Concluded Case

Hypo- pigmented lesions over face

A 14 years old male with hypopigmented lesions over face since 2 months. Patient was treated with oral Terbinafine and topical antifungal for 1 week - but the lesions increased in size after the treatment. Diagnosis-treatment and reason for the flare up of lesions First photograph is before the treatment and second after 1 week of treatment

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Concluded answer

Pityriasis Alba Multivitamin and antioxidant orally. Dewarming. Rehydrate skin by applying moisturizer or emollient lotion locally. Keto soap powder and lotion locally. Improve General health and personal hygiene

All Answers

Apparently Pityriasis alba Fluconazole 150mg 1weekly Tab foristal1bd Antioxidants Clotrimazole ointment locally

Thanks Dr. Saddam Hussain, Dr. Kute Ankush
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Yes these patches are pytriasis alba Since terbinafine was not required may it have been reason Multivitamins supplements Deworming Tacrolimusoint 0.01% Vit A supplements

Thanx dr Partha Sarathi Sahana
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PITYRIASIS Alba

ADVISABLE.. 1. CBC.... LFT. RFT. TFT 2. SERUM. CALCIUM. ... VIT. D 3. SERUM. B. 12 4. RULE. OUT. ...HANSEN'S ALSO... ADVISABLE... B COMPLEX. +. ZN IRON +. FOLIC. ACID CALCIUM + D3 VIT. E. AND. VIT. C SKIN. MOISTURIZER ALB + IBERMACTIN

Pityriasis Alba Multivitamin and antioxidant orally. Dewarming. Rehydrate skin by applying moisturizer or emollient lotion locally. Keto soap powder and lotion locally. Improve General health and personal hygiene

Thanks Dr Dinesh Gupta
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PITYRIASIS ALBA... Very common problem of the teenage boy and girls. Moistey cream apply locally. And multivitamin minerals and nutritional supplements regularly.

Thank you doctor
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PITYRIASIS alba Needs vitamins only with emollients and moisturizers Avoid steroids

Thank you doctor
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Use tacrolimous 0.03 % .cream Fluconazole 150 mg weekly . Cure within one week

My clinical provisional diagnosis: Hansen disease- Indeterminate

Valuable opinion
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Use a moisturising cream & a multivitamin

Thank you doctor
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