How to differentiate skin pigmentation from melasma or melanoma?

Hi,

Welcome to icliniq.com.

I went through your query and understood your concern.

Kindly answer the questions for details:

1. Is the pigmented part itching?

2. Does it resemble a ring-like lesion?

3. Is it an edematous inflammatory lesion?

4. Do you have any history of atopy or allergies?

5. Did you have recurrent episodes?

6. Did you have fever or hives?

7. Do you have a history of drug allergies?

8. Do you have an insect bite history?

Also, kindly attach a clear zoomed image of the lesion.

I hope this helps.

Kindly follow up with the answers.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

It looks like steroid-induced hyperpigmentation (attachment removed to protect the patient's identity). I suggest you to follow the instructions mentioned below,

1. Apply 10 percent Aziderm cream (Azelaic acid) during the daytime for 20 days.

2. Apply Kojic cream (Kojic acid, Lactokine Fluid, and Axeloglicina) at night for 20 days.

3. Use Kojic soap (Kojic acid, Arbutin, vitamin E) for a bath for one month.

4. Avoid scratching and rubbing of lesions.

5. Take the tablet Teczine-M (Levocetirizine and Montelukast) once at night after food for seven days (if there is itching).

6. Moisturize skin daily with Venusia max cream (Aloe butter and Shea butter) immediately after bath for one month. Moisturize your skin frequently.

7. Drink seven to eight glasses of water daily.

8. Use a photostable sunscreen 20 minutes before going outdoors. Avoid exposure to direct sunlight.

9. Stop using the steroid cream.

10. Take the tablet Limcee (Ascorbic acid, Sodium ascorbate, and Zinc citrate) 500 mg once a day after breakfast for 30 days.

11. Take the tablet Antoxid HC (nutritional supplement) once daily after dinner for 30 days.

12. Avoid exposure to dust, pollutants, pollens, and animal dander.

13. Avoid known triggering factors.

Consult a specialist, talk with them and take the medications with their consent.

Also, I have a few questions,

1. Is it inflamed at present?

2. Is there any redness?

I hope this helps.

Kindly follow up with the answers.

Thanks and regards.

Hi,

Welcome back to icliniq.com.

I suggest you to apply low-potency steroids like Hydrocortisone cream or Desonide cream at night for ten days. I suggest you to take the tablet Omnacortil (Prednisolone) 10 mg once a day after food for three days (if there is swelling). Kindly consult a specialist, talk with them and take the medication with their consent.

I hope this helps.

Thanks and regards.