Q. What could cause dry and flaky dark patches on the skin?

Answered by
Dr. V. Srikanth Reddy
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 03, 2022 and last reviewed on: Sep 26, 2022

Hello doctor,

I have mild eczema and PCOS. I have dark patches under my arms, breasts, stomach, and behind my neck. I also have lighter patches on my stomach and back. I have used antifungal creams to get rid of the dark patches, but it works only once. Right now, I am consuming less dairy and trying to manage my PCOS; however, my skin is only getting worse. I rarely have eczema flareups unless my skin is extremely dry or when I overeat dairy. For my eczema, I am using e45 lotion; however, it is not helping. I have used shea butter to moisturize my skin; however, it works only during the warm climate. Previously I have used Ketazole cream for the same. My skin has become very dry and flaky.

Kindly advise.



Welcome to

I understand your concern.

Dark patches are because of a fungal infection called pityriasis versicolor. I suggest you the below treatment plan :

  • Cream Luliconazole is to be applied on the dark patches twice daily for a month.
  • Venusia max lotion, to be applied to the whole body immediately after bath (for eczema).
  • Cream Momate (Mometasone) to be applied only on the eczematous areas daily at night for three weeks.

Consult a specialist doctor, talk to him or her, and start the treatment with their consent.

I hope this helps.

Thank you.

Hello doctor,

Thank you for the response.



Welcome back to

You can follow up after a month. I will advise further treatment based on your response.

Thank you.

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