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Dr. Rotke

General Surgeon, Pune

200 at clinic
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Dr. Rotke General Surgeon, Pune
200 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rotke
Dr. Rotke is a renowned General Surgeon in Nagar Road, Pune. You can visit him/her at Chintamani Hospital in Nagar Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Rotke on Lybrate.com.

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Chintamani Hospital

#53, Jedhe Nagar, Upper Indira Nagar Road, Bibvewadi. Landmark: Above Vidya Sahakari Bank, PunePune Get Directions
200 at clinic
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Drug Induced Skin Pigmentation - How It Happens?

MBBS, Diploma In Dermatology & Venerology & Leprosy (DDVL), DNB Dermatology
Dermatologist, Gurgaon
Drug Induced Skin Pigmentation - How It Happens?

Drug related pigmentation errors are usually characterized by a topographic distribution and can lead to prominent discoloration in areas that are especially affected by the sun. It is a rather common phenomenon and accounts for a startling 10-20% of the total cases of hyperpigmentation that are acquired. The condition might be induced by drugs of varied nature, ranging from non-steroidal anti-inflammatory medications or NSAIDs and antipsychotic drugs to phenytoin and anti-malarials.

What can lead to it?
A number of causes tend to contribute to this factor by speeding up the process of pigmentation that isn’t natural or expected in any manner whatsoever:

  • Certain drugs happen to react with the melanin of your system to form what is observed to be a drug-pigment complex. Exposure to too much sunlight has a way of stimulating sun-induced synthesis of melanin for the formation of such complexes.
  • Quite a number of heavy metals are seen to deposit in the dermal region following significant damage to the patient’s dermal vessels. A visible change in the complexion will then be observed without there being any increment in the melanin component.
  • Hypermelanosis might be induced by certain other drugs in the form of changes that are non-specific post-inflammatory in essentially predisposed individuals.
  • Some drugs tend to induce or trigger pigmentation directly by the accumulation of or reaction with certain specific substance of the patient’s skin.

Treatment
Despite the fact that the condition of drug-induced pigmentation of the skin is mostly benign, it might prove to be an otherwise disfiguring factor when perceived cosmetically. In most cases, one may observe that once the affecting drug has been terminated from regular dosages, fading of most lesions will occur. However, in most cases, the pigmentation tends to last for a longer span of time and ultimately becomes permanent. Since most drugs and medications that cause skin pigmentation also happen to be the cause of photosensitivity reactions, patients are recommended to make proper use of sun protection. You may also opt for laser treatments that have been developed in recent years to correct the problem of pigmentation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3474 people found this helpful

I'm feeling some burning sensation at my back skin. It feels like burning after being touched with stinging nettle. Could you tell me what May be possible reason for this ?some says it's because of High blood pressure is it true doctor?

BHMS, MD - Homeopathy
Homeopath, Lucknow
I'm feeling some burning sensation at my back skin. It feels like burning after being touched with stinging nettle. C...
It's not due to high blood pressure Start homoeopathy medication for best results Sulphur 200 Apis 200 4 pills 3 times a day.
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Black heads over eye & near nose area. My skin is dark also. What I do for fair skin& for removing black heads.

Fellowship In Hair Transplantation, DNB (Dermatology), Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Hyderabad
Black heads over eye & near nose area. My skin is dark also. What I do for fair skin& for removing black heads.
Hi lybrate-user please use salycilic face washes and moisturisers which do not give your skin pimples. Best treatment is by glycolic peels or even black peel. The results are very much promising and excellent results are seen. Kindly text us for further details. Dr. Raj.
1 person found this helpful
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Sir I am getting 1cm white white round rashes in my leg. Why I am getting this and what should I do.

BHMS
Homeopath, Faridabad
Sir I am getting 1cm white white round rashes in my leg. Why I am getting this and what should I do.
Hello,White patches on your skin are a common type of depigmented skin lesion associated with an infection, allergy, or autoimmune disorder. One common cause of white spots, or hypopigmentation, is a fungal infection of the skin known as tinea versicolor (associated with other symptoms, such as itching or dryness on or around the white patches). This fungal infection is not contagious and can be treated easily with over-the-counter medications. Please tell me other symptoms like about sensation on the area, since how long do you have this patch, any family history of white patch, etc. In the mean time you can take cal phos 6x, 4 tabs twice daily. Do send me a clear photo of the affected area.
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Hi I have problem is that. My whole body is fair but oily to I have got pimple on my face, back n arms they to. But at the time my face is very dull pors is open so pls let me know wt I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi  I have problem is that. My whole body is fair but oily to I have got pimple on my face, back n arms they to. But ...
PORES TREATMENT 1.Wash your face before you go to bed each night. Going to bed wearing still wearing makeup, as well as any dirt and debris that may have collected on your face during the day, is a sure way to clog your pores. If your pores routinely look large, this could be part of the problem. Get into the habit of cleansing your face each and every night so your pores will be less likely to get clogged. Use warm water, rather than hot or cold, so your skin will be less likely to get irritated. Pat your face dry with a soft towel. 2. Use a cleanser that doesn't irritate your skin. Many cleansers contain harsh ingredients that cause dry, irritated skin. When your pores are irritated, they look wider and more "open." In order to keep them closed, it's best to use a gentle cleanser that washes away dirt without causing your skin to dry out.( PREFERABLY USE CLEANSING MILK ( BAKSON) Choose a cleanser that's sulfate free. Sulfates are harsh cleansers that can strip the skin of its natural oils and leave it dry and itchy. Avoid using a cleanser with scrubbing beads on a daily basis. The beads could be irritating to your skin, and should only be used sparingly. 3. Try the oil cleansing method. It's becoming increasingly popular to replace soap with oil as a facial cleanser. It might sound counterintuitive to use oil to wash your face, but it's actually quite effective. The oil binds with your skin's natural oils and gently washes away dirt, sweat, and makeup without the need for harsh chemicals. Just smooth it over your skin and use a wet washcloth to wipe it off using a circular motion. Here are a few oil combinations to try out: For combination skin: Mix 1/2 teaspoon castor oil and 2 teaspoons olive oil. For dry skin: Mix 1/4 teaspoon castor oil and 2 teaspoons coconut or olive oil. 4. Splash your face with water in the morning. After getting a good night's sleep, it feels refreshing to splash your face with water. Since you don't wake up wearing makeup, there's no need to wash your face using a cleanser; in fact, it's better for your skin to give it a break and just use water. Pat your face dry with a soft towel. 5. Exfoliate every few days. Dead skin builds up on the surface of your skin, mixes with sweat and dirt, and ends up clogging pores. Exfoliating your skin regularly will prevent your pores from getting clogged so quickly. The result will be closed, small-looking pores as opposed to clogged pores that look big and open. One of the best ways to exfoliate is by simply using a washcloth. Wet your face and scrub it gently using circular motions. ( Preferably USE APRICOT SCRUB ( BAKSON) Facial scrubs are also good. Try a mixture of ground almonds and honey. 6. UNCLOGGING PORES (A) Do a steam treatment. This is a great way to open your pores so you can get rid of the small plugs of dead skin and dirt that are making them appear large and open. Heat a small pot of water until it begins to steam, then hold your face over it and drape a towel over your head. Let the steam bathe your face for three to five minutes, then rinse your face with cool water. Steaming your face opens up your pores, allowing them to become unclogged. Rinsing afterward gets rid of the debris, leaving your pores fresh and clean. Use cool water to close your pores. (B) Use a MUD PACK. MUD is a natural element that draws impurities out of the skin as it dries. When you do a MUD mask, dry mud is mixed with water to form a paste, which you smooth over your face. Let it dry completely, then rinse it away with cool water. • Many Mud packs are avaliable in stores but I will prefer MUD PACK ( BAKSON) 7.TONING AND MOISTURISING (A) Always rinse and tone when you're finished cleansing. Whether you steam or use a mask, always remember to rinse away the dirt when you're finished. Follow up by using a toner on your face. Toner helps restore your skin's pH balance after cleansing, giving it a youthful, glowing appearance and helping to close pores. (B) Avoid toners with chemicals that could inflame your skin. Beauty supply stores carry many different toners. Look for one that works with your skin type, but avoid toners with excess chemicals, perfumes, and dyes that could irritate or dry out your skin. These toners will do more harm than good, and your pores will end up looking larger instead of smaller. Avoid toners that contain alcohol, which can dry out the skin. Avoid toners that contain glycerin and fragrances, since these can cause allergic reactions. (C) Try apple cider vinegar. Apple cider vinegar is made from fermented apples, and is a gentle, natural toner for any type of skin. Mix 1 tablespoon of apple cider vinegar and 1 tablespoon of water, then use a cotton ball to apply it to your skin after rinsing. Let your skin dry, then moisturize it. (D) Try a honey mask to tone your skin. Plain, raw honey is an excellent toner for skin. Simply spread some on your face and let it sit for about ten minutes, then rinse it away with warm water. Your pores will tighten up and your face will feel fresh and youthful. (E) Finish your routine by moisturizing. Using a good face moisturizer( ALOVERA CREAM ( BAKSON) is key to keeping your pores closed, since dry skin can become irritated and lead to large-looking pores. Chose an alcohol-free moisturizer that doesn't contain perfumes and excess chemicals so you make sure you don't irritate your skin. Tips Open pores on your nose may mean that you have a tendency to develop blackheads. If this is the case, get your blackheads removed regularly with the help of blackhead removal strips. Roll ice all over your face for a quick way to close pores.
1 person found this helpful
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Sir, stool pass krta hi to heavy blood jaata hai maine bahut medicine li hai but koi benifits nhi ho rha hai please suggestion dijiye.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
Sir, stool pass krta hi to heavy blood jaata hai maine bahut medicine li hai but koi benifits nhi ho rha hai please s...
Hi Lybrate user you are suffering from bleeding piles problem if you want to recovery from your problem permanently then take homeopathic medicine for that need to consult with me privately. Take care.
1 person found this helpful
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I am having leathery dark skin on the knuckles and joints of fingers so how should I get back normal skin It might be acanthosis Nigricans. Please confirm if it is Acanthosis Nigricans and please provide the remedy for this.

MD - Homeopathy, BHMS
Homeopath, Pune
I am having leathery dark skin on the knuckles and joints of fingers so how should I get back normal skin
It might be...
It typically occurs in individuals younger than age 40, may be genetically inherited, and is associated with obesity or endocrinopathies, such as hypothyroidism, acromegaly, polycystic ovary disease, insulin-resistant diabetes, or Cushing's disease You should be screened for diabetes and, although rare, cancer. Controlling blood glucose levels through exercise and diet often improves symptoms. It is likely to improve in circumstances where a known cause is removed. For example, obesity-related pigmentation will improve with weight loss, and drug-induced is likely to resolve when the drug is ceased. Hereditary variants may or may not fade with age, and malignancy-associated variants may, after a malignancy is removed, fade For medication consult online in private
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Hair Health

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mohali
Hair Health

Always try to protect your hair from sunlight and dust.

1 person found this helpful

I have skin problem. Some kind of freckles on my nose & I take all types of treatment but their is no benefit.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mumbai
I have skin problem. Some kind of freckles on my nose & I take all types of treatment but their is no benefit.
Freckles can be treated with chemical peel or ndyag laser. You can visit me for treatment. Sunscreen is also very important to prevent further freckling.
1 person found this helpful
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