Early 50s/M
Known case of Bronchial Asthma
With hyperpigmentation since 2-3 years back.
Painful skin fissures, intense pruritus, peri-orbital puffiness - Recurrent flares of Atopic Dermatitis.
It has lead him into very poor quality of life.
Leukotriene receptor antagonists, Glucocorticoids, Beta 2 Agonists, Anti- Histamines and topicals have helped him over the years
Dx and Differentials
Long term management
And Financial Donations and Contributions are more than welcome, since economic background is kind of weak