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Dr Basu
Dr Basu, Doctor (other than dermatologist)
Category: Dermatology
Satisfied Customers: 40429
Experience:  MD
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No have a discoloured patch on my upper left lip which has

Customer Question

Hi,no have a brown discoloured patch on my upper left lip which has been appearing over the last two years. I saw a young distracted locum at my doctor's 8 months ago who said there was nothing to worry about and to put sun cream on it. I have a sister who has had skin cancer twice in recent years. I am now overseas for two months working , but since I've got here it's flared up and is spreading - red, itchy, rough. Should I be doing something more about it?
JA: When did skin cancer first appear? Have you used any medication for this?
Customer: I don't know it is skin cancer. I put tea tree oil on it to clam the inflammation down
JA: Got it. When was your last visit to a dermatologist?
Customer: I have never seen a dermatologist. I asked to be referred and the locum said no
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Dermatologist should know?
Customer: I don't know
Submitted: 15 days ago.
Category: Dermatology
Expert:  Dr Basu replied 15 days ago.

Hi there,
I am an experienced Medical Specialist.
I am here to address your concerns and provide great service.
Please post a pic of the concerned area to provide your with precise diagnosis and treatment plan.

Customer: replied 15 days ago.
I don't see how to attach a pic?
Expert:  Dr Basu replied 15 days ago.

https://www.justanswer.com/help/how-do-i-send-photo-or-file-expert

Please look for a icon of paper clip at the right top of chat box.
Please ask customer service to help.

Customer: replied 15 days ago.
File attached (575V6PG)
Expert:  Dr Basu replied 15 days ago.

This is likely benign macule patch --not any melanoma or cancerous.

Since no significant change over time, that also suggests the harmlessness.

Customer: replied 15 days ago.
If you read my first para, it is changing over time. It appeared two years ago, and has recently flared up badly - red, itchy, rough. I have JUST got it to calm down after two weeks. Does that change what you think?
Expert:  Dr Basu replied 15 days ago.

That only suggests the possibility of seborrheic dermatitis.

You need to use topical steroid ointment --prescription Clobetasol propionate ointment 0.05% twice daily for 2 weeks will be better.

But needs prescription from your doctor.

Over the counter Hydrocortisone 1% ointment can be tried meanwhile 3 times daily for 10 days.

Please use Petrolatum jelly twice daily to prevent dryness.

Customer: replied 15 days ago.
Ok thanks
Expert:  Dr Basu replied 15 days ago.

welcome