Post-inflammatory Hyperpigmentation

Post-inflammatory hyperpigmentation (PIH) is the discoloration of the skin after inflammation or injury. The skin can turn pink, brown, red, or black. This discoloration results from excess melanin production due to the way the skin heals after an injury.

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How do I get rid of brown spots on my leg?

Query: Hi doctor, I am 66 years old, and I have brown spots all down my leg. I take the following medications Lisinopril hctz, Gemfibrozil, Atorvastatin, Venlafaxine, and 81 mg Aspirin. I am 5 feet 7 inches, and I weigh 285 pounds. I have a picture of brown spots on my leg. They do itch sometimes. Please a...  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hi, Welcome to I suggest you do the following, 1) Apply Aziderm (Azelaic acid) 20 percent cream in the daytime for 20 days. 2) Apply Kojic cream (Kojic acid) at night for 20 days. 3) Use Kojic soap for the bath for two months. 4) Tablet Limcee (Vitamin C) 500 mg once a day after breakfa...  Read Full »

What is the pimple on the side of my arm that swells up on touch?

Query: Hello doctor, I have a weird mole on the side of my arm; I do not know what it is. I thought it was an ingrown pimple. It does not hurt, but it swells up when I mess with it. What is it?  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hi, Welcome to I read your query and can understand your concern. Please answer my questions for details and to better understand your condition- 1. Is it painful or tender to touch? 2. Have you noticed any change in size, shape, or color? 3. Does your lesion have any irregular ma...  Read Full »

I have a brown spot on the head of my penis. Is this worrisome?

Query: Hello doctor, I have a brown spot on the head of my penis and a few six to seven black mole-like spots on the foreskin. I think the brown spot has been there for a couple of years, but I am not sure. Are these a cause for concern?  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hello, Welcome to It is post-inflammatory hyperpigmentation mark with penile melanosis. I suggest you the following treatment. 1. Apply Candid cream (Clotrimazole 1%) twice daily for three weeks if you have itching or irritation. 2. Wash genital area with Episoft cleanser...  Read Full »

What can the big black spot on the foreskin be?

Query: Hi doctor, I am a 27-year-old male with a height of 5.8 feet, and my weight is 62 kg. I have a big black spot on the foreskin of the penis for the past four to five years. I do not know what it is. And I do not feel any pain.  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hello, Welcome to Please answer my questions. Do you have any history of atopy or allergies? Did you contact with irritants or any chemical? Have any history of minor injury or trauma? Did you scratch or rub the lesion? Did you pop or prick it? Allergic reaction to irritant so...  Read Full »

Will acne with PIH cause darkness in the forehead?

Query: Hi doctor,I have an oily and sweaty face. My forehead is darkened. I think it is pigmentation. I need medication for this. My forehead looks black, and it is depressing. Kindly help me.  Read Full »

Dr. Suvash Sahu

Answer: Hi, Welcome to It seems you have acne with post-inflammatory hyperpigmentation (PIH). Acne is a chronic problem. It has a variable course with medication. It requires regular follow-up and long treatment. It usually occurs up to the age of 25 to 28 years may be more than this. Onc...  Read Full »

What are the different types of skin pigmentations?

Query: Hi doctor, I have some red dots around my ankles, feet, and legs. They are permanent because they tend to fade but show up more red after showers or during the night. I recently saw them like two to three months ago, and they may be present for a long time, but I did not know. I saw four doctors at...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to I hope you are doing well and safe in the pandemic. I am a hematologist, and I have been treating blood diseases for the last couple of decades. I closely inspected your images (attachment removed to protect the patient's identity). A few of the spots were pigmentati...  Read Full »

How to treat dark spots between the breasts?

Query: Hello doctor, I am 19 years old. I have dark spots between my breasts. I am not sure at what age it started to appear but I know I have had it for a couple of years now. Please help.  Read Full »

Dr. Dhepe Snehal Laul

Answer: Hello, Welcome to It is postinflammatory hyperpigmentation marks due to atopy or eczematous dermatitis. Use Kojic soap for the bath for three months and Kojic cream at night for three months. Take tablet Limcee 500 mg once a day after breakfast for 30 days. Is there itching? Is ...  Read Full »

How to get rid of dark belly button due to infection?

Query: Hi doctor, I have a fair skin tone. However, my belly button's color turned into dark brown ever since I started touching it (because of mannerism). I stopped touching it recently because I had a belly button discharge with a mild infection. Now, I wonder if it can still go back to the way it used ...  Read Full »

Dr. Shama Naaz

Answer: Hi, Welcome to According to your history, you had a mild infection along with discharge from your belly button. When infections like that heal, they leave behind dark spots. This condition is called post-inflammatory hyperpigmentation. The treatment should be started as early as poss...  Read Full »

Why do I get acne only in my T-zone?

Query: Hello doctor, I have been struggling with acne in my T-zone for all of my teen years. I have currently set down a skincare routine that is doing wonders for the tiny little textured spots on my skin but not so much on bright red and dark acne scars. I have done some research on what it was, and I t...  Read Full »

Dr. Shama Naaz

Answer: Hi, Welcome to Acne vulgaris is a common problem in your age group. Acne flares occur due to stress, hormonal imbalance, oily skin, and diet. It is good to know that you are following a skincare routine, but make sure they do not contain any harsh chemicals, parabens, fragrances, ste...  Read Full »

I used apple cider vinegar to remove a mole, but it left a pinkish scar. Please help.

Query: Hello doctor, About 15 months ago, I used apple cider vinegar as a home remedy to remove a mole from the back of my calf. I applied the apple cider vinegar to the mole daily until it formed a scab, which later fell off leaving pink skin underneath. There is still a pinkish scar, which is very slowl...  Read Full »

Dr. Atishay Bukharia

Answer: Hi, Welcome to Although the pictures are not clear (attachment removed to protect patient identity), I can perceive it as the junctional nevus. Using vinegar cause irritant reaction and thus causing the destruction of melanocytes, but unfortunately this method is not precise and does n...  Read Full »

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