A mild cat scratch on the back of the hand that hasn't disappeared for a year and a half—can it still be removed?
I sustained a scratch on the back of my hand from a wild cat about a year and a half ago.
Recently, I noticed that there is still a light brown scratch mark, which is neither raised nor indented.
I would like to ask a professional doctor: 1.
Is there any hope for this condition? Can it be eliminated? 2.
If it can be eliminated, what type of medication or laser treatment would you recommend for pigment removal? Or is it better to leave it alone and let it fade away over time? (Currently, I am applying a depigmentation cream twice daily, but I'm unsure if it is effective.) 3.
Is it necessary to go to a major hospital for a biopsy? 😭 (I visited a dermatology clinic today, and the doctor mentioned that since it has been a long time, I might need to go to a major hospital for testing...
but I really don't want to undergo a biopsy.)======= Today's doctor's diagnosis suggested possible symptoms as follows: • Erythema migrans (but this doesn't seem likely, and it shouldn't take this long to heal) • Erythema • Signs of fungal infection • Evidence of cat scratch disease======= Here is a link to the photo of the affected area: https://imgur.com/gallery/idskzcu (I hope it's not a scar...
The doctor mentioned that it doesn't look like a scar.
I appreciate your help, as I've been quite troubled by this for a while...
Thank you very much!)
plus one, 10~19 year old female. Ask Date: 2023/07/04
Dr. Wu Yuxin reply Dermatology
Online consultations cannot provide a diagnosis.
If you are concerned about your skin condition, online consultations may not resolve the issue.
It is recommended to follow the advice of the physician who is examining you and have the hospital's doctor conduct another examination.
Reply Date: 2023/07/04
More Info
When it comes to a cat scratch mark that has persisted for a year and a half, there are several factors to consider regarding its potential for disappearance and treatment options.
1. Can the mark still disappear?
The likelihood of a skin mark disappearing after such a long period largely depends on the nature of the mark itself. If it is a superficial discoloration or hyperpigmentation resulting from the injury, there is a chance that it may fade over time. However, if the mark has been present for over a year, it may be less likely to disappear completely without intervention. The skin has a natural healing process, but it can take a long time for discoloration to resolve, especially if the skin has been traumatized.
2. Treatment options:
If you are looking to expedite the fading of the mark, there are several treatment options available. Topical treatments, such as hydroquinone or retinoids, can help lighten hyperpigmented areas. However, these should be used under the guidance of a dermatologist to avoid potential side effects. Laser treatments, such as fractional laser therapy or intense pulsed light (IPL), can also be effective in reducing pigmentation and improving skin texture. These procedures are generally safe but should be performed by qualified professionals.
As for the use of the cream you mentioned (井田淡化色素膏), it may have some efficacy in lightening the mark, but results can vary. Consistency in application is key, and it may take several weeks to notice any significant changes. If you do not see improvement after a reasonable period, it may be worth consulting a dermatologist for alternative treatments.
3. Is a biopsy necessary?
The need for a biopsy largely depends on the characteristics of the mark and any associated symptoms. If the mark has not changed in appearance, is not causing any discomfort, and does not exhibit signs of infection or other concerning features, a biopsy may not be necessary. However, if there is any uncertainty regarding the nature of the mark, especially if there are concerns about conditions like granulomas or other skin disorders, a dermatologist may recommend a biopsy to rule out any serious issues. It’s understandable to be apprehensive about undergoing a biopsy, but it can provide valuable information about the skin condition.
In summary, while there is a possibility that the cat scratch mark may fade over time, various treatment options can help accelerate this process. Consulting with a dermatologist can provide personalized recommendations based on the specific characteristics of the mark. Additionally, while a biopsy may not be required in all cases, it can be a useful diagnostic tool if there are any concerns about the nature of the mark. Always prioritize professional medical advice tailored to your situation for the best outcomes.
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