18yrs male pain in abdomen,loss of nail and hair, colour change in skin ,low vision in one year please Dx and Rx

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LOOKS LIKE A KIND OF A SYNDROME COMPLEX CHARETRISED BY ALOPACIA LOSS OF NAIL COLOUR CHANGES IN SKIN LOW VISION

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? AA .. ? AGA .. WITH .. ANEMIA AND .. MELANOSIS..

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Investigation required and treatment with systematic complaints, nutritional supplement is also required. Treat according to the investigation and present symptoms.

Further evaluation is required for diagnosis and treatment

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History with following Symptoms R/0 maligancy Thyroid disease Anaemia

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NICELY DISCUSSED. IN DETAILS NEEDS C T. SCAN. ...WHOLE. ABDOMEN... ALL. ROUTINE. EVALUATION TILL. REPORTS ...EMPIRICAL. MANAGEMENT

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Palmar keratoderma Digital clubbing Hypotrichosis Looks like palmoplantar keratoderma Needs further evaluation to rule out any systemic issues.. Rx Hyperkeratotic lesions would require keratolytics Xerina cream over the palms bd Novasoft cream over the palms frequently Always keep the area moisturised Tab.Levocet 5mg hs incase of itching

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Pt is severely anaemic and pale hence loss of hairs . Nails are pale Screen in detail for iron deficiency anaemia Adv cbc esr vitb12 sr iron tibc and percentage saturation Also suggest usg abdomen and xray chest Meanwhile treat symptomatically with nutritional supplements

Thanx dr Ashok Leel
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Investigation.. Physical examination.. Past history... USG abdomen.. MRI. Brain.. Hormonal imbalance testing.. HBA1C... Then treatment start..... Hands hyperpigmentation... Face... Brain... Dermatitis...

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Needs further investigation and evaluation to conclude particularly USG Abdo, Hormonal profile CT brain. Till reports complied. Symptomatic treatment.

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