hyper-pigmentation skin update
Yesterday morning I had a follow-up appointment with my dermatologist at MSKCC. Since applying Tretinoin cream to my chest and back about four weeks ago, my parents and I have noticed a significant improvement in the clarity and consistency of my skin. One consequence of the GVHD outbreak was that my back and chest and my face, thankfully to much lesser degree, became freckled with hyper-pigmented spots. There has indeed been progress, but until recently it had been incredibly slow. Thanks to Tretinoin it seems, both my back and chest have improved much more rapidly.
Before yesterday, I had been applying Aclovate (Alclometasone Dipropionate) cream to my face. At the appointment, however, my dermatologist told me to stop using Aclovate and instead, apply Tretinoin cream to my face too once daily at night.
I see him again in early January. We'll see it there's any further improvement.
Finally, after this appointment, I stopped by my oncologist's clinic office to drop off a brief thank you card that I written to my anonymous donor thanking him for what he did for me five years ago. His selflessness and courage, I hope he understands, have not been forgotten whoever he may be.