Facial Hyperpigmentation

55 year old female With diffuse non elevated hyperpigmentation over the face and neck since 2 years Started as a allergy to some cosmetic cream . Since then consulted many dermatologist and used multiple cream since 1 and 1/2 years but no response.. Diagnosis ? Management?

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Melesma..,? Hyperpigmentation facei..? Management.. Sun screen lotion use.. Tab multivitamins antioxidants trace elements od.. Whitfield creams local used.. Alovira gel use... Salicylic acid ice gel use... Citrus fruits taken...

POSSIBLE MEDICATIONS ALTERED POST. INFLAMMATORY MELANOSIS... NEEDS H P E. U S G.. WHOLE. ABDOMEN

? MELASMA .. ? FACIAL MELANOSIS ..

Tnx Dr Dinesh Gupta
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Hyper melanosis Melasma Adv- Scarvate night cream Sun screen lotion Tab-proxylite OD for 3 months *Avoid direct sun exposure

Melasma ACD , Tenia Thyroid profile CBC ESR Scape test Tab Fluconozole 150 weekly Tab Levocetrizine OD Tab Folvite OD Alovera AF application Whitfield cream local application

Respected @Dr. Rakesh Mohan sir, More history and Investigation is needed blood for RE, FBS, LFT, Lipid profile ? Melasma, Acanthosis nigricans in modern Neelika in Ayurveda According to Ayurveda, Sarivadyasav 30 ml bd Panchatikta ghrta Guggulu 500mg bd Sarivadi vati 2pill bd Vaiswanar churna 3gm at hs c lww Manasmitra vatakam(gold) 1pill bd Jatiyadi tail - L/A Helpful

Acanthosis Nigricans

MELASMA... PIGMENTED DERMATITIS..

Melasma Sunscream lotion OINT alograce local application Soap aloevera Tab ascazinc 50 mg od Cap vit ad od

? Pigmented contact dermatitis ? LPP Histopath is suggested for better management

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