How can I stop 20-year-old brown spots from spreading?

Question

Hello doctor,

I have had these brown spots for the last 20 years. It grew from a small spot to this big in all these years, and it is still spreading slowly. It does not itch, nor does it pain, but when I get out in the sun, I feel a burning sensation all over the area. I once used Skinlite cream, and the spots were visibly lightened, but they reappeared.

I want to know what medication I should take and what precautions to take so that it does not spread any more. Is there any way I can get rid of these spots? I have attached the pictures.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern, and I have seen the images (attachment removed to protect patient identity).

The triggers include sunlight or harsh irritant chemicals. Skinlite has Hydroquinone, which is more than sufficient to mask any pigmentation but not cure it completely. From the symptoms, I strongly feel it is lichen planus pigmentosus or ashy dermatosis of Ramirez. Both can exhibit similar features.

In my opinion, you should get a skin biopsy to confirm the problem's activity status and severity. Based on the reports, we can then decide on the best treatment. I strongly recommend applying sunscreen and covering the area.

I hope this has helped you.

Please feel free to contact me again if you have any further queries.

Thank you.