22/m came with problem as shown below. Has this rashes for last 10 years. Itching , wound with serous discharge and foul smelling (on and off). No other specific medical disorder present. Well build , obese (95kg and 174 cm ht).pls help me to diagnose and treat .

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Manage for colour dollar study to differentiate Pyoderma Gangrenosum and Ch.Eczema. Pyoderma gangrenosum is a rare, inflammatory skin disease where painful pustules or nodules become ulcers that progressively grow. Pyoderma gangrenosum is not infectious. Treatments may include corticosteroids, ciclosporin, infliximab, or canakinumab.. Azathioprine and cyclophosphamide are also immunosuppressive drugs that have been used to treat PG.

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? STASIS DERMATITIS.. ? ECZEMATOUS DERMATITIS.. NEED'S.. HEMOGRAM.. URINE ROUTINE.. BSR..HBA1C.. ECG STUDY.. COLOUR DOPLAR STUDY.. MEANWHILE TREAT SYMPTOMATICALLY.. LINEZOLID +CEFIXIME.. BILASTINE 20MG OD.. MOISTURIZERS.. WITH ANTISEPTIC AND.. ANTIBIOTICS..OINTMENT..

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Stasis chr dermititis Secondary infection Pt is obese and overweight Adv colour doppler to r/o vasculopathy Rx avoid long standing Keep legs raised Avoid frictioning Lobate-s oint twice daily Tab clindamycin 300mg 1bd Tab Levocetrizine5mg 1bd Flutibact oint on infected eruptions Keep personal hygiene Reduce wt and obesity Diet control and exercise

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Eczematous dermatitis Chronic Osteomyelitis Stasis oedema Ad X-ray of region Colour Doppler studies Antibiotics orally T Bact oint dressings Nsaid orally Wt reduction R/O Diabetes

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Irritatant eczematous dermatitis Tab. Zamflex Tab. Alvita Cream. Wanita

Eczematous dermetitis Rx ketoc od for 10 days Betnesol bd Allergin l bd Moisture Clo s nano oiint

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Overweight resulted venous congestion and stasis dermatitis as and eczematous dermatitis

Chronic dermatitis IX blood sugar Ecg study Color Doppler RX Azithromycin 500 OD Deflazacort 6mg BD T bact ointment morning on infected part Clop s ointment night Homeoapthic management Sulph 1m state Rhus tox BD Arsenic BD

VASCULOPPATHY? STATIS DERMATITIS? DIABETIC DERMATOPATHY ? NEED DOPPLER STUDY

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