skin patches

[cydkat]

I have been getting light brown skin patches on my lower cheeks (lower jaw, about midway to the ear) my chest (mid sternum) and my dorsal lower arm just cephalic to the wrist.  These patches of tawny colored skin seem to be enlarging, and while they are exposed to the sun I felt they may be diet or Thyroid related.  My first thought was that they were related to a vitamin or mineral deficiency.  I currently take Liothionine (Sp?.  IE:T-3) and Synthroid, Thyroid replacements.

[cydkat]

Thank you for your information, I have had these patches for several months and no  generalized rash has occurred.  I will see my physician soon.

[Bhupinder Kaur, MD]

Hello,
From the symptoms the possibility of pitytriasis rosea needs to be ruled out. Initially, a primary plaque, called a herald patch, is seen. Then it is followed by a distinctive, generalized rash 1-2 weeks later. The rash lasts approximately 2-6 weeks and is found in a Christmas tree pattern over the trunk and abdomen.

The rash may be accompanied by low-grade headache, fever, nausea and fatigue and itching. Topical and oral steroids are needed. Water, sweat, and soap may cause irritation and should be avoided in the disease. Topical zinc oxide and calamine lotion are useful for pruritus.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.