A 37 years old male with hypopigmented dot and circular shaped lesions, gradual onset for 2 months ,no itching ,no history of any medication use or DM , gradually increasing in number and extent , present only on skin of forearm ...please give d/d and management

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? Idiopathic Guttate Hypomelanosis Pityriasis Versicolor Post Inflammatory Depigmentation Progressive Macular Hypomelanosis Vitiligo

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Dr. Gopal, Multiple tiny hypopigmented spots on posterior aspects of forearm more may be.... Posthypomelanotic spots due to insect bites... Luekoderma spots due to post inflammatory pigmentation... Pitryiasis alba... Idiopathic guttate hypomelanosis Middle age, repeated sun exposure Fair skin more favour to IDIOPATHIC GUTTATE HYPOMELANOSIS... Treatment... Avoid sun exposure or by using sunscreen to protect from sun... Night Tacrolimus 0.1% Betamethasone lotion on lesions Antioxidants...

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Post inflammatory hypopigmentation Locally eumosone oint Orally vit D3 60k weekly Vit A and antioxidents

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Idiopathic guttate hypopigmentation Vitiligo Progressive macular hypomelanosis

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Idiopathic scoliosis Hypomelosis Depigmentation

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Idiopathic scoliosis

Idiopathic Guttate. Hypopigmentation/ Vitiligo

Pityriasis versicolor Dd vitiligo

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Pityriasis Versicolor / Idiopathic Guttate Hypomelanosis / Vitiligo? ??

Macular Hypomelanosis? PIH? Vitiligo.?

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