27/M Patient c/o these patches since 2 years After lots of treatment came to my clinic with financial issues due to lack of money ,we will short out this issue ,but required valuable openion and management plz

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Palmerplanto psoriasis Rx CSR 6%oint twice daily Tab fexofenadine180mg 1od Tab dispred4mg 1tds Tab methotrexate 10mg weekly Sos tacrolimus 0.03%oint twice daily Check contact of irritants and frictions

Thanx dr Vipin Bihari Jain
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Differential diagnosis 1. Contact allergic dermatitis 2. Psoriasis Histopath of lesion ( biopsy) Avoid the allergen which could be foot wear. Emollients for topical application. Fusiderm cream Review with above

? LSC .. ? PSORIASIS.. NEED'S.. HPE..STUDY FOR CONFIRMATION AND MANAGEMENT..

Appears to be1. contact allergic dermatitis 2. Psoriasis. Do biopsy of lesion. Emollients for topical application

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

Allergic Contact Dermatitis > > > Psoriasis. Causative agent : Paratertiary butyl catechol, a constituent of shoes/ gumboots among others. Advise to change footwear forthwith and replace with open, airy soft sandals with socks. Tx: Symptomatic L Hist tab OD @night x 7 days Clop GM or Cloben GM ointment to apply over the afflicted areas (3 or 4 times a day) Moisturisers like MoistureX, Caladryl may be used for dry skin.

Obviously psoriasis/ACD

Thanks Dr. Shivraj Agrawal, Dr.Dinesh Gupta, Dr.kute Ankush
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SUGGESTIVE. OF .CHRONIC ECZEMA SECONDARY. TO PERSISTENT CONTACT. DERMATITIS POSSIBLY LABOURER / OCCUPATIONAL

Typical of psoriasis Plantar kerAtoderma

psoriasis sroritop losion ketostar soap kencort 4 Mg tablet canzol soap terbinaforce 7 Tab daily one

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