Concluded Case

allergic hyperpigmentation with thickness of skin

No symptoms just hyperpigmentation with thickness of skin Here's some lacerations due to over cleaning up of that part as she thought its dirt Female 32 years , hygiene good Vitals normal No h/o any hpt dm, thyroid

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Concluded answer

Graphites 1M -1dose Antim crud 30 Arsenic Album 30

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Educate the patient about the friction area and hyperpigmentation and thickening are due to the friction at the malleolus when sitting on floor and many such activities. Advise to moisturize the area and keep it clean. Sometimes their problem is not what they approached us for and that's why taking a thorough history can help us understand the actual problem and manage it accordingly. As such post covid there is rise in Psychological cases even in people affected by covid. We have to ask and find answers.

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? CALLOSITY.. ? FRICTION DERMATITIS.. NEED'S.. TOPICALLY.. ANTISEPTIC..ANTIBIOTICS..FUCIDIN..OR. MUPIROCIN.. + MOISTURIZERS..

No symptom, itself is a big symptom...Sycotic manifestation Acanthosis Nigricans, Precursor to Diabetes...

Dr Ranjit Kumar Poriya Homeopathy Discolorration Lt Side Leg Lower Part. * Leucoderma. Rx Arsenic album 200 Rhustox 30, Is Best..

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Graphitis 200 fortnightly × 3 dose

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Thuja 200

Antim curud 200

Anti crud

Callendulla Ointment can work...

Apply calendula cream locally

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