Pigmentation in lip since 4 months. 1. What history to be asked. 2. Possible cause. 3. Treatment if possible.

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Agree with Dr. Himansushekar Nath. Seems to be a case of Fixed drugs eruption.

DD- micronutrients deficiencies Smoking Lip licking Drugs or any cosmetic Peutz jegher syn Solar lentigines

Hot spicy eating habits
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general clinical history. particular history of lesion, when &how appeared. History of drugs intake like sulpha, nsaid, antimalarial like 4aq or 8 aq. .possible cause of lesion is fde or sj syndrome tt oral antihistamines, steroids in low dose in tapered manner, local application of emollient with aloe Vera helpful. ..

Doctor is there any particular feature in this picture that suggests fixed drug eruption? Or is it just the site?
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Other site involvment Drug in take H/o smoking Dd Mucosal lichen planus Drug induced hyperpigmentation Addison disease Laugier hunziker pigmentation Peutz jegher syndrome

General clinical history /drug history nsaid sulpha anti malerial chemical history in working place i e LED arsenic tt antihistamine steroid in low dose in tapperingmanner monitor and rule outwhen and how appeared. CAD?

Fixed drug eruption Any h/o drug intake..h/o dye application to moustache Treatment:mild steroid,pigmentation of fde will take time to subside

H/o ingestion of medicines,drugs like sulpha,nsaids,fluroquinalones,antimalarials, Rx antihistamines,oral steroids,avoidence if that drug

this may be fde due to chronic smoking Addison disease post inflammatory hyperpigmentation due to dye applied on moustache. .

Side effECT of drugs...Can't be smoker because teeth are not stained & in smokers mostly lower lip is affected

this pic looks FDE DRUG HISTORY DIFFICULT TO TREAT DUE TO PIGMENTARY INCONTINENCE IN MELANOPHAGES.

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