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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dark Patches Spreading On Shoulder. Applying Betnovate. Suggestions?

4 Years back I had one small dark patch developed on my shoulder .. when I asked doctor about it he gave me betnovate n ... patch went away ..then after 3 month it reappeared with its occurrence at more places. Now when I apply betnovate N they fade and after 1 week they reappear and are spreading they are now covering 25% of my back ... what to do
posted on Sat, 6 Apr 2013
Twitter Tue, 9 Apr 2013 Answered on
Twitter Wed, 10 Apr 2013 Last reviewed on
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Dermatologist,  's  Response
hi,
You have developed dark patches over your back....this can be a presentation of Macular amyloidosis...
Macular amyloidosis is a cutaneous condition characterized by itchy, brown, rippled macules usually located on the interscapular region of the back and then involving the whole of back..
This condition can be associated with some degree of itching...but any kind of itching or massaging the lesions can increase the lesions...so one has to abstain from rubbing the area. topical steroid like betnovate can temporarily improve the appearance of the lesions but these usually tent to reappear once the steroid application is stopped....
Although very satisfactory treatment options are not available, but some amount of relief in itching and cosmetic improvement can be achieved with the various modalities available like
Topical steroids can be combined with salicylic acid,Topical Tacrolimus,Topical calcipotriol,Topical retinoic acid derivatives or even oral drugs and chemical peels in some cases...So i would advice you to see a skin specialist for confirmation of the diagnosis and proper managment..
Hope it helps
Dr Geetika Paul
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Dark Patches Spreading On Shoulder. Applying Betnovate. Suggestions?

hi, You have developed dark patches over your back....this can be a presentation of Macular amyloidosis... Macular amyloidosis is a cutaneous condition characterized by itchy, brown, rippled macules usually located on the interscapular region of the back and then involving the whole of back.. This condition can be associated with some degree of itching...but any kind of itching or massaging the lesions can increase the lesions...so one has to abstain from rubbing the area. topical steroid like betnovate can temporarily improve the appearance of the lesions but these usually tent to reappear once the steroid application is stopped.... Although very satisfactory treatment options are not available, but some amount of relief in itching and cosmetic improvement can be achieved with the various modalities available like Topical steroids can be combined with salicylic acid,Topical Tacrolimus,Topical calcipotriol,Topical retinoic acid derivatives or even oral drugs and chemical peels in some cases...So i would advice you to see a skin specialist for confirmation of the diagnosis and proper managment.. Hope it helps Dr Geetika Paul