30 years old nondiabetic male presented with lesions as shown in images.Pt has vesicularlesions with hyperpigmentation( blackish color) and thickened hyperkeratotic skin, with severe itching since 2 years .The hyperpigmentation has also now spread from back of chest to front and temples on face.Your diagnosis and management plan please.Patient works in a cold storage attending on machines.


@ lichen amyloidosis

Probably Acanthosis nigricans Lycopodium1m/3doses Sepia 30/tds for 15days