Would you be able to provide a photograph?
I could try to text one to you Doctor
What number? I'll have my girlfriend take it and we'll send it asap
dermdoc19, are you there? I have a couple of pictures I'm ready to send you...thanks.
Feel free to send it by clicking on the paper clip icon and up0loading.
This appears to me to be poikiloderma of Civatte,
This is a harmless rash, not to be confused with other types of poikilodermas.
Felt to be caused by a sun reaction. It may also blend in with a berloque dermatitis, if you have been using cologne in this area.
The best treatment is probably with intense pulsed light in the green spectrum.
OK, I googled it while waiting for you to finish typing and I agree. In my serches of skin conditions it is never listed as one of the more common conditions (psoriasis, exzema, acne etc. it what 90% of the literature is about). The photos I saw when I goodled poikiloderms of civatte exactly match what my neck looks like. Thank you so much! You managed to provide a better diagnosis with less waiting from a grainy cell phone picture than my dermatologist could do, in person, after I waited almost two hours! Is the light therapy fairly effective? Not that I'm vain or anything (OK, maybe a little)...thanks doc.
It is but you have to turn up the fluences (energy). You are to treat brown patches pretty easily at a lower fluence, but need a higher fluence to get rid of the red. A pulsed dye laser also will work but not as well in my opinion, little more risky and more epensive, so I would stick to the IPL
Extremely helpful- thank you doctor!
You are welcome.