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I got an odd mark in my stomach. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have got some odd mark in my stomach and it has changed its appearance in two weeks. My doctor does not know what it is.

Please help.

Hi,

Welcome to icliniq.com.

I appreciate your question and it would help me even more if you could furnish me additional data like signs and symptoms from genesis to the present state, any medicines taken, and their effects. Please tell me what did the local doctor say and any other thing you noticed in particular. I already have a few differentials in my mind but to narrow it down I need some information.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

My doctor said that it looks like I had hurt myself or burnt myself. He said it did not appear like a ringworm or fungal infection. I did apply Tinea athlete's foot cream, but no difference. I am taking Pristiq and Minocycline every now and then only when a cystic pimple occurs. No other symptoms with the mark. It was bright red, flat mark and then slowly turned dark brown over the last two weeks. The shape of the mark did not change. I did wake up mid of this week with big red rashes near it. I can send a photo of that but they disappeared and I thought perhaps just a heat rash. Some minimal flaking occurred on it. The other photo attached is today's status of the mark.

Please help.

Hi,

Welcome back to icliniq.com.

I appreciate the details and photos you sent (the attachment removed to protect patient's identity).

I think you have a skin condition that is benign and self-limiting (resolves by itself). It is a solar exposure exacerbation. It is a lymphocytic thing if I talk in-depth and usually shows this trend of being symptom-free, bright red, and as the healing ensues it changes to brown color with mild flaking. The figurative erythemas are famous for being symptom-free in most of cases and also resolving by themselves. Except in the malignant cases, no exact cause for these has been determined as yet. Treatment largely is restricted to applying mild steroid creams like 1% Hydrocortisone cream or Mometasone cream with strict sunblock in and around the affected area. The newer model of it is 0.1% Tacrolimus ointment is something I advise in patients for a long-term remedy to avoid the steroid-induced side effects. However, in your case, you can apply 1% Hydrocortisone cream every night for 10 days and then stop it and continue the sunscreen to avoid direct sun or sun exposure during this time as it can increase the chances of getting such lesions. If itching occurs you can resort to Desloratidine or Benadryl formulations to get symptomatic relief. To relieve your mind off doubts if this thing occurs in future, I advise that you get a skin biopsy and a pathology workout done. Nothing to worry about, just take care.

Hope it helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At March 26, 2016
Reviewed AtOctober 8, 2024

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