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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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| + | |} |
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| + | ===Observations of abnormal complexion and relevant morbidities === |
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| + | 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. |
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| + | {| 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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| |} | | |} |