25ym ,lesions since 7 month, severe itching, dd&tt
Dx :- Scabies on penile shaft. Please look for lesions in other parts of the body and h/o exposure etc . D / D :- Conditions to consider in the differential diagnosis of scabies include the following:- Genital herpes Id reaction (autoeczematization) Tinea infection Viral exanthem Folliculitis Bullous pemphigoid Chronic lymphocytic leukemia Necrotizing vasculitis B-cell lymphoma with monoclonal infiltrate Dermatologic manifestations of renal disease Dyshidrotic eczema Eosinophilic pustular folliculitis Erythroderma (generalized exfoliative dermatitis) Drug reactions etc. Lice Lichen planus Neurotic excoriations Papular urticaria Parapsoriasis Prurigo nodularis Psoriasis, guttate Psoriasis, pustular Seabather's eruption Syphilis Urticaria, cholinergicVesicular palmoplantar eczema Canine scabies Insect bites Kyrle disease
it's NODULAR SCABIES GENITAL TYPE caused by parasite SARCOPTUS SCABEI PERMETHRIN lotion night times from neck to bottom After doing hot scrub bath with Permethrin soap PERMETHRIN cream apply on lesions part Tab IVERMECTIN 12 mg weekly once for 3 weeks. Tab levocetrizine daily night Will give good result
IT'S A..CASE OF.. ? NODULAR SCABIES.. * OINTMENT..PERMITHRIN TOPICALLY.. * ANTIHISTAMINES AS PER REQUIREMENT FOR ITCHING..
Nodular scabies
Genital Scabies with irritant contact Dermatitis of Scritum. Pl remember scrotal skin is very delicate, hence vulnerable to strong steroids, soaps, cleansers and most importantly antiseptics. We come across pts using detox and literally burning scrotal skin. So. E careful
Scabies Rx 1. Antihistaminic x 5 - 7 days. 2. Scarab lotion application whole body x 3 days.
Nodular scabies
Scabies
Nodular Scabies
Scabies Tab vernet12mg weekly 4 weeks Tab. Xever OD daily Scabigard lotion night time and scabigard soap
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