hf 31yr. 10yr ago small black spot arise on head. now it's about 3 cm. gradually it's spread on face. chest. no itchinga no pain. dignosis and treatment

Hello All of you very good evening. here I present a Rare Case. need your HELP. . a 40 yr lady came with complaining of hair loss specially at vertex with itching and scaly,thick lesions. (no psoriasis ) accompanying with grayish of hairs. wrinkles on face. she has RHD since 15 years on regular Rx. past history of 8 month of pregnancy abortion due to defective development of fetus. . Dr's told the couple when she got aborted not to have perception becoz of further complications may occurs to mother or child but parents refused and they give a birth to normal baby boy. after 4 months of delivery problem starts and diagnosed as RHD. Constitution :- emaciated, lean, thin. CHILLY PATIENT. HOUSEWIFE. . . TWO CHILDREN. normal. Mother :-RHD Father :- Diabetes. DESIRE :- rice, dal. thirst normal. perspiration :- scanty. skin :- unhealthy, dry. winter aggravates the complaints. No any Dreams. not affected by moon phases. past /h :- tubectomy since 10 yrs . menses :- regular, no any complaints. .O/H:- NAD. Mentals :- *gets Angry easily .to calm down she counts reverse no from 10 to zero. *insult intolerable . *can't tolerate Fake Blaming. *gets married due to her parents forced. against her will. *fear of snakes and dead bodies. . So PLZ help me with Probable Remedies, and AYUSH MANAGEMENT. NEXT STEP? THANK YOU. *

Case for discussion The images shows classical lesions over the most common sites for this condition. 1. Identify the condition 2. Possible differentials to discuss. 3. Investigation needed. 4. Treatment options.

32Yrs/F, This kind of lesion on left Cheek--- Mild Burning in Sunlight--- She has No - Other Complain---- DX PLEASE--- I Want Ur Valuable Opinions from all of My CUROFIANS---- Including My Inspiration @Dr. P.kishore Kumar SIR---- .......... Thanks

35male this kind lesion on left leg since 10yrs.first it appears small then he cut it by blade then it enlarged. Itching mildly.pla dxn tx.thank u