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40 years old non diabetic female presented with lesions as depicted in images over hands, hip, feet ,abdomen and a scalp with itching. The lesions look crusty .Initially I thought they were psoriasis but now since the lesions have spread and crusty in nature, what could be the diagnosis and also management, because I'm unable to arrive at the diagnosis .Will skin biopsy help? Please guide me with proper treatment as eell

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POSSIBLY ATOPIC CONTACT ECZEMA DD INFECTED SCABIES

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

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help reduce itching and soothe inflamed skin, try these self-care approaches: Avoid the irritant or allergen. ... Apply an anti-itch cream or lotion to the affected area. ... Take an oral anti-itch drug. ... Apply cool, wet compresses. ... Avoid scratching. ... Soak in a comfortably cool bath. ... Protect your hands. Medications for contact dermatitis include topical steroids, such as over-the-counter hydrocortisone. For more advanced cases, a prescription topical or oral steroid may be necessary. While antihistamines won't eliminate the rash, they may relieve the itching that makes this condition so challenging. Otherwise Rx Tab azithromycin 250mg BD Tab zamflex BD Pythirine creams used at bed time Calamine lotion use and bath keto soap salicylic acid ointment used Topical steroids use low dose 7days 3times

Most probably it's Viral infection? Contact dermatitis to any synthetic cloth or poisonous plant? Prurigo? Adv.C/S of srapings ,microscopic study of staind scrapings, blood sugar, CBC. Check any lymph gland inlargement in axilla or groin or cervical area? May consult Dermatologist for final opinion.?

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POSSIBLY ATOPIC CONTACT ECZEMA DD INFECTED SCABIES

Impetigo Lichen hypertrophicus Pyoderma

Contact dermatitis. Look for the irritant and avoid it. Tab. ALEGRA BD. Atarax soln for next app. Use a soft soap. Avoid. Sea food

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These leisond go away on their own....no stress...no thinking needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages...cold pressed coconut oil massage and in naval... citrus fruit lemongrass decoction ginger thin piecevevery half to one hour...guava figs raisins apricots dates pomegranat es muskmelon walnuts blue berries sunshine walk prayers little garlic spring onion....mango....lime juice without water...with black pepper little.. chiaseeds soaked overnight methidana soaked overnight alternately....figs salad guava apricots dates no tuver dal.til,jeera... inhalation techniques..under strict supervision of Doctor

@ hands & leg lesion looks like hypertrophic lichen planus

Caladryl or any soothing lotion to apply locally, Maintain hygiene, daily bed sheet change and also used clothes. It may be infectious to other members of family so isolate the pt. wait & watch.

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Guttate Psoriasis. Its a variety of Psorisis. Do Routine blood, LFT, Ur/Cr If Normal Start 1.Methotrexate 15 once weekly 2. Follic acid 5 3 days in week 3. Emolient 4. Tab levocetrizine

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