Please diagnosis and treatment

Dipigmintation , back 6 month. No itching, sensation normal

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POSSIBLY MEDICATIONS ALTERED PRAY / FRICTIONAL DERMATITIS. NEGLECTA.. WITH SUBSEQUENTLY HYPERMELANOTIC CHANGES... NEEDS H P E ...TO RULE. OUT MALIGNANT. CHANGES ALSO... C T. ABDOMEN... CHEST. AND. THORAX

Need proper history to rule out Reihls melanosis - history of hair dye use Exogenous ochronosis - use of cream containing hydroquinone Lichen planus pigmentosus - photo aggregation of lesions Post inflammatory hyperpigmentation - prior application of sindur/tika or any prior dermatitis at that area

Photosensitivity FLUCORT N+ nevia cream in 2:1 ratio bd. PABA CREAM LOCALLY DURING exposure to sunlight and bad weather conditions. Avoid direct to direct sunlight.

Thanks Dr Dinesh Gupta
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Contact dermatitis vs fungal infection. Adv antihistaminics and local antifungal therapy

Facial melanosis Acanthiosis Nigricans Photo dermatitis A C D

? PHOTO MELANOSIS .. ? FRICTION INDUCED DEPIGMENTATION .. PRAY MARK ..

Facial melonasis? Hyperpigmentation? Photo dermatitis? Rx Lightening creams. Face acids. Retinoids. Chemical peel. Laser peel. IPL therapy. Microdermabrasion. Dermabrasion...

Acanthosis Nigricans

Allergic / contact/ fungal dermatitis

FACIAL MELANOSIS ? Overexposed Area to sun Rx Suncream Day time Glycolic acid Fash wash & Cream Night time Sun protection needed

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