Concluded Case

SUN BURN..photodermatitis

30 years male burning and itching On front and back of the body since 3 days. He is Cooley, and weighing lemon bags on his back since 7 days. No fever not diabetic and not hypertensive What is the diagnosis? Management,

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Concluded answer

Thank you Doctors for your valueble answers. Here lesions are seen both front and back of the body indicates SUNBURN exaggerated by contact with bags. Antihistamines, Calamine lotion, Plenty of oral fluids Betamethasone with gentamicin cream application . Avoid strong soap. Use of sunscreen lotion morning time, Moisturisers in night times

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1.The area of involvement is both front and back 2. Waistline is free of lesion 3. No peeling of skin( hence PR unlikely )4. The lemon bags will not come in to contact with chest( hence CONTACT DERMATITIS unlikely). PMLE is my choice. Management. !!! Avoid exposure to sunlight!!!! 1.Topical emollient 2. Frequent bath 3. Plenty of fluids 4. PO Triprolidine.

Thank you Doctors for your valueble answers. Here lesions are seen both front and back of the body indicates SUNBURN exaggerated by contact with bags. Antihistamines, Calamine lotion, Plenty of oral fluids Betamethasone with gentamicin cream application . Avoid strong soap. Use of sunscreen lotion morning time, Moisturisers in night times

Photoallergic cobtact dermatitis would explain everything

D/d -Contact dermatitis,photodermatitis

Dd PMLE Contact dermatitis

Heat &friction dermatitis

Photodermatitis

Sun burn

Photodermatitis ie polymorphic light eruption increased by friction due to lemon bags At some places miliaria rubra ( prickly heat) seen. Skin appearsquite dry. Adv . Antihistamines orally Calamine lotion locally Weak steroid + antibiotic cream locally for 3to 5days only Sunprotection cream (SPF) during day Moisturisers at night

Xerosis cutis. Moisturisers , or oil well massaged till skin feels and looks supple, moisturising soaps, AVOIDIND STONDG SOAPS , wearing of clothes which prevent cotact with inciting factord that cause each. ANTI HISTOMINICS- NONSEDATING AT NIGHT. AQUASOL A CAPS ONCE A DAY TILL THEBOTTLE LASTS. ETC.

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