8 yr boy with generalized scaling skin lesions involving whole body, with scalp , with itching , with fever on and off x 1 month.no lesion on palm and normal nails..shown to some local quack.. given ketoconazole shampoo , omnacortil, multiple antibiotics linozolid , augmentin, taximo , inj amika , with acivir oint as well in last 1 month .. kindly give possible diagnosis..

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Scaly reddish flaky like lesions- Could be SEBORRHEIC DERMATITIS, involving scalp, face and upper part of body- Skin Biopsy could be helpful For scalp- Ketoconazol + ZPTO Shampoo lotion in alternative days. For body- wash by 2% Zinc Pyrithione, followed by Moisturizer. Topical Betamethasone dipropionate lotion for couple of wks to reduce the inflammation, followed by Topical Luliconazole lotion. Oral Terbinafine 250mg Ods for 1mnt Oral Antihistaminic.
??? Acute generalized exanthematous pustulosis
Exfoliative dermatitis?
Exfoliative dermatitis ? seborrheic dermatitis on scalp Multiple drugs may have caused dermatological manifestation, I mean the main menifestations may have suppressed. Not sure about the diagnosis of the lesion on neck Still u can continue emmolients , aloe vera based gel. And urea baths. No Antibiotic steroids or antifungal needed sir. Ask him to discontinue everything he's taking like that. Only antiallergics and emmolients will help. Glycerin plus aloe vera based soap Vit c bd Vit e 400od Cod liver oil capsules advisable Dietery regimn, with fat rich and protein rich diet Plenty of oral fluid. Lemon juice and orange may be taken daily. Coconut water . Make a gentle management plan, as the Child's skin is delicate. Don't go aggressively Take a dermatologist opinion
D/d Crusted scabies Pustular dermatitis Exfoliative dermatitis So start with Omnacortil 5 bd Atarax 10mg bd Topical lobate S cream Maintain hygiene Bandy plus Syp 2 days stat
Exfoliative dermatitis Seborrheic dematitis Oral steroid, antihistaminic,Vit A supplement , multiviamins and local application of Halobetasol with Salicylic acid cream.
Thanks ! Dr.Nilesh Patel
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Seborrheic dermatitis with exfoliative dermatitis. Tab.Atarax Cetrilak shampoo locally. Dipsalic skin cream locally+ calosoft skin lotion. Tab.Vit.A
Exfoliative dermatitis, Steroids orally topically antihistomonics antoxidants, routine hematological inv.
IT'S A CASE OF.. D/D.. * SEBORRHIC DERMATITIS.. * EXFOLIATIVE DERMATITIS.. * PEELING SKIN SYNDROME..
Tnx
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DD * EXFOLIATIVE DERMATITIS with SECONDARY INFECTION * SEBORRHEIC DERMATITIS * PSORIASIS
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