Concluded Case

ECZEMATIC DERMATITIS

46 years male complaining of itchy thick scales, only external aspects of both little fingers since 1 year. He is getting these lesions recurrently. Diagnosis this case? How to prevent the recurrence in this case.? Treatment?

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Good answers curofians, No doubt doctors, here very hard to tell differentiation between psoriasis and eczema. I will try to explain these, 1) Iin ECZEMA mainly seen in children, workers and housewives who are frequently contact with allergens. In PSORIASIS mainly seen between 15 and 40 years age with present family history. 2) in ECZEMA. Lesions are Red, dry and cracked lesions and can also blistering and weeping with fluid fill bumps. in PSORIASIS..Lesions are thick red or silvery scales mainly seen in extensors or outside the knees and elbows with nail changes. 3) Trigger factors: in ECZEMA...contact allergens like soaps, detergents, dust and pets and foods. in PSORIASIS...stress, medications, trauma, sunburn, dry and cold air and alcohol. So here visual shows dry and cracked lesions and nails spared here with severe itching, no family history more favour to ECZEMATIC DERMATITIS TREATMENT: 1) Use Mupirocin on cracked areas. 2) Softening the HYPERKERATOTIC areas by use EMOLLIENTS with Steriods. 3) Intralesional steroids will give excellent results. 4) Short antibiotics course is advisable. Before any topical application dip the affected part on lukewarm water with salt and added KMno4.

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Good answers curofians, No doubt doctors, here very hard to tell differentiation between psoriasis and eczema. I will try to explain these, 1) Iin ECZEMA mainly seen in children, workers and housewives who are frequently contact with allergens. In PSORIASIS mainly seen between 15 and 40 years age with present family history. 2) in ECZEMA. Lesions are Red, dry and cracked lesions and can also blistering and weeping with fluid fill bumps. in PSORIASIS..Lesions are thick red or silvery scales mainly seen in extensors or outside the knees and elbows with nail changes. 3) Trigger factors: in ECZEMA...contact allergens like soaps, detergents, dust and pets and foods. in PSORIASIS...stress, medications, trauma, sunburn, dry and cold air and alcohol. So here visual shows dry and cracked lesions and nails spared here with severe itching, no family history more favour to ECZEMATIC DERMATITIS TREATMENT: 1) Use Mupirocin on cracked areas. 2) Softening the HYPERKERATOTIC areas by use EMOLLIENTS with Steriods. 3) Intralesional steroids will give excellent results. 4) Short antibiotics course is advisable. Before any topical application dip the affected part on lukewarm water with salt and added KMno4.

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Eczematous dermatitis

Psoriasis

ezematous dermatitis

Psoriasis ?

Sir, well demarcated lesion is seen .. It can't be eczematous dermatitis, you might be closer to diagnosis with Palmar psoriasis.
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Palmar psoriasis

Psoriasis

Ezematous dermatitis

CONTACT Dermatitis....

Palmar psoriasis

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