12yr child wt h/o periolar hyperpigmentaion wt mild itch snc 2 mnths,no ther complaints,no specific f /o.whts Δ & Rx?

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Lip licking chilitis, is an allergic phenomenon of recurrent lip licking with tongue. H/ o recurrent lip licking usually present. Explain the child about the precipitating cause and ask me avoid. Use mild topical steroid preparation. Search for any anxiety neurosis in the child and treat accordingly.

Perioral hyperpigmentation - D. D:lip smacking dermatitis, allergic, F. Acid deficiency

Nutritional deficiency perioral dermatitis Tablet limcee and multivitamins

Perioral hyperpigmentation D/D lip licking dermatitis Allergic Vitamin deficiency B12, folic acid Treat according to cause

Perioral dermatitis

Dx : PERI-ORAL HYPERPIGMENTED PATCHES. LIP SMACKING. FOLIC ACID DEFICIENCY. B12 DEFICIENCY.

P. Oral Dermatitis.

@Dr. Farhaan Attar - B12 & folic acid difficiency

Thanx to all