#MedicalCase
A Skin Case (Dermatology)
Dr. Sandhya Narayanan Kutty., MBBS, MD IN DERMATOLOGY AND VENEREOLOGY
Medical Case Details:
A 60 year old female with a previous history of type 2 DM, systemic hypertension and dyslipidemia on treatment complains of hypopigmented macules along the hairline and scalp, since the past 2 years.No associated pain, scaling or itching. She recently noticed the presence of few scattered, small, circumscribed hypopigmented macules over both cheek area of 6 months duration. History of dye application on hair since 20 years and ceased completely 3 years back. The patient also gives a past history of psoriasis which was treated and no recurrence since 5 years. She has difficulty in socializing due to the condition.
Kindly provide a provisional or differential diagnosis with the possible management of the case. Thank you
Discussions
Dr. Priyanka Sharma
Dermatologist
Differentials-
Seborrheic dermatitis
P. Versicolor
Pre vitiligo
PMLE
Healed lesions of psoriasis?
As described in history their is no scaling or erythema so, previtiligo is my provisional dx as it can appear at any age and is an autoimmune condition associated with diabetes .
Dermatologist
Differentials-
Seborrheic dermatitis
P. Versicolor
Pre vitiligo
PMLE
Healed lesions of psoriasis?
As described in history their is no scaling or erythema so, previtiligo is my provisional dx as it can appear at any age and is an autoimmune condition associated with diabetes .
▲ 1
21.Aug, 06:06pm
Dr. Sandhya Narayanan Kutty
Venereologist
Thank you so much Doctor.
Could you also suggest a management protocol for the condition. I have currently started the patient on tacrolimus local application. She was otherwise on self medications. Do you have a suggestion?
Venereologist
Thank you so much Doctor.
Could you also suggest a management protocol for the condition. I have currently started the patient on tacrolimus local application. She was otherwise on self medications. Do you have a suggestion?
21.Aug, 06:33pm
Dr. V. Srikanth Reddy
Dermatologist
My differentials would be
Postinflammatory hypopigmentation
Facial p versicolor
Eruptive macular hypomelanosis
Early vitiligo
Psoriasis less common over face so excluding possibility of psoriasis
Dermatologist
My differentials would be
Postinflammatory hypopigmentation
Facial p versicolor
Eruptive macular hypomelanosis
Early vitiligo
Psoriasis less common over face so excluding possibility of psoriasis
21.Aug, 06:38pm
Dr. Sandhya Narayanan Kutty
Venereologist
Thank you Doctor. Any management suggestions?
Venereologist
Thank you Doctor. Any management suggestions?
21.Aug, 06:55pm
Dr. Sandhya Narayanan Kutty
Venereologist
Yes, certainly, I will consider that. Thank you for your advice and a quick response.
Venereologist
Yes, certainly, I will consider that. Thank you for your advice and a quick response.
21.Aug, 07:40pm
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