Concluded Case

Pmle photodermatitis

M 50 farmer by profession Presented with these hyperpigmented lesions with intense itching from 2 year No ht or dm2 No other family member affect Took many tt with temporary improvement Tt history not available Plz Suggest dd workup nd tt

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Concluded answer
my provisional is pmle tt given as protocol
All Answers
PMLE PHOTODERMITITIS Exposure to sun us aggravating factor Prevention and protection from sunlight is important to get results Need daily oiling and moisturisers application before bath and after bath on wet body and in evening after field work ask to bath and apply moisturisers Tab fexofenadine180mg 1od Clop-s nano lotion twice daily Multivitamins supplements
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Photo dermatitis, Suggest sun screen lotion, avoid exposure to sun light, vitamin C and E , isotretenoin, anti histamine
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Appearance of photodermatitis Moisturizer and oil daily Tab Fexofenadine180mg od vitaminA,B,E
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Lichen sclerosis Methylpred 4mg bd Atarax25 bd Flucort lotion Moisturisers
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Photodermatitis.sunblock and hydroxyzine for symptomatic relief.
Phytophotodematitis? Dd - atopic dermatitis?
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PITYRIASI ROEAS
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The photos are not much clear. Can't see if it's just hyperpigmentation or eruptions?D/d Eczema, xeroderma, itching can also be because of liver, thyroid or renal factors? Sometimes it's just dry skin needing moisture.
my provisional is pmle tt given as protocol