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
IT'S A..CASE OF.. ? LICHEN PLANUS.. ? PSORIASIS..
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
SUGGESTIVE OF LICHEN PLANUS HYPERTROPHIED DD PSORIASIS
It is a case of lichen planus, broad spectrum antibiotic,levocetrizine tab,etc
Looks like A case of "Lichen Planus"
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