Please Rx Dx for this skin disorder

She is suffering from this skin disease for the last 4 years and they haven't given any treatment yet, she applied luliconazole for few weeks but nothing's ok with that. please suggest and Rx Dx...

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I am surperise to see a c/o nodular acnes using lulicanazole which is is giving darkness or hyperpigmentation of facial skin ask her to stop it Treat acnes Rx tab azithromycin 250mg 1od for 5days and after that alternately 100mg Locally clindamycinA oint twice daily Tab isotrentoin 20mg 1od 2 Acral hypermelanosis Cosglow oint or skinlite oint twice daily 3 contact dermititis on feet and hyperpigmented bcz of some wrong application Adv lobate-s oint twice daily Counseling and patience are key words

Thanx dr Gautham Alexandra
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Nodular Acne..? Acral melanosis..? Management.. Tab Azithromycin 250 mg od 5 days.. Tab multivitamin antioxidants trace elements.. od 15 days.. Tab isotretinoin 20 mg od... Clindamycin ointment cream use at bed time.. Face wash Neem+alovera gel+turmeric use.. Sun screen lotion use.. Bath Acne soap.. Alovira gel uses.. Coconut oil use in hair.. Keep the skin area sterile gauges.. Tab levocetirizine 5 mg BD.. Clean skin regularly..

Thanks doctor Sandeep
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SUGGESTIVE. OF KELOIDAL ACNE WITH PI H. ..AND PIGMENTRY HYPERMELANOSIS AGGRAVATED. WITH VIT. E. C. B COMPLEX. DEFICIENCIES.. AND. SUBSEQUENT... SUN EXPOSURE. RESPONSE NEEDS 1. BIOPSY 2. USG..... WHOLE. ABDOMEN..

There are various causes of acral pigmentation varying from genetic to acquired, benign to malignant, autoimmune to infectious, drug-induced, nutritional deficiencies, postinflammatory, and even exogenous reasons. The pigmentation may be occurring in isolation or associated with various systemic features. An earlier age of the onset of pigmentation, a positive family history, and a reticulate or mottled pattern usually point to a genetic cause.

Infected contact dermatitis Tab. Lizolid Tab. Zamflex Tab. Alvita Cream. Eukroma

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Nodular Acne Achral melenosis Acnicin lotion locally Tab Roxid 150 mg bd for 3 months

? ACRAL MELANOSIS.. WITH.. NODULAR ACNE..

Tnx Dr Vipin Bihari Jain sir
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Acne with nodular melanosis

Melanosis and Acne. sunscreen lotion. depigmenting agents. azithromycin. zyclin nano.

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