Skin discoloration

Medical Case Details:

Hello,

How to treat this skin discoloration? Why is my patient experiencing this after getting exposed to the sun all the time, even after applying Sunscreen lotion? Thank you.

Thank you.

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Discussions

Dr. Mahwish Dildar Abbasi
Family Physician

Is your patient getting hyperpigmentation or hypopigmentation?
I'm sorry it's unable to figure out from the attached image
Is it only on sun-exposed areas? Are there any other symptoms?

13.Jan, 10:22am

Dr. Albana Greca
General Practitioner

Hello Dr.Mahwish,

Patient is experiencing hypopigmentation. Only on exposed areas. No other symptoms or diseases.

Thank you for your input.

14.Jan, 07:03pm

Dr. Mahwish Dildar Abbasi
Family Physician

Does it just begins and remains as hypopigmentation?
We could think porphyria cutanea tarda but patient does not have any other symptoms
The rash does look like tinea but again it's only on sun-exposed areas
PLE and Solar Urticaria would also not begin just with hypopigmentation but can heal with post-inflammatory hypopigmentation
Could something in the history be missing from the patient?

14.Jan, 07:13pm

Dr. Albana Greca
General Practitioner

So far no, as long as I know. But I already advised sunscreen cream with steroid for 2 weeks.

Patient Not back yet.

Thank you again.

14.Jan, 07:15pm

Dr. Mahwish Dildar Abbasi
Family Physician

Pleasure
Do share the progress when she gets back

14.Jan, 07:23pm

Dr. Sorna Kumar Lakshmi Kanthan
Venereologist

Hi rule out tinea versicolor

29.Mar, 02:18am

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