17yr old female pt c/o itching on this lesions last 1yr Please diagnose n treatment
Lonchen Planus . Hypsrtrophic lesion.. Lichen planus is characterized by shiny, violaceous, flat-topped polygonal papules. ... Hypertrophic lichen planus usually develops during the course of a subacute attack, but occasionally only hypertrophic or warty lesions are found. It most often occurs on the lower limbs, especially around the ankles. Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.
* ATOPIC DERMATITIS Levocet 5mg bd. Tapering dose of steroid orally. Clean area with diluted betadine lotion apply lobate-s oint locally bd. Diclo PCM SOS. Keep area clean and covered with sterile gauge. Multivitamin and antioxidants orally. Protect against exposure to extreme conditions.
Lonchen Planus . Hypsrtrophic lesion.. Lichen planus is characterized by shiny, violaceous, flat-topped polygonal papules. ... Hypertrophic lichen planus usually develops during the course of a subacute attack, but occasionally only hypertrophic or warty lesions are found. It most often occurs on the lower limbs, especially around the ankles. Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.
Conact dermatitis Probbly metallic ornaments Use local klobesterol only T ebesti n BDS Avoid use of metallic ornament
LINCHEN PLANUS CHRONICUS RX CSR 6%OINT TWICE DAILY tab fexofenadine180mg 1od Oral steroids Review every fortnightly
Irritatant contact dermatitis Baclate Cetirizine Zocon
Atopic Dermatitis Antihistamine Clobetasol oint twice daily Moisturizers or Emollients
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45 yr male complaints of burning sensation and pain in affected fingers. not a known case for HTN and T2DM but pt is alcoholic.This skin lesions present since five yrs. what are your views, Dx, Tx and management of it.
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Pt aged 44 yrs....C/o generalised itching....Since 8 yrs....Daily itching....Taken treatment at many drs no Response and well Known dermatologist treated no response.... Pt is non diabetic/No thyroid problem/No Anaemia/No Scabies/No Liver problem/No renal problem/No Tension or Hysterical/No HIV/No Hbsag positive/No Drug Related Itching/Non HTN/No Food Related Allergy.....Dermatologist given her steroids/Dapsone tabs etc her weight increased but no Symptoms relieved....So pt is Very much Fed up of this along with family members.....No Relief of Itching.....So Challenging One pls share ur Opinions fast......If u feel diagnosis then tell Related Investigation,Treatment and prognosis...Must.
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