38 yrs having complaints of this type of exfoliation of skin of palm of hand with severe itching. Since 5yrs. Complaints aggrevate more in winter season. She is house wife. Wht may be the possible Dx??

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Dr Dipti & Dr Aniruddha 1. The scales are thick and very adherent... If you feel the areas, it will be hard.... Which is NOT in exfoliate dermatitis nor in contact dermatitis. 2. The lesions have a defined border... This is not seen in exfoliate dermatitis which has fading irregular border.. In contact dermatitis there are no defined nor islands of lesions... In contact dermatitis it will have a zone involved with presentation more towards the distal part of the fingers. 3. The lesion is showing salmon pink color, with thick adherent scales with defined border.... These features are suggestive of PSORIASIS.

Thank you sir
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I think it's irritant Contact Dermatitis due to bad effects of washing powder. .. . Graphites, Petroleum, sulph may be helpful in such cases

Ointment petroleum usefull
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Dear Dr. Dipti Urade, This is a case of Agantuj twak dusti. Advice for your patient, Advice to stop using detergents, For local application use erandasneh thrice a day. Haridrakhand 1/2 tsp BD with milk for longterm . Liquid Mahamanjisthadi kashay 20 ml BD. Avoid spicy food and use of hard water.

? ACD..CD.. ? EXFOLIATIVE KERATOLYSIS.. ? PSORIASIS .. ? OCCUPATIONAL DERMATITIS..

Irritant contact dermatitis

1) MahaLaxmiVilasRas 125 mg Gandhak Rasayan 125 mg Rasmanikya 50 mg Kamdu FHA Ras 1 tab. Madhu 2). Khadirarishta 10 ml Mahamanjishthadi Kwath10 ml b.d.p.c 3) MahaMarichyadi tail Chandan BalaLakshadi tail Locally

@Dr.A.K.Srivastava. Contact dermatitis due to soaps and washing powder. Petroleum may be helpful.

Contact dermatitis from house holding work, Use House holding gloves Avoid detergent, Case start with Petroleum, Graphites, sarsaparilla Is helpful medicine

आयुर्वेद में इसे विचर्चिका कहते हैं। चिकित्सा संबंधी योग,,,, सोमराजी तेल लगाने के लिए। त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध में मिलाकर नियमित रूप से सेवन कराएं। सत गिलोय 4 रत्ती रस माणिक 2 रत्ती शोधित गन्धक 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। खदिरारिष्ट सारिवादिरिष्ट को आपस में मिलाकर 25 ग्राम सुबह-शाम खाने से पहले दें। साबुन का इस्तेमाल न करें बेसन से स्नान कराएं। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Contact Dermatitis. Wazhing powder and Soaps bad effects. Petroleum, Graphitis helpful medicine.

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