No itching only discoloration

Kindly dx the case...and provide me the rx

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Respected doctor, provide the details of the case. From the pic it looks like keratosis pilaris, but details needed for differentiating and confirmed diagnosis.
No specific history...this discoloration is since 2year..no itching
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Sarivadysav Liver tonic Arogyav Avoid milk at eve
Thank you doctor
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Rx Lycopodium 1m/3dose Sepia30 tds
Rhustox 30
Agree with@Dr. Twara Aashish ji... Rx Somaraji taila+Manjishtadi taila e/a Ayurvedic bath Powder Medicated soap Syp Manjishtadi khada 30ml OD Tab Gandhaka rasayan 1 BD Tab Kanchanaraguggulu 1 BD Tab Arogyavardhini vati 2 BD Is she was suffering with ?? Down's syndrome. .toes are a bit abnormal
Complete Case History and investigation Reports Needed.
I think it's a paper salt Appearance in scleroderma
1.Madhuyasthi oil L/A 2. Khadiraristh only
Only on leg region ? Pts age above 60 ?
Chronic venus insufficiency???
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