46 years old lady presented with the above very pruritic lesions over the body of two months duration. She is a hawker selling Char Koay Teow by the road side. On examination, there were extensive papular lesions over the forearms, lower limbs, neck and body especially over the sun exposed areas.Diagnosis?
We are treating her as having some form of photodermatitis or polymorphic light eruption.
She was given Betnovate 1:6 cream, aques cream as emollient and anti-histamine. However, her response was unsatisfactory, with persistent disturbing pruritic lesions. One factor contributing to her condition was, she still works by the roadside and wear T-shirt with short pants despite been advice against doing so.
Any comment or suggestion?
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3 comments:
any chance to change her job?
suncreen or perhaps large hat/umbrella?
have u considered linear Ig A or dermatitis herpetiformis?
It looks like Disseminated Superficial Actinic Porokeratosis
http://www.dermis.net/dermisroot/en/41637/diagnose.htm
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