Dr Kadwa: Leukoderma

I have leukoderma all over my body. It started when I was about 10 years old after I took 4 anti-rabies injections.
My details:

1.Age, sex, weight, country, occupation.
ANS. Age 29, Sex: Male, Weight: 55 kgs, Country: India, Occupation: Pastry Chef

2. Main complaints and other
associated troubles.
a)Where is the trouble; The
exact locality of the
complaint like hands,legs
etc; duration of trouble.
ANS. Leukoderma all over the body.

b)What exactly do you feel,
Sensation as pain, how pain
feels or burn etc.
ANS. Rashes when in direct sunlight.

c)What are the factors that
causes this trouble according
to you.
ANS. Hot weather.

d)Condition under which the
complaint is reduced or you
feel better like,cold or hot
application,cold or hot
weather,position as
standing,walking,rest etc.
ANS. Warm water bath, cold weather.

e)Condition under which the
complaint is increased
like,cold or hot
application,cold or hot
weather,position as
standing,walking,rest etc.
ANS.

f)Any other complaint any
where in the body.
ANS. Eye sight -0.5

g)Onset time of troubles in
detail, i.e which came first,
after that what problem and
so on.
ANS. My leukoderma first started when I was 10 years old. I had just taken 4 anti rabies shots and 2 months later a white spot appeared on my chest. From then onwards, the problem elevated till it covered my whole body.

h)Treatment method
adopted and its result.
ANS. Backuchi powder mixed with honey taken orally, some ayurvedic oil that had cow's urine in it that had to be applied over the body.
3. History of diseases in
family.
ANS. Mother: Iron deficiency, Sister: Appendix removed, Vitamin D3 deficiency and hairfall.
4. Personal History.
a)About childhood.
ANS. I am very close to my mother. There was a lot of tension and physical agression between my mother and father in childhood. Irritation, anger and helplessness when dad used to raise his hand on mom. Irritation when my sister keeps repeating the same instruction again and again.

b)Academic performance.
ANS. Didn't enjoy studying but liked going to school. Was not able to complete my graduation or specialization.

c)Any major incidents in life
and the effect of it on life.
ANS. Fights between mom and dad. Dad getting physical and aggressive with mom. Mom's divorce and remarriage.

d)How you are satisfied with
your sex life, friends, family
members, company etc.
ANS. Sex life is unsatisfactory, social life is good, work environment is ok but very bitchy, family life is ok.
5. Habits/Addiction.
a)Smoking, Alcohol,Sleeping
pills, Laxative etc.
ANS. Smoking about 2 cigarettes a day, drinking twice a week about 3 drinks.

b)Masturbation and
frequency.
ANS. Once a week.
6. How is your Appetite and
Thirst.
ANS. I drink about 1 1/2 litres of water a day. Appetite is normal.

7. Likes and Dislikes.
a)Alcohol Bread Butter Bitter
Salt Sweet Sour Fats Milk Mud
Chalk Egg Spicy food Meat
Fish Fruits Fried Food
Warm food-drink Cold food-
drink Ice Ice cream
Chocolates Tea Coffee.
ANS. Prefer tea, coffee, salty foods. Dislike: capsicum, spicy food, meats.

b)Anything else about like
and dislike of any activity
with you or surrounding.
ANS. People repeating instructions, people asking me about my leukoderma.

8. Bowel movements.
a)Nature of stool, frequency,
satisfactory or not.
ANS. Every morning, normal, brownish, softish.

b)Any discomforts
associated with stool.
ANS. No

9. Urine.
a)Frequency, nature,
volume.
ANS. Normal, whitish, 3 times a day approx.

b)Any discomfort before,
during or after urination/
odour
ANS. No

10. For men.
a)Any difference in
erection/want of erection/
weak erection/Ejaculation
early/late.
ANS. Weak erection

b)Any other trouble in sex.
ANS. Lots, no sex.

11. For Females.
a)Menses, Regular,
Irregular,Early, Late.
ANS. NA
b)Duration of menses.
ANS.
c)Nature of flow, Scanty,
Blood colour, Consistency,
Odour, Staining, itching/
when and what makes it
worse/better.
ANS. NA

12. Sleep.
a)The quality of sleep, the
quietness or restlessness of
sleep,
position of sleep, times of
waking and reasons for
waking,
need for cover over various
parts of the body,
whether the window must
be open or closed etc.
common dreams, peculiar
sounds or gestures during
sleep, etc.
ANS. Peaceful, sleep on right hand side, prefer covering head, prefer window open, .

13. Sweat
a)How much, what parts,
staining, Odour.
ANS. Sweat on head and feet mostly, not much odour.

14. Weather
a)Tolerance to heat and
cold, dryness, humidity,
weather changes, sun,
foggy weather, wind drafts,
closed rooms, etc.
ANS. Prefer cool weather, direct sun makes rashes on my skin.

15. Mental Status
a)The quality of the patient's
life in relationship to loved
ones, family, friends and
colleagues. Overall quality
of energy available to
function in daily life, and
under various circumstances.
ANS. Introvertish, prefer being alone, quiet, medium energy levels.

b)Any mental/emotional
shocks occurring in the
patient's life-grief, major
financial losses separation
from loved ones, death,
identity crisis and other
stress in life.
ANS. Am always concerned about what will happen in the future financially and regarding my love life and marriage.

c)Memory,ability to
concentrate/comprehend.
ANS. Fairly good memory, good concentration.

d)Are you fearful of
anything eg: Animals,
people, being alone,
darkness, death, disease,
robbers, thunder, storm, high
places.
ANS. Heights, spiders,

e)Are you anxious about
anything: if yes, give details.
ANS. Future, marriage.

f)Are you impatient.
ANS. No.
g)Are you doubtful or
suspicious.
ANS. I trust easily.

h)Are you hurt easily
(emotionally)how do you
react. Does it cause hatred/
revenge.
ANS. Very emotional. I respond in blinding rage. By shouting.
i)Does your pride get hurt
easily.
ANS.
j)Are you depressed, if so,
reason/circumstances.
ANS. Depressed or worried about my future.
k)Do you like to share your
problems.
ANS. Not really.
l)Effect of consolation.
ANS. I like it.
m)Do you ever become
suicidal when? How.
ANS. No.
n)Memory- quality if poor,
for what ( eg. Names, places,
people, what you read).
ANS. Is ok.
o)Do you weep easily, effect
of weeping, ie, does it make
you worse or better.
ANS. Not really.
p)Are you easily irritated.
What makes you angry, how
do you express it.
ANS. I get angry when people continuously repeat instructions.
q)Are you destructive.
ANS. Not really.
r)How good are you in
making decisions.
ANS. Not very good. I play safe.
s)Do you like company or
like to remain alone.
ANS. Yes
t)How seriously are you
affected by disorder and
uncleanness in your
surroundings.
ANS. I get irritated
u)How does failure appear
to you?
ANS.
v)Are there any matters that
you deeply dislike?
ANS. People loosing their temper; shouting at my mom. I feel helpless.