13yr old girl having light blackish discoloration on perioral area with itching since 10days. no other complaint. Dx? Rx?

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First check the history of any topical medicine used... It can be due to lip lick ..known as lip lick dermatitis...!
SUGGESTIVE OF CONTACT DERMATITIS... P. I. H.... DD FACIAL.. PERIORAL ACANTHOSIS. NIGRICANS
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Acute contact dermatitis Post inflammatory hyperpigmentation Potent steroid needed Oral antihistamine
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Allergic contact dermatitis. Topical stroid and antihistaminics. Is she on any medication?
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? Xerrosis. Avoid soap. Apply Moisturizer lotion. Tab Supradyn O D 10 days.
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Lip Lick Dermatitis... Perioral Hyperpigmentation* Perioral Melanosis..
Perioral Dermatitis....Perioral Melanosis...Lip Licking Dermatitis
Rx cap isotretinoin 20mg OD lotion Sunscreen for 15 days
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wash with need Tulsi face wash and Bleminar cream locally
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liplicking eczema.. topical steroids wud be good enough
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