I Have Brown Birth Mark Like Spots In My Pubic

Posted on Mon, 23 Sep 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 23 Sep 2019 Answered on

Last reviewed on

Question : I have brown birth mark like spots in my pubic area that won’t go away. They flake when they are dry. I went to the doctor and they gave me Nystatin and triamcinolone ointment but they won’t go away. What could this be?

Follow up: Dr. Dr. Kakkar (0 minute later)

I have brown birth mark like spots in my pubic area that won’t go away. They flake when they are dry. I went to the doctor and they gave me Nystatin and triamcinolone ointment but they won’t go away. What could this be?

Answered by Dr. Dr. Kakkar (16 minutes later)

Brief Answer:
Kindly upload images and provide information

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

I would keep a possibility of either Fungal infection or Eczematous dermatitis..I would like to ask you if you have any symptoms like itching?and how long since you have it?
I also request you to kindly upload images of the affected area in "Reports Section" so that I am able to have a look and guide you accordingly.

Hope I have answered your query. Let me know if you need any more assistance.

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Dr. Kakkar (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (16 minutes later)

i first noticed it in XXXXXXX and went to the doctor in august after jock itch cream didnt work. it use to itch alot but not since i been using the prescribed ointment. see pics of it flaked and not

Follow up: Dr. Dr. Kakkar (0 minute later)

i first noticed it in XXXXXXX and went to the doctor in august after jock itch cream didnt work. it use to itch alot but not since i been using the prescribed ointment. see pics of it flaked and not

Answered by Dr. Dr. Kakkar (13 hours later)

Brief Answer:
Oral and topical antifungal

Detailed Answer:
Hi.
It seems it could be fungal in origin but since you are already using a topical steroid cream i.e triamcinolone acetonide cream therefore it looks modified. Therefore I advice you to stop triamcinolone acetonide because although it would suppress the symptoms it won't cure the infection. I would rather suggest you to take an oral antifungal e.g either itraconazole or terbinafine for 3-4 weeks along with application of a topical antifungal e.g either luliconazole or amorolfine cream, twice daily for 3-4 weeks. In addition you may take an oral antihistamine e.g cetirizine 10mg tablet once a day for symptomatic relief from itching.
Take care.

Above answer was peer-reviewed by : Dr. Nagamani Ng