bilateral malar erythema

Right hand itchy rashes in all the finger mostly Palmar side for last 6-7 month associated with bilateral erythematous changes of both cheek for same duration. Age 12 yr, no h/o sanitizer use, no h/o fever, no h/o similar issues in family. Diagnosis and treatment? Anti fungal +steroids +antihistamine cause relief but recurs.



**Contact dermatitis ** Urticaria Continue same treatment minus steroid. Dewarming. Caladryl lotion locally bd. Rehydrate skin by applying moisturizer or emollient lotion locally. Protect against exposure to Irritants or contact causes allergy. Keep the area clean and covered with sterile gauge.

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