Suggest Treatment For Strange Spots On The Face And Shoulders

Posted on Thu, 22 Sep 2016

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

Thu, 22 Sep 2016 Answered on

Wed, 12 Oct 2016 Last reviewed on

Question : Hello, i am finding strange spots on my face and shoulders. I am not sure if its an allergic reaction, a rash or depigmentation.

Thanks,
XXXX

Answered by Dr. Asmeet Kaur Sawhney (24 minutes later)

Brief Answer:
Answer few questions

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I am Dr Asmeet Kaur Sawhney, a dermatologist.
I have reviewed the attached photographs and need to ask you few questions:
Are these spots associated with itching, burning or any other symptoms?
Were these spots red prior to changing colour to white?
Is their surface smooth or showing dryness or scaling?
Is their any history of exposure to sun?
What is the duration of these spots?
Are these stationary or spreading?
Kindly revert with the answers.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (1 hour later)

Hi,

These spots were both white before the one on my face changed to red. They are dry skin and do have a different texture than the rest of my skin. They are a little itchy but not too bad. I do have a history of sun exposure in both of these places. I have had them for about 2 weeks. They appear to be stationary.

Answered by Dr. Asmeet Kaur Sawhney (19 minutes later)

Brief Answer:
Photosensitive rash, cortisone cream, sunscreen & antihistaminic tablet

Detailed Answer:
Hi

According to your complaints and looking at the pictures you seem to have developed a photosensitive rash due to sun exposure.
If I was your treating doctor I would recommend you to apply topical steroid like cortisone cream on these spots twice daily along with application of a broad spectrum sunscreen on the entire face and neck at intervals of 3-4 hours during the day time for 10-14 days.
For itching I recommend my patients to take antihistaminic like tablet Cetrizine 10 mg once daily at bedtime.
Besides this avoid direct sunlight and make use of umbrella, sunglasses and scarf whenever out in the sun.

Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (9 minutes later)

Okay i am also noticing a third spot on my fave by my ear that also looks depigmentated. Thank you so much i will ask for a cream.

Answered by Dr. Asmeet Kaur Sawhney (4 minutes later)

Brief Answer:
Welcome!!

Detailed Answer:
Ok... Start with the cream and revert.
All the best.

Above answer was peer-reviewed by : Dr. Vaishalee Punj