A dark patch on the skin. I believe it started from. Large Dark Patch on Back. I have had a dark, dry, itchy patch on my middle back. It's been there for years and it itches all the time. I have tried using a moisturizer every now and then but it didn't help. Doctors have given numerous creams and steroids and it goes away for a while but comes back. What are these itchy dark patches on my skin. People have complained of having itchy areas in their upper back for centuries. Do You Get an Itchy Spot in the Middle of Your Back? Do You Get an Itchy Spot in the Middle of Your Back? Possible causes of itchy skin include: Dry skin. If you don't see a crop of bright, red bumps or some other dramatic change in the itchy area, dry skin (xerosis) is a likely cause. AOCD Grand Round Case Presentation - Itchy, Dark Rash on Upper Back By Suzanne Sirota Rozenberg,D. O.,Scott Goffin,D. O., Darren Di. Gulio,D. O., Yelva Lynfield, M. D., Marvin Watsky,D. O. Last Updated: Jul 8th, 2. Title: Itchy, Dark Rash on Upper Back. Presenter: Suzanne Sirota Rozenberg,D. O.,Scott Goffin,D. Common Questions and Answers about Itchy skin patch. List of 14 disease causes of Dark and light patches on the skin, patient stories. O., Darren Di. Gulio,D. O., Yelva Lynfield, M. D., Marvin Watsky,D. O. Dermatology Program: St. John’s Episcopal Hospital, Far Rockaway, New York. Program Director: Marvin Watsky,D. O. Submitted on. May 3. Email this article. Fighting Back Against Dry Skin. Next Article: Skip to Article Content. What’s Drying Out Your Skin? Printer friendly page. CHIEF COMPLAINT. complains of itchy, dark rash on upper back for 5 years CLINICAL HISTORY: Signs and symptoms: Previous Treatment. Patient states that he was treated in Yemen with unknown topical medications. Other information. Patient states that he has no prior history of trauma or previous biopsy. Has no significant past medical history or surgical history, no known allergies and no medications at this time. DIFFERENTIAL DIAGNOSIS. Although thought to be an unusual medical phenomenon, studies show it is more prevalent tne previously thought. On physical exam, a pigmented patch localized to the area of pruritis or parasthesia is often found. Pathology seen on skin biopsies have mixed results, including normal skin and appendages, increased basal cell layer melanin deposition, and perivascular collections of melanophages in the papillary dermis. Treatment shows some success, but often recurrences do occur. TREATMENT. Actual treatment for this patient: Our patient was treated with Luxiq foam BID without relief. He was then treated with Pramasone Lotion TID which relieved the pruritis . At that same visit, a course of OMM was instituted for a 6 week period. A course of Hydroquinone 4 % cream was added to help with treatment of the hyperpigmentation. Unfortunately, the patient was lost to follow up after , third visit. REFERENCES. 1. Weber,P, Poulos,E, Notalgia Parasthetica, JAAD 1. Goulder,V, Toome,Hitet, Successful treatment of nostalgia parasthetica with a paravertebral local anesthetic block, JAAD 1. Andrews, Disease of the Skin, ninth edition, Odom, Berger, 2. Additional Comment.
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