Spots on the back: photos, possible diseases, symptoms. Causes and methods of treating pigment spots on the back

Sometimes, without any apparent reason, a person develops spots on his back that itch or, conversely, do not manifest themselves as any unpleasant sensations. They can be Brown, as well as red, black or pink. We will consider the questions about what these spots on the back are, how dangerous they are, what disorders they indicate and what they threaten in this article.

The appearance of skin rashes should worry a person, since they may be a manifestation of some disease. Pigmentation on the back is usually associated with a number of possible reasons, which include:

• disruptions in the functioning of body systems;
• hormonal disorders;
• autoimmune diseases;
• skin infections;
• allergic reactions And so on.

If suddenly some strange spots on the back, you need to figure out whether this is a pathology or not.

Red spots on the back in men can signal the occurrence of certain pathological processes, for example, disorders hormonal levels. In some cases, men with heart disease also find red spots on their back. Among the reasons similar phenomenon may have allergies bad habits, incorrect eating habits and wrong lifestyle. Even if a person feels satisfactory, and at the same time there are signs on his skin strange manifestations, it makes sense to consult a doctor for an examination.

Appearance of skin pigmentation

Pigmentation in the form of dark spots on the back can be caused by a number of pathological and completely harmless reasons.

Freckles

A dark spot on the back can result from the spring appearance of freckles, which affects fair-skinned people with red or blond hair. Medically, these rashes are not dangerous, and procedures from a dermatologist or cosmetologist will help to cope with them.

Chloasma

Brown spots on the back may be a manifestation of chloasma. Chloasma is caused by the following reasons:

• liver diseases (hepatitis, cirrhosis);
• inflammation in the female sphere (adnexitis, endometritis, salpingitis);
• use of incorrectly selected contraceptives;
• too intense artificial or natural tan.

Chloasma is a direct reason to consult a doctor and conduct a thorough examination.

Spinal diseases

Dark spots on the back, between the shoulder blades, which sometimes itch, and also in the lower back can be a sign of serious damage to the spine.

Anginoma of the spinal cord

Black spots on the back may indicate that a person is suffering from spinal cord angioma. This disease is a benign tumor that affects spinal cord and the adjacent vascular wall.

Spina bifida

Dark spots on the back, running along the spine and covered with hair, may be due to the development of spina bifida. This disease occurs very rarely in adults. It is characterized by a violation of the structure of the vertebra as a result of the injury and can lead to serious consequences.

Benign tumors

Benign formations are tumors whose cells have a number of properties not inherent in normal cells organism: the ability for uncontrolled division and growth. Availability benign tumors indicates a number of disorders in the body.

Halonevus

Pigmentation with a light rim around it may represent a halonevus, that is, a benign neoplasm that appears as a red spot on the back, which, as a rule, does not itch or hurt and which in itself is not dangerous. To prevent the appearance malignant tumors, you need to be examined by an oncologist.

Melasma

Melasma is characterized by red patches on the back and abdomen. It is benign and occurs as a result of:

• strong exposure to ultraviolet radiation;
• reception hormonal medications and contraceptives;
• pregnancy and lactation;
• genetic predisposition.

All benign neoplasms on the skin should be examined immediately, as they can develop into malignant over time.

Infectious skin lesions

Dark spots on the back that itch and itch may indicate a bacterial or fungal disease.

Lichen

If a red spot appears on your back and itches, this may be a consequence of lichen, namely, fungal infection skin in need of immediate treatment. Ringworm appears as red spots on the shoulders and back, accompanied by skin itching. As a rule, patients with lichen are very contagious to others.

Infectious diseases

Various diseases caused by microorganisms also appear in the form of spots, blisters, blisters, and pimples on the body. Among them:

• measles;
• chickenpox;
• rubella;
• scarlet fever.

These diseases are dangerous to the health of a person and his loved ones, as a result of which they require therapy.

Allergic manifestations

Allergic skin rashes can appear in the form of red itchy spots, localized not only on the back, but also on the shoulders and arms. Red spots may have white bumps.

Skin rashes appear due to photodermatitis, that is, an allergic reaction to direct sunlight.

Eczema

If red spots with pimples appear on the body and itch, it may be eczema. Red spots tend to be localized on the shoulders, chest and back, arms and even the face. Eczema is allergic in nature and develops against the background of:

• endocrine disorders;
• nervous system disorders;
• chronic infections;
• digestive disorders;
• metabolic disorders.

With such manifestations, a person needs complex therapy.

Autoimmune disorders

Autoimmune diseases develop due to pathological production autoimmune antibodies or proliferation of autoaggressive clones of killer cells against healthy, normal tissues of the body. The described dermatological symptoms may indicate autoimmune diseases.

Psoriasis

With psoriasis, red spots with white bumps and flaking scales appear on the body. Red spots on the back are usually itchy. They are localized on the elbows, lower back, between the shoulder blades, and on the head. This disease is autoimmune in nature and indicates serious impairment in work immune system. Psoriasis is not contagious and is not dangerous for the patient’s loved ones, however, this disease is a reason to go to the hospital.

lupus erythematosus

Lupus rarely appears as patches on the back. Red spots appear on the arms, stomach, face. With this disorder, not only the skin is affected, but also blood vessels, joints, and many organs.

Dark and red spots on the body may be due to for various reasons posing a certain degree of danger to the body. In any case, the final diagnosis and adequate treatment if necessary, can only be prescribed by a qualified specialist.

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According to statistics, more than half of people have encountered the phenomenon of age spots at least once in their lives. This condition can affect, first of all, psychological condition person, especially if we're talking about about women. Pigment spots on the back are a defect that does not allow a woman to wear open dresses, blouses, or feel comfortable on the beach. To get rid of areas of hyperpigmentation forever, you need to understand what pigment spots are and what causes them.

Normally, melanin is synthesized in the epidermis - the main pigment that gives color to the skin, hair and iris of the eye, and protects the body from exposure to ultraviolet radiation. When melanin production is disrupted, pigment spots form on the skin - areas with an increased or increased concentration of this pigment. Typically pigment spots are oval or round shape, the color can vary: from dark beige to dark brown and even black. There are several varieties age spots that occur on the back:

Only a dermatologist can accurately determine the type of pigment spot and choose the right treatment. Therefore, if one of the types of hyperpigmentation appears, you need to urgently seek help. medical care.

Why pigmentation appears on the back: main etiological factors

Until now, scientists cannot name the exact cause of the appearance of age spots on the back - in each individual case, the etiological factors differ and often depend on what type of pigmentation occurred. There are endogenous (internal) and exogenous (external) factors influencing the synthesis of melanin. The main causes of hyperpigmentation include:

When exposed to one or more factors, melanin metabolism is disrupted - this leads to the formation of areas of hyperpigmentation.

Main symptoms

As a rule, the main complaint that patients present to the doctor is the appearance of areas with increased pigmentation. In most cases, age spots are not accompanied by pain, itching, or burning. Symptoms that should alert you and make you see a doctor are:

• change in pigment spot color;
• the appearance of uneven edges;
• the appearance of asymmetry;
• spot size more than 6-8 mm;
• a sharp change in the size, color or shape of the tumor.

The symptoms described above may indicate the development of melanoma (skin cancer), the main complication of age spots. If at least one of these signs is noticed, you should urgently seek help. medical care and undergo a full examination.

Diagnostic measures that are carried out in the presence of age spots

A dermatologist diagnoses hyperpigmentation. During the initial appointment, he finds out the history of the disease (when the spot appeared, how it progressed, whether it has changed recently), and also conducts an examination. At this stage, the doctor carefully examines the patient’s skin, notes the number of pigment spots, their location, size, color and other features - these data are often enough to make a preliminary diagnosis. After this, the dermatologist may prescribe a number of studies:

• general and biochemical analysis blood;
• general urine analysis;
• dermatoscopy;
• biopsy;
• bacteriological examination of scrapings from the skin surface.

These studies make it possible to exclude accompanying pathologies and set final diagnosis.

Pigment spots on the back: principles of treatment

In order to successfully remove pigmentation on the back, use A complex approach: combination drug therapy(whitening cosmetics), hardware treatment and the use of alternative medicine methods.

Pharmacotherapy

The basis of pharmacotherapy is the use local medicines– bleaching agents. They contain components such as kojic, ascorbic, azelaic acid, niacinamide, mercury, tocopherol, mequinol, hydroquinone and topical retinoids. The advantage of such medicinal cosmetics is that it not only helps get rid of age spots that are present on the skin, but also normalizes the production of melanin.

It is important to remember that before using any cosmetic product, you need to consult a dermatologist, also read the instructions and carry out allergy test. Skin care products prone to pigmentation should only be purchased in pharmacies or ordered on official websites manufacturers.

Hardware medicine

You can also get rid of pigment spots on your back using. Methods such as cryotherapy (exposure to liquid nitrogen), chemical peeling, laser removal and others are popular. The disadvantages of these methods are that they are symptomatic treatment and do not eliminate the root cause of the disease. They can also worsen general state skin, so they can only be used after consulting a dermatologist and cosmetologist.

Alternative medicine

In combination with other methods, you can also use funds. Their advantage is, first of all, their low cost and availability, and also the fact that they have few contraindications; they can even be used to treat age spots in children. The disadvantage is the high risk of allergic reactions and other side effects. Most often, masks, balms and lotions are prepared based on fermented milk products, cucumber, lemon juice and acids apple cider vinegar, egg white, soda, parsley, kiwi, yeast. It must be remembered that traditional methods have no evidence of their effectiveness and should be used very carefully, after consulting your doctor.

Prevention measures

If a person has a tendency to hyperpigmentation, experts recommend following the following recommendations:

• limit exposure to ultraviolet radiation(it reaches its peak between 11-15 o'clock in the afternoon). People who have fair skin should follow this advice especially carefully.
• on the beach, use sunscreen cosmetics with a high SPF value (more than 50);
• carefully select hygiene products and household chemicals(ideally they should be hypoallergenic, without the use of parabens and other chemicals);
• do not self-medicate: take all medications only under the supervision of a therapist or family doctor;
• avoid stress, overload, establish sleep, work and rest patterns;
• undergo regular preventive examinations;
• follow treatment recommendations chronic pathologies(if they are);
• if others arise dermatological diseases, you cannot try to get rid of their manifestations on your own, because often hyperpigmentation on the back is a consequence of acne;
• protect the skin from exposure to low and high temperatures, as well as from excessive compression and friction;
• support normal amount vitamins and minerals in the body. To do this, you need to eat right, eat more vegetables and fruits in season, and also take additional multivitamin complexes(1-2 times a year).

Pigment spots on the back are a fairly common problem that can occur at absolutely any age. There is no need to panic when age spots appear, because most of them are harmless and often do not cause harm to the body. However, you need to regularly monitor their condition so as not to miss the moment when complications may appear. Thanks to modern methods treatment, you can permanently remove age spots - you just need to consult a doctor in a timely manner. About age spots on the face.

People say that people who have a large number of freckles, kissed by the sun at birth. Contrary to this beautiful opinion, dermatologists are not so optimistic about various pigment formations on the skin – freckles, moles or birthmarks, especially if their number begins to grow rapidly. And since there is a possibility of rebirth benign formations in malignant cases, you should not only know as much as possible about the reasons for the appearance of pigment spots on the torso, arms or back, but also not be lazy about going to the doctor once again. And since the back is an area where it is not always possible to immediately notice the appearance of new spots, it should be given special attention.

The appearance of spots appearing on the back can tell a lot about the etiology of their appearance. Widespread formations of an inflammatory nature, age spots on the back, as well as areas of depigmentation have various causes:

1. Rashes that are inflammatory in nature are usually accompanied by itching and are red or bright pink in color. Most often, such inflammatory foci occur as a result of exposure to various irritants on the skin; in some cases, the spots are a manifestation of allergies.
2. Dark or light pigment spots can form as a result of the accumulation of melanin pigment in some areas of the skin. Due to its accumulation, the skin becomes colored dark colors, the color intensity depends on the amount of pigment and the depth of the accumulation areas. The color of such spots can vary from light brown to very dark, almost black shades.
3. Zones of depigmentation - almost white areas of skin of various shapes are characterized by the absence of melanin in these areas. Similar condition can be either temporary, occurring after certain diseases, or permanent (for example, with albinism) in nature.

Why does pigmentation increase?

Pigment spots that appear on the back can be ordinary freckles or moles. This phenomenon occurs quite often, and you should not be afraid of it. But if the pigmented area is chloasma, this may indicate functional disorders some internal organs– ovaries, kidneys, pituitary gland or liver.

Chloasma can often cause hyperpigmentation; they are especially common in women during pregnancy on the abdomen, around the nipples, and on the face. These formations differ from freckles in that they have clearer outlines and larger sizes.

Chloasma belongs to the category chronic diseases and can accompany a person throughout his life. It is possible to get rid of them in very rare cases.

Another type of formation accompanied by increased production of melanin is melanosis. In this condition, age spots on the back appear as a consequence renal failure, vitamin deficiency C and PP, adrenal gland dysfunction, neurovegetative disorders.

In some cases, melanosis may appear as a result of antiepileptic treatment, as well as due to long stay under straight lines sun rays.

Pregnancy can provoke melanosis in women.

How is melanosis treated?

In most cases, formations can go away on their own, without any treatment. Very often in women during pregnancy and in girls taking contraceptives, there are cases of self-healing. But still, if you suspect melanosis, you shouldn’t rely on “maybe” - a visit to a dermatologist provides not only timely diagnosis, but also the optimal competent course of treatment.

Usually, for melanosis, dermatologists prescribe creams with hydroquinone, less often - corticosteroid hormonal drugs, glycolic acid, and tretionin.

Skin depigmentation on the back

Very often, spots may appear in the back area that are lighter, almost white color and uneven outlines. They are especially visible on tanned and dark skin. This vitiligo is a disease characterized by the disappearance of the melanin pigment and occurs at any age, including childhood, and occurs with equal frequency in both women and men.

Basically, depigmentation of skin areas occurs due to exposure to a number of medicines And chemical substances.

The reasons why white spots may appear on the body include neuroendocrine diseases, the consequences of necrosis or inflammation, and neurotrophic disorders. The autoimmune factor also plays an important role in the occurrence of the disease.

Very often, a person does not immediately notice a “stained” area of ​​skin in the back area, but meanwhile the spots begin to grow, increase in size and even merge with each other. Some kind of discomfort and discomfort usually does not occur, so patients, unfortunately, do not immediately consult a doctor.

How is vitiligo treated?

There is no specific treatment for vitiligo; as a rule, all therapeutic measures are aimed at eliminating the cause. Basically, this disease is reversible, and the white spots disappear after eliminating the factors that caused their appearance. For example, changing jobs, eliminating contact with chemicals, quitting stressful situation lead to gradual self-healing.

About inflammatory spots

Very often spots appear on the back area inflammatory in nature– red, accompanied severe itching. Externally, the rashes resemble nettle burns, which is where they got their name - urticaria.

Urticaria can be true (having an allergic nature) and symptomatic, occurring against the background of certain diseases. Treatment of urticaria comes down to eliminating contact with allergens and taking antihistamines which are prescribed by the doctor.

Why self-medication is dangerous

Many people are interested in the question of how to get rid of age spots on the back, but not everyone is in a hurry to see a doctor and try to get rid of the problem on their own, at home. This is a completely wrong tactic. Today, a disease such as melanoma is becoming more common. Any formation and even an ordinary mole can degenerate into this dangerous disease skin. That is why you should not take risks and if any rashes appear on the body, including on the back, contact a dermatologist.

For many people, the pigmentation process is disrupted over the course of their lives. This is evidenced by the appearance of dark spots on the back. Regardless of the shape, size and shade of the tumor, its removal will not lead to positive result, if the root cause of its occurrence is not eliminated. It is important to understand that a dark spot on the back (photo of the defect is presented below) is a reason to consult a dermatologist. This is due to the fact that pigmentation may indicate the development of serious pathologies.

General information

Melanin is produced in the body of every person. This is a pigment responsible for the formation of a kind of barrier that protects against negative impact ultraviolet rays.

As soon as the sun's rays hit a person's skin, specialized cells are activated and start the process of melanin production. This is how a tan appears. However, the process of pigment production can be disrupted under the influence of various provoking factors. As a result, dark spots can be found on the skin. Their color can be dirty yellow, beige or brown. Such dark spots on the back of a child or adult usually indicate the presence of a pathological process in the body.

Causes

Pigmentation disorders never occur on their own. If dark spots appear on your back, the following diseases and conditions may be the provoking factors:

• Increased sensitivity to ultraviolet rays. In such situations, a person burns even after a short stay in the sun. After this, dark spots appear on his body (back, stomach, face), which can be either flat or convex in nature.
• Disruption endocrine system. IN similar cases dark spots on the back are called chloasma. Their formation is usually caused by excessive production of hormones. A similar condition occurs during pregnancy, menopause, and after the process of childbirth. Also at risk are women taking combined oral contraceptives.
• Natural processes aging. Against this background, the production of melatonin is also disrupted, due to which dark spots can appear not only on the back, but throughout the body.
• Lack of vitamins A and C in the body. In such cases, as a rule, the dark spot on the back is isolated. Its color is bright brown.
• Melanoma. This term refers to skin cancer. This is the most dangerous reason increased pigmentation. At the same time, dark spots on the back look like a bruise, they are unevenly colored and have asymmetrical edges. New growths may also be gray or black in color.
• Angioma of the spinal cord. In such situations, the spots may also look like a bruise. This pathology is a benign tumor that affects the spinal cord and vascular wall, adjacent to it.
• Liver pathologies and gastrointestinal tract.
• Diseases of a gynecological nature.

The appearance of dark spots on the back does not always indicate a serious pathology. In some cases they occur against the background long-term use medicines and after poorly carried out cosmetic procedures, for example, wraps. In addition, dark acne spots may appear on your back. In this case, it is recommended to contact a cosmetologist who will help eliminate the defects.

Associated symptoms

The appearance of neoplasms can worsen a person’s quality of life, but not his general health. The only sign that may appear due to the appearance of dark spots on the back is itching. But at the same time, it is important to know that it is impossible to injure the tumor with nails or improvised means.

If a dark spot on your back itches, the reasons may be the following:

• Avitaminosis.
• Reception hormonal drugs, including oral contraceptives.
• Long stay under the sun's rays.
• Wearing tight clothing made from synthetic fabrics. In such cases, dark spots on the back not only itch, but also peel.
• Accession and active life of an infectious agent.

If the itching is constant and severe, it is unacceptable to postpone a visit to the doctor.

Diagnostics

If dark spots appear on the skin on your back, you should consult a dermatologist. The specialist will conduct primary diagnosis and will issue a referral to comprehensive examination. Based on the results obtained, it will be the maximum effective scheme treatment (if the cause of the spots is pathological process).

Primary diagnosis consists of interviewing and examining the patient. The doctor needs to provide information regarding how long ago the dark spots on the back appeared, whether they bother you associated symptoms whether medication treatment is currently taking place. After this, the specialist examines the tumors and makes a preliminary diagnosis.

To confirm it, the following studies are prescribed:

• Dermatoscopy.
• Scraping
• Clinical analysis blood.

Based on the diagnostic results, the doctor may additionally refer the patient for a consultation with an endocrinologist, allergist or oncologist.

Currently on pharmaceutical market There are many products sold that can lighten or completely get rid of age spots. However, even the most harmless, at first glance, drugs should be prescribed only by a doctor based on diagnostic results. If a person develops a serious pathological process in the body, self-medication will only worsen the situation.

Most effective medications:

• "Hydroquinone." Active components The drug prevents the production of melanin, due to which existing spots gradually become lighter.
• "Retinol". Effective against acne spots. Besides, active substances contribute to improvement metabolic processes in the skin.
• "Skinoren." Designed to combat increased pigmentation caused by acne and active fungal infection.
• "Clotrimazole". Has a whitening effect. Effective against fungi.
• Ointment "Zinc". It is not capable of causing allergic reactions, due to which it can be used even during pregnancy.
• Ointment "Sulfuric". Has an exfoliating effect. Helps remove the top layer of epithelium along with dark spots.

As a rule, such products must be used 1-2 times a day until the defect disappears completely.

Cosmetical tools

Currently, the following gels and serums are considered the most effective:

• EVEN OUT (Oriflame). This is a remedy that you can use to get rid of dark pigment spots on your back at home.
• Luminosity PRO (AVON). Sold in the form of gel and serum. Designed to even out skin color and lighten existing dark spots.
• Corrector serum from Vichy. Implemented in pharmacy chains. Helps completely get rid of age spots throughout the body.

It is important to remember that using cosmetics does not eliminate the need to see a doctor. Such means should be used simultaneously with drug treatment.

Hardware cosmetology

Pigment spots do not disappear after successful treatment of the root cause. You can get rid of them not only at home, but also in a cosmetologist’s office.

Experts highlight following procedures as the most effective:

• Cryotherapy.
• Laser treatment.
• Chemical peeling.
• Ultrasound treatment.
• Microdermabrasion.

All of the above methods help whiten the skin. In addition, during the process, the top layer of the epithelium is removed, which triggers regeneration processes.

Prevention

After successful treatment, it is important to prevent the recurrence of dark spots on the back. To do this, you must comply the following recommendations doctors:

• Limit exposure to aggressive sunlight. IN summer period The most dangerous period is considered to be from 10 a.m. to 5 p.m.
• Nessesary to use cosmetical tools containing sun protection factor. On labels it is marked with the letters SPF. The higher the protection factor, the better. It is recommended to use such products not only in summer, but also in winter.
• The diet should be complete.
• Treat all identified pathologies in a timely manner.
• Do not exceed the time spent in the solarium. Similar procedure involves the use of ultraviolet radiation.
• Reception of any hormonal drugs must be strictly supervised by a doctor.

Finally

Any new growths on the skin should alert you, especially if they are accompanied by severe itching. Dark spots on the back do not always indicate the presence of pathology in the body, but to rule out diseases, you need to consult a dermatologist. The specialist will conduct an initial diagnosis and, if necessary, prescribe treatment.

Color of the skin ordinary person depends on the amount of melanin produced by pigment cells, which gives skin brown tint. Brown spots on the back may have different origins, so the causes and treatment of such spots will be quite different. Brown spots on the back become more intense during tanning.

Brown spots on the back: causes and treatment

The reasons for the appearance of brown spots are very different. This could be an action hereditary factor, various chemicals, change hormonal status, age characteristics(old age) or pregnancy, exposure to ultraviolet rays on the skin. According to the intensity of coloring, brown spots can be of a wide variety of shades: from light spots milky coffee color to rich dark brown shades.

Any spot on the back that has begun to increase in size or grow should be shown to an oncologist, since some of these spots have a tendency to degenerate into malignant neoplasms.

Moles. These are ordinary round spots brown color on the skin, which becomes more numerous over time. They don't itch or hurt. There can be as many of them on the back as on other parts of the body. If a mole suddenly begins to itch or increase in size, you should urgently consult a doctor.

Lack of vitamins. Hypovitaminosis of vitamins A, C, PP can manifest itself as foci of skin hyperpigmentation (the appearance of brown spots), which can completely disappear with nutritional correction.

Tinea versicolor. At lichen versicolor the skin of the back may become covered with brown spots, which over time may turn white due to inhibition of the production of melanin pigment cells. Because this type Lichen is caused by a fungus, then in treatment it is necessary to use antifungal agents local and general effects on the human body.

Melanoma. May appear not only on open areas body, but also on the back. This is aggressive malignancy at the first stages it looks like an ordinary brown spot, which increases in size or changes its color in places. Treatment of melanoma is carried out only by an oncologist using surgical intervention, radiation and chemotherapy.

If spots appear on your back

If you have brown spots on your back, then the most important thing is to understand the reason why this happened. Many doctors claim that this problem is most often encountered in the summer, especially by representatives of the fair half of humanity. And the thing is that women really love to soak up the sun. And it is as a result of exposure to sunlight that pigment spots can appear on the back, which then lead to serious discomfort and women begin to gain weight. But in fact, the reason for the appearance of brown spots on the back may lie in some other features. After all, they appear not only in summer. That is why, as soon as you discover such changes in yourself, you definitely need to see a doctor and take the appropriate tests, so that if this is a symptom of some kind internal disease– don’t let it get worse.

Brown spots on the back: treatment at home

In fact, treatment for spots on the back can only be prescribed by a qualified doctor, as a result of appropriate tests. However, you can use the most popular methods:

There are many skin whitening products available. They are quite strong and can give side effects. Therefore, it is important to coordinate the use of a particular drug with your doctor.

Be sure to limit your exposure to sunlight. If for some reason you cannot do this, use special creams with filters, which can now be found in almost any store.

To whiten the skin of your back, you can use carrot juice with drops of lemon juice. A cotton swab is soaked in this mixture and the pigment spots are wiped approximately 3 times a day.

Pigment spots on the back are often removed with vitamin C, cabbage leaves, currants, and even chamomile infusions. This is what concerns more folk ways treatment of this disease. However, be sure to consult a doctor, because the causes of this skin change may lie deeper.