Hello doctor, My aunt has skin problems for the past six months. She gets brown patches. She locally met a doctor who gave her a cream called Sunban after applying which the brown patches turned reddish. Someone told her to apply camphor and coconut oil after which the situation deteriorated and patches became more prominent. Now she has stopped applying anything on her skin. Please help her to overcome this skin disorder. I have attached photos for your reference.
Hello. First of all, I would like to appreciate your image quality and way of taking photographs (attachment removed to protect patient identity). Everything is nicely visible. The basic problem here is melasma. She has brownish pigmented patches that are usually developing on her face. They occur because of female sex hormone called estrogen or ultraviolet rays exposure or cosmetic overuse or nutritional deficiency like iron etc. Camphor many times irritates skin. But before that, I would like to know did she apply anything else with Sunban (Octyl methoxycinnamate, Titanium dioxide, and Oxybenzone) like some skin lightening cream? As with sunscreen alone, it is less likely to become red. Anyways, now she has developed irritant contact dermatitis. At present, she needs a good moisturizer and one low potent anti-allergic cream. I suggest you use Evion (Aloe Vera and Vitamin E) cream locally twice a day. You can also use Desowen (Desonide Topical) gel twice a day for five days and then once a day for five days. If the irritation still persists, you can use it alternate days I suggest you also take Levocetirizine one tablet as required. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. In the meanwhile as a precaution avoid excess sun exposure. For more information consult a dermatologist online -->