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What Causes Dark Blotches On Lips In A Hypothyroid Patient?

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Posted on Fri, 11 Mar 2016
Twitter Fri, 11 Mar 2016 Answered on
Twitter Fri, 20 May 2016 Last reviewed on
Question : Hello,
Within a span of 2 days I observe dark blotches on my upper & lower lips. Please let me know what might have caused them & how I can get rid of them?
I regularly use a good quality lip balm & lipstick.
I have PCOS & hypothyroidism.
Let me know if you need any other information.

Regards,
XXXX
doctor
Answered by Dr. Dr. Kakkar (50 minutes later)
Brief Answer:
possibility of fixed drug eruption

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatologist).

It could be a drug eruption e.g a Fixed Drug Eruption, which commonly happens to antibiotics, painkillers, drugs for diarrhea etc.
Did you take any new medication prior to its onset?
Can you upload an image? You can upload in Reports section.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (59 minutes later)
Thanks for your reply.

I did not use any pain killers or antibiotics nor did I try any new product. Images have been attached. Though the black blotches are not very clear in the pics, in reality they are very clear.

On a regular basis I use Eltroxin 100 mcg and homeo medicines for PCOS.

Regards
XXXX
doctor
Answered by Dr. Dr. Kakkar (3 hours later)
Brief Answer:
Oral Lichen planus; Topical mometasone furoate cream

Detailed Answer:
Hi. Thank you. I have reviewed the Images

I rule out my earlier diagnosis of FDE.
I would keep a possibility of Oral lichen planus. You may use a topical steroid cream e.g mometasone furoate 0.1% cream (Elocon cream), twice daily for a period of 2-3 weeks.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (6 days later)
Thank you! Steroid cremes' do not suit me. Could you please suggest alternative treatment.

Regards,
XXXX
doctor
Answered by Dr. Dr. Kakkar (14 hours later)
Brief Answer:
Try a kojic acid based cream

Detailed Answer:
Hi.

You may use golite cream, twice daily. It contains kojic acid and is a steroid free cream. However a steroid based cream would work much faster. You may use a steroid based cream for 2 weeks and then switch to golite cream.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9599 Questions

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What Causes Dark Blotches On Lips In A Hypothyroid Patient?

Brief Answer: possibility of fixed drug eruption Detailed Answer: Hello. Thank you for writing to us I am dr.kakkar(dermatologist). It could be a drug eruption e.g a Fixed Drug Eruption, which commonly happens to antibiotics, painkillers, drugs for diarrhea etc. Did you take any new medication prior to its onset? Can you upload an image? You can upload in Reports section. Regards