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How are black spots on both legs managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My father has been experiencing a skin problem on both legs for about three years. Irregularly shaped black spots have appeared on both legs. These spots are hard, and my father always used to itch them. Can you guide me on this? I can send you an image as well.

Thank you.

Hello,

Welcome to icliniq.com.

I do understand your concern.

It appears to be eczematous dermatosis. Kindly answer the following questions:

  1. Since when did it appear?
  2. Is he a diabetic?
  3. Was there excess scratching and rubbing of lesions?
  4. Are the lesions spreading?
  5. Is there any history of atrophy or allergies?
  6. Is he on certain medications?

Do reply for better guidance.

Thank you.

Regards.

Patient's Query

Hello doctor,

Thank you for your response.

The answers to your questions are:

It appeared around four years back.

  1. He is not diabetic.
  2. Itching was done.
  3. It is only appearing under the knee portion.
  4. He has allergies.
  5. Currently, he is under no medication, but previously, he used to take Levocetirizine and some medicated soap.

Kindly suggest some treatment and tell me if it is very dangerous. I am very tense and concerned about his health. Please tell me if it is curable.

Thank you.

Hello,

Welcome back to icliniq.com.

It appears to be chronic eczematous dermatosis. I would suggest you follow the below steps:

  1. Apply liquid paraffin lotion in the daytime for 20 days.
  2. Apply Physiogel hypoallergic lotion (natural lipids) or Olesoft cream (liquid paraffin and white soft paraffin) twice daily for 20 days.
  3. Tablet Lim-o (vitamin C and zinc) once daily after dinner for 30 days.
  4. Apply FM derma ointment (Fluticasone propionate and Mupirocin) at night for 10 days.
  5. Use Cetrimide (Alkyltrimethylammonium bromide) soap for bathing for two months.
  6. Do not scratch or rub the lesions.
  7. Avoid exposure to extreme weather conditions.
  8. Avoid contact with woolen or synthetic wear.
  9. Wear loose, comfortable, thin, and cotton clothes.
  10. Avoid exposure to dust, pollen, and allergens.

I hope this helps you.

Thank you.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

One more thing I need to be assured of from you is that, is it curable. Please reply.

Thank you.

Hello,

Welcome back to icliniq.com.

No need to worry. It is Lichen simplex chronicus (chronic eczematous dermatosis). It is not contagious. Just take the above-mentioned medications. It can be controlled but its recurrence can occur. Avoid stress and make yourself stress-free.

Thank you.

Regards.

Medically reviewed byDr. Preetha. J

Published At June 9, 2024
Reviewed AtJune 11, 2024

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