Probably a type of hypersensitivity reaction Superficial type which is itchy and has a trailing scale Deep type which is not itchy and has a cord-like border with minimal/no dermal change Treatment Could try azithromycin 250mg once daily until resolution or maximum of 3 weeks (Azithromycin in EAC, Clin Exp Dermatol (2018) 43, ..

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– Usually present in 20’s – ‘Burning’ sensation with UV exposure (usually UVA) Investigations – Diagnosis: porphyrin screen blood test (protect from light, send to reference lab e.g. Cardiff) – FBC, U+E, Ferritin, LFTs, gamma GT, Vitamin D level Treatment – Dundee total sunblock – Try antihistamine e.g. fexofenadine 180mg once daily – Course of ..

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– Excise with 2mm margin – limbs – align scar longitudinally¬†(not with relaxed skin tension lines) – Marker suture in specimen at 12 o’clock position – Sutures: – Back – 3/0 PDS dermal sutures and 4/0 Ethilon superficial sutures. Remove in 10 days to 2 weeks – Other sites on body – 4/0 vicryl on ..

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