TRUNCAL ACNE + SEBORRHEIC CAPITIS + POST INFLAMMATORY HYPERPIGMENTATION SECONDARY TO NUMMULAR ECXEMA OVER LEFT LEG

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.

This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.

I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.

Patient c/0 asymptomatic skin lesions over both arms since 3 to 4 years

H/0 dandruff present since 5 years

No h/o photosensitive

No h/o atopy

No h/o useage of topical medication

No known comorbidities

On examination

Multiple, well defined, monomorphic erythematous papules with scaling notes over bilateral arms

Left leg: single well defined hyperpigmented macule notes over lower 1/3 rd of leg just above medial malleolus

Scalp: greasy scales noted