Concluded Case

Tinea with dermatitis

50 year old female Non diabetic, no allergy history, no history of use of ornaments K/c/o IBS, OCD for 20 years Skin lesions around neck and back, first lesion appear at back then neck 2weeks ago, since then lesions increasing in size with duration. Intense iching during night while perspiration occur, at the same time iching occur in nose at night, with mild redness. History of applying terbinafine cream for 2 weeks, but no improvement Past history of same lesion with same sysmptoms involving breast skin 25 years back just after pregnancy then same lesions appear in groin and anterior abdominal wall skin 20 yrs and 10 years with same symptoms specially during stress. Kindly suggest the diagnosis and appropriate treatment?

(Edited)

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Concluded answer

Tinea with ??contact dermatitis

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?Artificial jewellery induced dermatitis (SITE) ?ICD(SITE) ?TINEA EXTENSIVE( AS U MENTIONED SAME LESIONS WERE ON BREAST IN GROIN AND ANTERIOR ABDOMINAL WALL) ? PSORIASIS EXTENSIVE... (IF SILVER SCALES COME OUT ON ITCHING) AS COMPLAINTS ARE SINCE 10YRS

No history of use of any ornaments..no history of silver scales come out after iching..
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We need to consider the use of ornaments Like gold or silver May also cause this type of infection This mixed infection Irritative dermatitis With tinea Need tab.itraconazole 200 mg daily 2 timesa day Tab.defcort 6 mg daily 2 timesa day Tab.atarax 10 mg daily one night Tab.razo 20 mg daily one bbf Ointment seratoconazole morning Momentasone s night Avoid using ornaments Course is for 7 days

Never use any type of ornaments..
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* Allergic dermatitis ** Scabies with Tinea Infection.

Thanks Dr Kute Ankush
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SUGGESTIVE. OF.. RECURRING.. .... FUNGAL. INFECTION..... POSSIBLY... .... IMMUNOSUPPRESSSED..... ADVISABLE... U. S. G..... WHOLE. ABDOMEN... SINCE. THE. PATIENT. IS KNOWN. CASE. OF...I. B. D

? CHRONIC PRURITUS.. ? AD ..

Tnx Dr Ashok Leel sir
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Contact dermatitis with secondary tinea .Advised for tab terbenafine 250 mg od for 14 days , tab atarx 10 mg od 7days , tab defcort 6 mg od 7 dayaointment seratocanozle plus mometasone twice daily for 7 days.

Irritate contact dermatitis

@ contact dermatitis

Contact dermatitis Moisturiser will do wonder Tab Paracetamol Tab cetrizine bed time Calamine lotion for 5times in a day Hygiene is also important

ICD ACD

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