Concluded Case

Allergic contact dermatitis

pt age 29/m c/o l.e. lid redness, mild swelling o/e no hair dandruff and scabs on lashes, mild conj.congestion only vn 6/6 B.E. with glass..but pt. not use it regularly no any other complaints from last 3 months pt already applied e/o polynase and azithromycine with no relief plz suggest further management

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Concluded answer

Hot formentation Tab.doxycycline BD Tab.levocitrizine BD Moxicip eye ointment BD Moxifloxacin eye drops 5 times/day Ocular hygiene Review after 5 days

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Periorbital allergic dermatitis. Periorbital dermatitis often suffer severely because their disease is in such a visible location. ... Common elicitors of periorbital allergic contact dermatitis were leave-on cosmetic products (face cream, eye shadow) and eye drops with the usual allergens being fragrances, preservatives and drugs. Periocular dermatitis may be caused by allergic or irritant contact dermatitis, protein contact dermatitis, secondary eczematous periocular rosacea and further skin disorders of another origin. Pathogenesis can also be multifactorial.

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Looks like "Periorbital Allergic Contact Dermatitis". Avoid rubbing and scratching. Only touch eyelids with clean, rinsed hands. Wash eyelids with plain water or use a cream cleanser designed for sensitive skin. Avoid all contact with allergens detected by patch tests – this is necessary.

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Allergic dermatitis of lids : Rx : . Steroid with antibiotics e/drops frequently. . Steroid with antibiotics e/ointment on lid skin. . Cap. Doxycycline. .Tab. Dexamethasone. . Tab. Pheniramine.

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It does not look like blepharitis. Rather it is perhaps allergic contact dermatitis Avoidance of precipitating factors like cosmetics Treatment consists of use of steroid-antibiotic eye ointment

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Allergic contact dermatitis Cetirizine Zocon

Squamous blephritis Cetrilak soap face wash Ocuna -z shampoo hair wash both 3 months Ciplox Eye ointment one month bedtime

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IT'S A..CASE OF.. ? CONTACT DERMATITIS.. ? ACD.. ? PERIORBITAL DERMATITIS..

It's blepharitis Needs hot wet fomentation Rubbing of steroids antibiotic ointment Topical antibiotic steroid and lubricant eye drops Oral doxycycline tab

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Hot formentation Tab.doxycycline BD Tab.levocitrizine BD Moxicip eye ointment BD Moxifloxacin eye drops 5 times/day Ocular hygiene Review after 5 days

Periorbital allergic contact dermatitis Tab. Moxiflox 400 od Tab. Levocet 5mg bd Zoxan D EYE DROP Tab. Zerodol sp

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