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Dark skin after treating fungal infection with STEROID.

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Hi, I had a fungal infection that was treated by a steroid cream my dermatologist prescribed me. However, after the scab falls off, there is still dark skin left. I was prescribed bleaching cream but it has been 3 weeks now and did not get any better.I have attached some photos. The first one was the fungal infection I had a month ago. The second one is the leftover scars and the third is the cream I am currently using. In addition, I am having three blister after the scab falls off on my other arm. Is this normal and how can I treat this. Thank you!

Category: Dermatologist

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Category: Cosmetic and Plastic Surgeon
 21 Doctors Online

Hello,

Thanks for posting your query at DoctorSpring.com
I can understand your concern.

Fungal infection is never treated with steroid creams . They are treated with anti fungal creams and there is no scabbing involved. The dark spots take time to clear. They slowly clear on their own in 3 to 6 months.

The blisters you had seem to be a viral infection or contact dermatitis. You can send me a picture of the blisters on the other arm that is present now.

For those marks that have been left behind you can use glycolic acid 6% cream once at night. However it may take a while to clear them up. You can stop the hydroquinone cream.

Please let me know if you have any queries.
Take care


Patient replied :

Hi, does fungal infection result in dark spot? Also my blister on my arm is kind of getting worse and the dark spot has been there for about 2 months already and did not get any better. I have attached some pictures below of all my symptons I am having. The pictures I have sent through email because I can not upload it on the web page. I also have some symptons on my nipples I am not sure what it is but its dry and itchy much like the fungal infection I had Thank you!


Hello

Thanks for your reply and the pictures.

I am keeping a possible diagnosis of pityriasis rosea in mind. It's supposed to be a viral infection which resolves on its own in 6 to 8 weeks.

However i would like to know if you are taking any medications for any other illness?

Is there a personal or family history of malignancy?

These questions are just to make sure of the diagnosis.

Fungal infection can leave behind dark spots.


Thanks


Patient replied :

I am not taking any medication. However, as the bumps are getting worse on my arm (pictures sent through email) I was recommanded by a pharmicist to use hydrocortisone cream usp 0.5%. I have sent some updated through emails.
What kind of cream should I be using if I want it to resolve faster?
Thanks!


Hello

Thanks for your reply.

For lightening of the dark spots i would recommend application of vitamin c serum twice daily.

For the lesions where there are still blisters I would recommend application of mometasone cream mixed with lamisil cream. Mometasone cream will require your doctor's prescription. Till you get the prescription you can continue application of hydrocortisone cream mixed with lamisil cream.

It does look like fungal infection in these pictures.

Take care


Patient replied :

Hi, I have been taking a prescription from a derm with peeling cream, steroid and hydroquine. However, the dark spot seems to get worse as the area becomes bigger and darker. I have been using it for a month. Shall I stop?
Thank you!


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Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
Dr. Kruti Jobanputra Banodkar and 4 other Medical Specialists are ready to help you

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