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What is causing the brown spots on my chest and body that are itchy and increasing in number?
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Skin & Hair Concerns
Question #29712
45 days ago
122

What is causing the brown spots on my chest and body that are itchy and increasing in number? - #29712

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Hello Doctor, I have several brown spots on my chest and body that have gradually increased over time. I had this problem a few years ago as well; I visited a doctor and it improved with medication, but now it has returned and has become more widespread than before. Due to financial difficulties, I have not been able to visit a doctor again, so I used the same previous prescription, but this time it has had no effect. The spots are usually brown in color and sometimes they are slightly itchy (please include this if appropriate; otherwise remove it). I would appreciate your guidance on the following: 1. Could this be a fungal skin infection? 2. What treatment would you recommend? I have also included my email so that I can send photos of the spots if needed. safazazi954@<link removed> Thank you.

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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear I think it is due to either Allergy Hormonal alterations Physiological variation Please do not worry and follow instructions below. 1. Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days or Tab Minocycline ( take precautions to avoid in pregnancy) 5.Oral contraceptives - Diane-35 with addition of Spironolactone on recommendation only by gynacologist in person only

Supportive medications Niacinamide serum –antiinflammatory in nature twice daily for 1 week In addition use aloevera - tulsi solution to apply topically for 1 month

In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
44 days ago
5

Hello

From your description—brown spots on the chest and body, slowly increasing, mildly itchy, and recurring—the most likely cause is a fungal skin infection called Tinea versicolor.

This condition is very common, especially in warm, humid climates, and it often comes back even after treatment. It causes light or dark brown patches on the chest, back, shoulders, or neck, sometimes with mild itching.

Your previous treatment may not be working now because: the fungus has come back stronger, the duration of treatment was not long enough, or a different medication is needed this time.

Treatment usually includes antifungal creams (like clotrimazole or ketoconazole) applied for 2–4 weeks, and in more widespread cases, antifungal shampoos used on the body or oral antifungal tablets prescribed by a doctor. Even after the fungus is treated, the color may take weeks to return to normal.

Keep the skin dry, avoid excessive sweating, and wear loose cotton clothes to prevent recurrence.

If the spots continue to spread or don’t improve after 2–3 weeks of proper antifungal treatment, then it’s important to confirm the diagnosis, as other conditions like pigmentation disorders can look similar.

If you want, you can describe the spots more (shape, scaling, exact location), and I can help you be more sure before you spend money on treatment.

Thank you

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Based on the symptoms you’ve described, it’s possible that the brown, itchy spots on your skin could be a condition known as tinea versicolor, which is a common fungal infection. Tinea versicolor is typically caused by an overgrowth of yeast that lives normally on the skin, leading to the appearance of discolored patches. This condition often worsens in warm, humid environments and can become recurrent. It’s typically harmless but can cause aesthetic concerns and discomfort due to itching. While I can’t diagnose your condition without a physical examination, I can offer some suggestions for self-care and management. Over-the-counter anti-fungal treatments such as those containing selenium sulfide, ketoconazole, or clotrimazole can be helpful. These come in forms like shampoos, creams, or lotions. Applying these to the affected areas and leaving it on for a specified time before rinsing off can be an effective way to manage the infection. Follow the instructions provided on the packaging carefully for best results. Make sure to keep the affected areas clean and dry to prevent further growth of the yeast. Since the previous treatment was ineffective, it may be wise to try a different formulation. Despite financial constraints, if symptoms persist or worsen, a healthcare provider must be consulted, as they might suggest a prescription-strength treatment or confirm whether another issue is at play. Also, it’s important to understand that because fungal infections can recur, long-term management strategies such as using anti-fungal powders and reducing skin moisture, particularly in warm weather, might be necessary. Lastly, remember not to share personal items like towels or clothing to avoid spreading the infection. If you’re able, finding a community clinic or health center with lower-cost options could provide further assistance. Keep in mind that while photos could help a healthcare provider evaluate your condition, it’s crucial for you to ensure privacy and secure transmission when sharing personal health data online.

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