18 year old male having these fissure on both hand last 5year. he is work in hotel as washerman. is it keratoderma/psoariasis /irritant contact dermatitis. respected sir/Mam suggest rx.

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Washerman ds

Palmoplantar keratoderma

SUGGESTIVE OF P. P. K. D. ..... SECONDARY. TO ... IRRITANT CONTACT DERMATITIS

PPKD / Psoriasis

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PPKD. May be following repetative contacts of chemical washing detergent DD..Psoriasis..

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? PPKD.. ? PALMER PSORIASIS..

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PPKD /PSORIASIS

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Palmerplanto keratoderma Can aggravated by irritants Rx lobate-s oint twice daily Tab fexofenadine180mg 1od Oral steroids Review every fortnightly

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Palmoplantar keratodermas (PPKD)  Psoriasis

PPKD Psoriasis Clop s nano gel + salicylic acid oint locally Mosturizers locally Tab medrol 4 mg b d orally Vit A orally

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