What It Can Be I Have Black Spot On My Scalp For Last 8 Years?

Posted on Mon, 2 Nov 2020

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

Mon, 2 Nov 2020 Answered on

Fri, 23 May 2025 Last reviewed on

Question : I have 2 conncerns:
1) I have black spot on my scalp for last 8 years and doctor advised me to go for Biopsy of the affected spot.Biposy report shows the result as "Psoriasiform dermatitis" .Doctor advised me "Ultitar CS lotion" & "Protar K shampoo".I dont want to trim or shave my head to apply "Ultitar CS lotion" Could you please suggest me some tablet to replace lotion?
2)I have white patches on my lips for last 6 years and doctor advised me to apply Tacroz 0.1% and MHG lotion on lips and take Patchex tablet once daily.I want to know some Lips Vitiliogo concealer to hide my lips patches.

Could you please advise me ?

Thanks

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
regarding scalp dermatitis and white patches on lips

Detailed Answer:
Hello,

You seem to have either Scalp Lichen Planus or Psoriasis. It is best managed with Coal tar and salicylic acid based shampoo along with topical steroid + salicylic acid based lotions as you have been using. Oral treatment is not recommended for such a limited body surface area involvement.
As far as white patches on lips is concerned. They seem like to be those of vitiligo. The treatment that you have been using is fine. I suggest you to continue. You may try and find Dermacolor for color matching and camouflage.

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

Above answer was peer-reviewed by : Dr. Yogesh D