Concluded Case

48/F KCO DM type II PT STOPPED OHA BY HERSELF FOR 3MONTHS, AND THEN DEVELOPED SUCH ERYTHEMATOUS RASH OVER LL NON PRURITIC, PAINLESS I JUST RESTARTED THE OHA AND GAVE TAB LINEZOLID 600 FOR 10 DAYS AND THE RESULTS ACHIEVED BUT DON'T KNOW WHAT IS THE DIAGNOSIS

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Concluded answer

Well demarcated margin and apparently superficial erythematous lesion...... ERYSIPELAS. Causative organism Streptococcus pyogenes.Common in diabetes. DD : Cellulitis (Common in leg). Rx : 1. Any of Amoxycillin, Amoxyclav, Cephalexin, Ceftriaxone, Linezolide etc. 2. Strict control of diabetes.

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Well demarcated margin and apparently superficial erythematous lesion...... ERYSIPELAS. Causative organism Streptococcus pyogenes.Common in diabetes. DD : Cellulitis (Common in leg). Rx : 1. Any of Amoxycillin, Amoxyclav, Cephalexin, Ceftriaxone, Linezolide etc. 2. Strict control of diabetes.

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IT'S A CASE OF. ? DIABETIC VASCULOPATHY.. LEADS TO CELLULITIS .. ? ERYSIPELAS..

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Erysipelas

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Dx Lymphangitis/lymphoedema Vary good approach and results carry on till finally healthy control diabetes with warning not to giveup the treatment in between otherwise limb may have to loose

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NECROBIOSIS LIPOIDICA DIABETICORUM Caused by poor control of DM . Improved because of better control of DM Emollients ,vitamin E

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Erysipelas / Cellulitis? ?

It may be cellulitis or scofuloderma due to uncontrol dm.

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T.corporis, antifungals orally topically antihistomonics Antioxidants, OHAs to be restarted.

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POSSIBLY.. DIABETIC ERYSIPELAS... DD N. L. D

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Erysipelas....due to incontrolled sugars........that got cured with sugar controls plus linospan

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