Sinositis

headache,pain in cervical region since many months 15 yrs f afebrile refraction of eye is normal please interpret

1 year old infant came to opd with complaints of cough and nasal congestion. During examination i saw this patch.Is this any peculiar congenital sign ? I inquired about developmental milestone they were normal. Should anything specific about this anyone could guide.

ALLERGIC RHINITIS A male28yrs came with complaint of severe headache due to nasal congestion and watery discharge for last 10years, followed by itch in eyes and extrimities...worse in the mng and sunlight.. he is taking continous antiallergic(mont-LC) since then with relief for 3hours... choking, dysphagia and ETD... Scaling of skin with pruritis and exfoliation, continous itching for day long... gastritis with persistant constipation.. thirst- increased, small amnt at small intervals.. great prostration with bodyache and burning in lower extrimities...indolence.. sleep-disturbed mind irritable, angered easily, despondence, querrelsome, do not want to speak... AGG mng,sunlight, dust, fumes, chande of temp, eating after, AMELIO lying, closed room, covering, drinking hot liquids, rubbing, itching... please suggest D/D, MANAGEMENT....

SIDE EFFECTS OF CONTRACEPTIVES CONTRACEPTIVES. C-Cholestatic jaundice. O-Oedema corneal. N -Nasal congestion. T -Thyroid dysfunction. R-Raised B.P. A -Acne,Alopecia,Anemia. C -Cerebrovascular disease. E - Elevated blood sugar. P -Porphyria,Pigmentation,Pancreatitis. T - Thromboembolism. I -Intracranial hypertension. V -Vomiting. E -Erythema nodosum ,Extra pyramidal effects. S -Sensitivity to light.

20/F patient suffering from otalgia and ear discharge with headache Not responding to conservative management No history of any previous disease kindly opine