years ago and never went away. They're just on back and very small areas on chest.

This : This is difficult to tell without a clinical examination, but could be lentigos, sun damage or possibly seborrheic keratoses, and other possiblities. See a picture of seborrheic keratoses at the link below. I hope that helps a little! ...Read more

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What is the basic difference between papule , macule and crops . send me some clinically relevant pics ?

What is the basic difference between papule , macule and crops . send me some clinically relevant pics ?

How raised is it: A macule is flat. Can't feel it with your eyes closed. A papule is raised and can be felt. A vesicle is a papule that has fluid in it - like a tear drop. It may also have pus in it- yellowish - then it's called a pustule. All these lesions are smaller than 5 mm in greatest dimension. Please google for images. ...Read more

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Is micro needling combined with sun exposure effective for treating hypopigmented scars?

Is micro needling combined with sun exposure effective for treating hypopigmented scars?

Micro needling: "is micro needling combined with sun exposure effective for treating hypopigmented scars?" micro needling is a new procedure that is supposed to stimulate collagen growth in treated areas and probably won't help for hypopigmented spots. Sun exposure has been a common treatment for that for years though and may help you. ...Read more

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Does skinoren get rid of macules on the face (red marks) ?

Does skinoren get rid of macules on the face (red marks) ?

No: Skinoren (azelaic acid) will help with acne, but if your spots are not due to acne, it won't help. If your spots are recent, it may be due to a new product you are using on your face and you should stop it and see if the spots disappear. If they don't, get seen to find out what's causing them. ...Read more

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Hi I am on a 300mg of diflucan (fluconazole) 1xper week for 4 weeks regimen for tinea versicolor how do I know if its cured I have the hypopigmented lesions ?

Hi I am on a 300mg of diflucan (fluconazole) 1xper week for 4 weeks regimen for tinea versicolor how do I know if its cured I have the hypopigmented  lesions  ?

Tinea Versicolor: Tinea versicolor is relatively common. It is caused by the fungus pityrosporum ovale, a type of yeast that is normally found on human skin. It only causes problems under certain circumstances. This condition can only be controlled but not cured. 4 weeks of Diflucan (fluconazole) is enough to control your current outbreak. ...Read more

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How can I get rid of red acne marks , macules that are becoming dark spots ?

How can I get rid of red acne marks , macules that are becoming dark spots ?

Let them fade: I do see that you are being treated for seborrhea with ketoconazole, and also for acne Clindamycin monotherapy. It's a serious mistake to treat acne just with an antibiotic without topical benzoyl peroxide or some similar medication. Better management of your active acne will make the question of red and dark spots after acne moot. Good luck. ...Read more

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I used advantan(methylprednisolone aceponate)on face and now my face has a hypopigmented area that is paller than the hole face.What can I do to resolve it?

I used advantan(methylprednisolone aceponate)on face and now my face has a hypopigmented area that is paller than the hole face.What can I do to resolve it?

Go to Dermatologist: Hypopigmentation as well as hyperpigmentation are listed as adverse side effects along with acne, allergic dermatitis, alopecia, dry scaly skin, ecchymoses, edema, erythema, hirsutism, hypertrichosis, impaired wound healing, petechiae, rash, skin atrophy, sterile abscess, skin test reaction impaired, striae, urticaris. A serious medication that needs medical supervision. ...Read more

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I just finished a diflucan (fluconazole) regimen for tinea versicolor how do I know if there still is an infection or not in the hypopigmented lesions ?

I just finished a diflucan (fluconazole) regimen  for tinea versicolor how do I know if there still is an infection or not in the hypopigmented  lesions ?

Tinea Versicolor: Your doctor can diagnose tinea versicolor by what the rash looks like. Occasionally, the doctor may use ultraviolet light, which will make the affected areas appear a fluorescent yellow-green if they're the result of tinea versicolor. Your doctor may also take a skin sample by scraping some skin and scales from the affected area to look at under a microscope. ...Read more

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Can I use a derma roller on my lip to improve the color of a hypopigmented scar?

Can I use a derma roller on my lip to improve the color of a hypopigmented scar?

Not recommended: I don't recommend the device for lips without any medical supervision. Please, consult with your dermatologist for options. Sorry for the scar but the device can make the scar look worse depending on the cases. ...Read more

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Can I exfoliate a hypopigmented scar on my lip until it scabs over? Will it heal darker?

Can I exfoliate a hypopigmented scar on my lip until it scabs over? Will it heal darker?

Scar: In order for a hypopigmented scar to repigment, melanocytes will need to migrate from the adjacent normal epidermis or the hair follicles. If exfoliation is performed to the depth where it causes scabbing, one has the potential to have textural changes and possibly scarring. It would be best to visit a Dermatologist and see if tacrolimus or pimecrolimus and/or Narrow band uvb would be appropriate. ...Read more