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HomeAnswersCosmetologybrown spotsI have a slowly spreading brown spot. Please advise.

How to treat painless brown growing spots on the skin?

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

Medically reviewed by

Dr. K. Shobana

Published At December 16, 2017
Reviewed AtMay 30, 2024

Patient's Query

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.

Answered by Dr. Shaunak Patel


Welcome to icliniq.com.

I have seen the images (attachment removed to protect patient identity). The triggers include sunlight or any 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 of them can exhibit similar features. In my opinion, you should get a skin biopsy to confirm the activity status of the problem and also the severity. We can then decide the best treatment based on the reports. I strongly recommend applying sunscreen and covering the area.

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

Dr. Shaunak Patel
Dr. Shaunak Patel


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