Chronic rash a pain in the neck
In atopic eczema the skin is very dry and itchy. Patients of Asian descent are particularly susceptible to severe forms of atopic dermatitis and to hyperpigmentation from chronic irritation. This appearance is the result of frequent rubbing. It also has a violaceous look perhaps suggesting lichen planus, but histology did not confirm this. The recommended treatment here is a good moisturiser and a strong topical steroid cream applied twice daily to break the itch scratch cycle. The pigmentation will slowly return to normal.
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