Skin related

18year girl complains black spots,and pigmentation problem mostly at forhead ,cheeks, and somewhat on face,rare itching ,and she told me that she had applied many ointments from pharmacy but spots didn't diminish sometimes increased besides these she complains of mild constipation and her mc cycle is regular no further history of any thyroid or other systemic disease weight is 50 kg bp and pulse are in normal limits kindly guide me best treatment plan for her dear seniors @Dr. Akhilesh Singh @Dr. Pushker Bhomia @Dr. Arun Kumar Singh @Dr. Madhubala Rana @Dr. Shivraj Agarwal @Dr. Partha Sarathi Sahana

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Dr. Aishwarya, Visual shows multiple hyperpigmented spots on cheek, lateral aspects of forehead more favour to ACNE MECHANICA... it's one type of contact by pinching, pressure and rubbing of face with hands or other objects. Treatment.... Follow up this case is very important... Morning sunscreen is mandatory. Stop all other topicals Night skin lightning creams... Suitable chemical peels and modern Fulcrum company Microdermabrasion by experienced qualified dermatologist...will do and beautify the skin.
Thank you doctor
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@post acne hyperpigmentation; q switch laser will solve her problem for maintenance advice proper tt for acne ; sunscreen & salicylic face wash
Thanks so much mam
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Post inflammatory hyperpigmentation secondary to ?av,? seborrheic dermatitis.topical hydroquinone creams may be tried.
Thanks
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Hormone distrub. Investigation Abd. USG. H. Test. Acne scar. Rx Carofit max oint. Antioxidant
Tinea versicolar Tab Terbinafine 500 one daily ointment Luliconazole apply locally twice
Thank you doctor
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hormone test acth,msh,fsh usg should be done to rule out other accompanying diseases
Thanks
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Nevus hyperpigmentation Nothing is applicable Only laser treatment may be suggested
Thank you doctor
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Due to harmonal changes Cafe au lait spots Sebhorric dermatitis
Yes,Ur right sir she has oily skin need advise for the treatment
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Hormonal/nevus Aloe vera gel, lemon,antifungal ointment
Thank you doctor
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Post acne hyperpigmentation ? Cafe Sunday lait spot
Thank you doctor
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