<s>[INST] i have pinkish brown patches on my neck and shoulders. ive had these patches for about 10 months now, they use to just away on their own, but their spreading and wont go away. i have taken off the necklace i use towear to see if that was the problem, but of course it wasnt, the patches have gotten worse and have become ichy at time, and burn when i stratch them, no bleeding or fluids come from the patches and my skin does not peel either. i feel like an lepord with these patches. can anyone please tell me whats going on?? [/INST] Hi, It seems like a fungal infection, otherwise called Tina. You should try using topical antifungal ointment like Clotrimazole. It is available over the counter. You should apply it twice daily, in the morning and in the night.  The treatment should be for a minimum of 6 weeks.  They are known to recur. Therefore, application of the ointment should be continued for 2 weeks after the patch disappears. There are many other causes for this too like Isolated Vitiligo. It is ideal to meet a Dermatologist and confirm the cause for it. I hope this helps you. Get well soon. http://www.ChatDoctor .com/doctors/ Chat Doctor.  </s>