patient is having these lesions on face one side since 10 months . no itching. increasing in size. pt has taken lots of treatment. diagnosis and treatment please.

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Melasma

It's OCHORNOSIS

Thanks sir
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Melasma

Melasma

Sir it is only on one side and around the left eye and cheek
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Unilateral melasma.

Unilateral Melasma (?)

L
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If other treatments have failed , you should go for chemical peel ( if there is no infectious eitology) with proper SPF cream . Multiple sittings will be needed.

Malesma. But H/o hair colour or artificial mehendi usage also produces this changes .

Melasma

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