7 years boy 37 kg itching and patches over the face on off 2 years .. itching more in hot climate time .. he has taken treatment .. tenovate M cream and ketokenazole cream .. tab fluconszole 50 mg Js 7 days and fexofenadine syrup 60 mg bd 7 days but no response .. sir please advise

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It maybe xerosis, due to Atopic dermatitis Emollient can used, Low potent hydrocortisone oint for short peroid & for itching Levocetrizine can be tried

Tq.dr.Allu rao
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Xeroderma pigmentosum XP is a genetic disorder in which there is a decreased ability to repair DNA damage such as that caused by ultraviolet (UV) light. Symptoms may include a severe sunburn after only a few minutes in the sun, freckling in sun exposed areas, dry skin and changes in skin pigmentation.. Skin moisturizers should be used frequently, particularly immediately after bathing, to decrease transepidermal water loss. Corticosteroid ointment for short span.

Tenovate M cream contains super-high potent steroid .. it may cause severe side effects especially applied on peri orbital / perioral area. It is unlikely to be tines infection after given a course of anti-fungal treatments.  Sometimes , itchiness could be due to xerosis . Agree with Dr Madhukar to treat as atopic dermatitis. Wood's lamp examination would also give a clue whether the discrete lesion is amelanosis or hypomelanosis.

? TENIA .. ? ATOPIC DERMATITIS.. ? XERODERMA..

Tnx &wc Dr Allu Rao
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tinea facie . luliconazole ointment apply locally 4 times daily . stop steroids . hydroxyzine for itching . zinc orally

Seborrheic dermatitis / Atopic eczema ? Steroid induced hypopigmentation Suggest KOH test to exclude Tenia infection

Thank you,Doctor
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SUGGESTIVE. OF.. ATOPIC CONTACT. ECZEMA DD .RING. WORM . INFECTION FUNGAL.. TINEA...INFECTION NEEDS TOPICAL .... OFLOX +. CLOBETASOLE ALB + IVERMECTIN FLUCONAZOLE

Atopic dermatitis or xeroderma pigmentosum Mild topical steroid with mosturiser Wyslone 5bd

Atopic dermatitis

Tinea faciei

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