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45years, male, suffering from 2-3 month, colour changes in both lips. Chief Complaints Pink Or brown colours changes on the both lips, but lower lip more than upper. History No smoke, no alcohol, no anymore addiction. Only a cup of tea, morning and evening, blood sugar since two years. Vitals BP 120/80 mm/hg Puls 74bpm. SpO2 98% Body weight 72 kg. Physical Examination Pink Or brown colour of the part of both lips. No pain, no burning sansetion, no itching, every thing is normal. Investigations Blood sugar levels normal with medication, and control of diet. Diagnosis Please diagnosis and treatment suggest. Management Please suggest management

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Looking like vitiligo, requires chronic treatment. Treatment is Steroid ointments Calcineurin inhibitor ointment like Tacrolimus Light therapy PUVA therapy Surgery like skin grafting

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Different colours observed bcz pt developing vitiligo lips nothing to worry Add vitd3 -60k weekly Tacrolimus 0.03%oint twice daily Sunlight exposure

Thanx dr Ramesh Kumar @
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Vitiligo Tacrolimus oint and steroid ointment Vitamins

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? Leucoderma

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VITILIGO

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@ vitiligo?

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Vitiligo

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