A 10 yrs Old girl C/O Blackish coloured Patch on her Left Lower Limb since 1 year, the patch is increasing in size, No other fresh Complains Plz give your valuable opinions regarding the Treatment and Diagnosis
Dr. Suyash Kumar, Thank you for tagging Dr. Golam Mortuza Visual shows dark coloured patch on leg. 1) First evaluate this patch either epidermal or dermal origin by using woods lamp.( epidermal type change with WOODS light.) 2) size ... less than 7 mm usually denotes NAEVUS type.. so it is not Naevus pigmentosus. 3) colour....uniform colour seen in naevi and if variation in color usually denotes atypical or melanoma. So here it is not uniform.not atypical but careful observation shows difference in dark color and asymptomatic denotes..it is neither Lichen planus nor naevus ( as per size and duration) So finally it could be favour to POST INFLAMMATORY PIGMENTATION . This patient might be have ECZEMA, and treated with different types topicals may lead to this pigmentation. Treatment: Removal of the pigmentation by using peels and skin lightning creams. Tab glutone 500 mg daily for 3 weeks .
Melanocytic naevus Usually appear during first two decades of a person's life
Melanoma
Nevus pigmentous.
LICHEN PLANUS PIGMENTOSUM/POST INFLAMMATORY PIGMENTATION?
Lichen Planus ? Stasis Dermatitis. ?
may be melanocytic nevus
Cases that would interest you
- Login to View the image
28 years female itching pigmented rounded patches on both legs since 1 year points favour to right diagnosis ? investigations and differentials?
Dr. P.kishore Kumar4 Likes20 Answers - Login to View the image
F/58 Complaining of hyperpigmented lesions over both side of neck r quite some time.non itchy.pt is normoglycaemic.diag n TT plz
Dr. Samarendra Kumar Das3 Likes22 Answers - Login to View the image
patient is having these lesions all over body.itching present
Dr. Simmi Khullar0 Like11 Answers - Login to View the image
What is the diagnosis? A) Contact dermatitis B) Discoid lupus erythematosus C) Melanoma D) Nummular eczema E) Tinea corporis
Dr. Raj Sharma1 Like18 Answers - Login to View the image
60 years Male pigmented patch on the left dorsal aspect of left palm since 2 years . no itching ddx? Rx?
Dr. P.kishore Kumar6 Likes18 Answers
1 Like