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Case Discussion

STABLE VITILIGO - 7 Years   Posted By ANSHU    Date : 03-Dec-07   02:45 AM     Reply

Patient History suffering from STABLE VITILIGO

Case Summary Personal Details Name: ANSHU Age: 26 YEARS Sex:F height: 51 wt: 54 Kg. E-mail: [email protected] [email protected] Complaints (with Duration) Stable vitiligo on the back of the neck from Last 7 years. Before this some tiny patches were also appeared but they disappeared easily. But now there is only one 3*3 inches scattered patch is appeared on the back of the neck. This patch is not cured completely either by medicines or Punch Grafting or Suction Blister Epidermal Grafting Surgery twice. I also used various Steroids (local & oral) , PUVA Therapy , MELGAIN , METHOXSALEN , PLACENTREX , BETAMETHASON etc. Do you have dandruff? rarely If yes, is it more during winters Do you have a problem of hair fall? no Do you suffer from any of these skin problems  acne / eczema/ psoriasis/ leucoderma acne Do you suffer from Hives (Urticaria)? no Is your skin sensitive to Sun ? mild If yes, then what happens on exposure to sun Become blackish & oily Is your skin problem seasonal no If yes, which season is it worse  summer/ spring/ rainy/ autumn/ winters/ change of season no Details, if any of the above complaints no Symptoms related to DigestionDo you frequently develop a sore mouth (stomatitis) no Do you have a tendency to have frequent acidity? yes Do you have problem of gas formation (flatulence)? yes Do you get constipated? always Do you suffer from diarrhea? no Do you suffer from abdominal cramps? no Do you have a feeling of nausea or vomiting no Details, if any of the above complaints no Respiratory symptomsDo you have a tendency to develop frequent cold/bouts of sneezing no Do you suffer from persistent cough/sore throat? no Do you feel Breathless while climbing stairs? yes Do you get wheezing? no Does your nose get blocked frequently? no Have you been diagnosed with any of these respiratory problems  hay fever/ sinusitis/ asthma/ bronchitis/ tonsillitis/ adenoiditis never How frequently do you have the attack? How long do they last? Is your problem seasonal no If, yes which season is it worse summer/ spring/ rainy/ autumn/ winters/ change of season no Details, if any of the above complaints Musculo-skeletal symptomsDo you suffer from backache? no Do you have pain or stiffness in neck? Yes {Sometimes} Do you have pain or stiffness in any of the joints? no Do you develop frequent body ache/stiffness/cramps? no Do you have pain in the buttocks going down to your legs? no Do you develop frequent headache with feeling of nausea and sensitivity to light or noise? no Have you been diagnosed with any of these? no Details, if any of the above complaints Personal history What are you allergic to  dust/ fabric/ pollen/ drugs / Smoke / feather, cosmetics/ animal dander/ sun/ dyes/ any particular food/ strong odors/ chemicals/ soaps/ detergent/ perfume or any other thing No allergy Bowel habits  Regular / Irregular regular Frequency of bowel movements normal Menstrual history Are your periods regular yes What is the nature of menstrual flow ok Do you have white discharge (leucorrhoea)If yes, what is its character no Do you have painful manses? no Are your headaches related to your periods no Treatment history Are you on any medications at present?If yes which one I used medicines till September 2007. Are you steroids at present? NoIf yes please specify, why Childhood Allergic history Did you have any of these problems in your childhood - asthma/ eczema/ allergic rhinitis/ diarrhea/ vomiting/ abdominal colic/ growing pains no If yes, give the details of your problem? Family history Does any of your family member have : Specify relationship against eachAsthma/Respiratory sensitivity brother Eczema/Skin sensitivity Arthritis or Joint pain mother Rhinitis or Hay fever Allergic rashes (urticaria) Acne self Sensitive stomach





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