Known case of Bronchial Asthma

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