Conversation: The conversation between human and AI assistant.
[|Human|] I have dark brown patches on my neck , chest face, arms and legs. when i itch these marks appear. i have been to two dermatologists and each one has a different diagnosis. I need help as i am scarred and this is increasing. My next appointment with another dermatologist is in may and I am also haveing breakouts of pimples .
[|AI|]  Hi. Thanks for your query You have two different concerns.as for the brown patches, you might be suffering from an edematous disorder. They are frequently recurrent and moderate to severely itchy. Topical steroids/ tacrolimus/ pimecrolimus are he mainstay of therapy. You can start oral anti histamines to combat the itching, as the itching creates an itch scratch cycle which perpetuates the lesions. Keep the areas moist, it reduces the recurrence. As for the acne, you can start application of Clindamycin gel twice daily n face. Use Detail Cleanser for oily skin .you can apply the Retinoid creams topically at night starting with alternate night application and as your skin tolerates it, you can use it daily. Do not use heavy creams and stick to gel based moisturizers and sunscreens. Hope this helps. Take care.