hi doc, im 23 years old and i have a bad patches on my skin, it started when i was teen ager and now it is so worst and i couldnt help think about it especially when i always see it. i guest its in the blood coz my father had it too in his back? i try so many anti fungal cream bu it doesnt work and it just fustrate me, what is the best thing i can do. please help and thanks..
Hello, Dark spots or dark patches on the skin are commonly due to exposure in the sun. It can be hyperpigmentation due to hormonal issue, liver issues, different levels of melanin in the skin, genetic factors, etc. Dark spots or dark patches are harmless conditions but at times they can be cancerous, get clinically examined by a dermatologist. Get skin biopsy and tests done to rule out cancer. Hormone replacement therapy and liver tonics are effective. Take liver tonic (Liv 52) and food good for liver, berries, grapes, sugarcane juice, calciferous veggies, nuts, fatty fish, etc. Avoid addictions if any, stay away from fried, spicy food. Take adequate sleep. Stay well HY Chat Doctor.  Side effects of certain medications cause skin darkening, be careful what medicines your take. Topically you can apply bleaching creams that lighten the skin like creams that contain retinoids alpha HY