Wednesday 1 August 2018

45 F - suffering from itching and dark rashes

This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here after collecting informed patient consent (form downloadable here) by BMJ Elective Student.


I am 45 year old and since few years i had discoloration on face (chhahi in our language) and doctor recommended Sunscreen and lotion and avoid exposure to sun. Since 1 month i got some darkness on my skin on back and it is itching all time when i am awake, i have not taken any medicine yet for this itching, what may be reason for this itching and darkness on back?

(pt. may visit dr. tomorrow, any guidance will be helpful to share and get better advice)

skin on affected area is not rough but dry.



a small injury in above pic because of nails during itching.


same back pic in camera flash

face pic 

face pic without camera flash