17yrs/F, these kind of dry -scaly -mild itchy lesions, only on both side of cheeks N dorsum of hands, simultaneously, appeared at da same time, ie 7days ago; She denied of any Topical application. What should B da DX N RX..???

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Although looks like ECZeMA One should r/o possibility of some systemic disease manifestation, ?malar rash/ ?polyartritis hands (?any history of fever/joint/other features?) Female sex/favourable age/sudden appearance may favour SLE D/d SLE/Lupus

Since its on exposed parts ....mostly chances are of photo sensitivity...photodermatitis...or photo toxicity

What is her ocupation ? Appears to be Contact dermatitis of hands with secondary spread to face .

17yrs/F SIR, 1st year, after ICSC
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SUGGESTIVE OF CONTACT DERMATITIS DD S. L. E

Atopic Dermatitis/ Photodermatitis

Atopic/ contact dermatitis ?

Sir Atopic dermatitis???

Atopic/photo dermatitis?

Atopic dermatitis??

Contact dermatitis

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