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Varnasvariyam Indriyam Adhyaya (view source)
Revision as of 07:29, 5 October 2020
, 07:29, 5 October 2020→Vidhi Vimarsha (Applied Inferences)
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| | Avadata-Gaura || Fair or White || Type I & Type II
| | Avadata-Gaura || Fair or White || Type I & Type II
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===Observations of abnormal complexion and relevant morbidities ===
Clinical observations in change of complexion can be suggestive of probable underlying morbidities. These are summarized in the following table 3.<ref name="Mamidi P."/> given in table 2.
{| class="wikitable"
|+ Table 3: Bad prognostic factor related to change in complexion
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! Observation !! Probable relevant disease or pathology
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| |Discoloration of whole body [ Cha.Sa. [[Indriya Sthana]] 1/9]|| Cyanosis; Melasma; Addison’s disease; Post-inflammatory hyper pigmentation; Cutaneous amyloidosis; Acanthosis nigricans; Wilson’s disease; Purpura; Fungal infections in immunocompromised patients; Jaundice; Hepatocellular carcinoma; Pallor; Hypomelanosis or hypopigmentation; Vitiligo;
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| |Discoloration of right half of body [Cha.Sa.[[Indriya Sthana]] 1/10]|| Harlequin colour change;
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| |Discoloration of upper half of body [Cha.Sa.[[Indriya Sthana]] 1/10]|| Differential cyanosis; Reverse differential cyanosis; Spinal cord injury (SCI); Paraplegia;
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| |Discoloration of dorsal or posterior surface of the body [Cha.Sa.[[Indriya Sthana]] 1/10]|| Venous stasis in chronic bed ridden patients;
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| |Discoloration of internal or external mucosal surfaces [Cha.Sa.[[Indriya Sthana]] 1/10] || Acquired generalized hyper pigmentations due to various underlying conditions; Oral pigmentation; Sino-nasal melanosis; Nevus of Ota;
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| |Unilateral facial discoloration [Cha.Sa.[[Indriya Sthana]] 1/10] || Unilateral facial flushing in Harlequin syndrome; Horner’s syndrome; Parry-Romberg syndrome;
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| |Unilateral numbness or hyperesthecia in body [Cha.Sa.[[Indriya Sthana]] 1/10] || Hemiplegia or hemiparesisi; Paraplegia or paraparesis; Diplegia; HSP (Hereditary spastic paraplegia); CMV (cytomegalovirus) polyradiculopathy; SCI; Myelopathies;
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||Unilateral numbness or hyperesthecia on face [Cha.Sa.[[Indriya Sthana]] 1/10] || DAN (Diabetic autonomic neuropathy); Anhidrosis & Hyperhidrosis; SCI; Cervical spine pathology; Unilateral facial seborrhoea in Ramsay-Hunt syndrome & Facial paralysis;
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| |Unilateral unctuousness or dryness in body [Cha.Sa.[[Indriya Sthana]] 1/10] || Paraplegia; SCI; Myelopathy;
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| |Appearance of moles, freckles, pinples on body [Cha.Sa.[[Indriya Sthana]] 1/11] || Basal cell carcinoma; Squamous cell carcinoma; Scleroderma; SLE (Systemic lupus erythematosus); Inflammatory & Infectious dermatoses; Sturge-Weber syndrome; Fungal & Viral skin infections; Melanocytic nevi; Hyper pigmentations; Carcinoid syndrome;
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| |Abnormal discoloration of nails, eyes, face, urine, stools, hands, legs, lips etc. [Cha.Sa.[[Indriya Sthana]] 1/12] || Cyanosis; Melanonychia; Acroperniosis; Chemosis; Jaundice; Panda eye; Iris nevi; Horner’s syndrome; Melanoma; Alkaptonuria; Black water fever; Biliary obstruction; Upper and lower gastrointestinal bleeding; Peripheral vascular disease (PVD); Acrocyanosis; Raynaud’s phenomenon; Mottling at end-of-life stages;
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| | Other sudden changes in complexion [Cha.Sa.[[Indriya Sthana]] 1/13] || Cyanosis, Pallor and Erythrosis seen in ALTE (Apparent Life-Threatening Events) & BRUE (Brief Resolved Unexplained Events);
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