I have brown color patches. Is it acanthosis nigrican?

Hello,

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As per the image attached (attachment removed to protect patient's identity), it is acute eczematous dermatitis characterized by red scaling plaques or dry lesions. Differential diagnosis can be allergic contact dermatitis, atopic dermatitis, photoeczematous dermatitis, and primary irritant dermatitis. I suggest the following. Apply Mometasone cream (Motium cream) at night for two weeks. Apply Dermocalm lotion (Calamine (anti-itching agent) and Light liquid paraffin) after bath for ten days. Moisturize skin daily with Venusia Max intensive moisturizing cream three to four times daily. Take Tablet Teczine-M (Levocetirizine and Montelukast) once at night after food for seven days. It is not acanthosis nigricans. It is eczema (allergic dermatitis). Please answer the following to guide better. Any aggravating factors? Any contact with chemicals? Any excess scratching and rubbing? Any use of harsh soaps? Any sign of stasis dermatitis on the foot or dark feet? Follow-up with the image. Thank you.

Hi,

Welcome back to icliniq.com.

As per the image (attachment removed to protect patient's identity). It is foot eczema. Risk factors are working or ongoing exposure to liquid or water, frequent hand or foot washing, stress or pressure, occlusion or friction, atopy-endogenous factor, excess sweating, injury, or trauma. Treatment includes eliminating known irritants and allergens, avoiding wet work in the home, avoiding excessive sweating and dry conditions that trigger eczema, minimizing frequent hand or foot washing with harsh soaps, and stress avoidance. Tablet Zincovit or Zitcare 100 mg once after breakfast for one a month (Zinc tablet). Avoid contact with detergents and avoid frequent contact with water. Use vinyl gloves while working with water and irritants. Rubber or plastic gloves -if used for more than 10 minutes. Avoid scratching and rubbing of lesions. It is essential to moisturize. Good moisturizers like Venusia max, Aquasoft cream, or Olesoft cream can be applied twice to three times a day. Apply Momate-F cream (combination of Mometasone Furoate 0.1 percent with Fusidic acid) on hand and foot lesions at night for two weeks. In the evening, can apply 3% Topisol ointment on foot lesions for ten days. Use Azac soap for the bath for two months. Please answer the below questions to guide you better. Are there recurrent episodes? Are their lesions lasting more than three months? Are you diabetic? Any contact with chemicals? Any food or drug allergies? Follow-up with the above answers. I hope this helps. Thank you.