HomeAnswersDermatologycontact dermatitisWhat is the treatment for long term itchy dry white patches on palm, neck and arms?

I have itchy dry white patches on the palm, neck and arms for a long time. How to cure it?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At December 20, 2019
Reviewed AtDecember 13, 2023

Patient's Query

Hello doctor,

Some white rashes or patches have grown up on the upper portion of the palm, behind, and the left side of the neck and arms. They itch when they become dry. I applied Candid B for a few weeks but could not get rid of it. It has been quite a long time with this.

Hello,

Welcome to icliniq.com.

Thank you for the query. The photos are not clear. (attachment removed to protect patient identity).

It shows a lichenified lesion on the dorsum of the foot and hypopigmented lesions on dorsum of hand, neck and in other site lesions are not shown. Duration, presence of allergies, occupation, etc., is not clear in your query.

It may be due to allergic contact dermatitis going for lichenification and hypopigmentation. Try with steroid creams like Flutivate (Fluticasone) cream. Take antioxidant capsules like Oxidon or Oxivit, and Cetirizine when itching. Avoid allergens and rubbing friction. Consult a dermatologist if it does not respond. Else get back with photos of all lesions and details.

Patient's Query

Thank you doctor,

Please find the detailed photographs.

Hello,

Welcome back to icliniq.com.

I have gone through the photos of all the lesions. (attachment removed to protect patient identity).

It appears like an eczematous condition (can be due to allergy or contact). It is going for lichen simplex in the dorsum of the foot due to repeated scratching or itching. So please avoid all allergens or suspected contact chemicals or substances. Even dry skin can exacerbate this. So please apply topical steroid creams like Diprovate-MF cream (Diprovate cream) in the night. Apply a thin film of cream. If it is severe you can apply in the morning also. Take antihistamine like Cetirizine in the morning and Atarax (Hydroxyzine) 25 mg in the night. They help in relieving itching. Take Griseofulvin tablets 375 mg orally for two to four weeks. Do not scratch or rub the lesions it will get thickened and further exacerbate lesion. You can get back for any clarification.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra

Dermatology

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