Concluded Case

52/F, known case of HTN & DM on regular medication presented with following lesions which increased over last 2 months. Lesions present all over the body except face & forearm. Past h/o of ecema over both legs below knee & surgical h/o hysterectomy done 8yrs back & RFA for varicose done 4yrs back. c/o itching present. Whats the diagnosis & management.

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Concluded answer

These lesions are guttet psoriasis Pt is diabetic and hypertensive Hence strict control and patience will be required ie proper counseling Rx CSR 6%oint twice daily Tacrolimus 0.03%oint twice daily Tab Levocetrizine5mg 1bd Tab dispred4mg 1tds for 7to15 days and tapper off gradually Tab methotrexate 10mg weekly Frequent monitoring of blood sugar and adjusting doses Moisturisers frequently

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Lesions are mixed...infection +....erythematosus marginatum +, some looks like tineal infection.... guttate psoriasis

Yes sir
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Guttate psoriasis

These lesions are guttet psoriasis Pt is diabetic and hypertensive Hence strict control and patience will be required ie proper counseling Rx CSR 6%oint twice daily Tacrolimus 0.03%oint twice daily Tab Levocetrizine5mg 1bd Tab dispred4mg 1tds for 7to15 days and tapper off gradually Tab methotrexate 10mg weekly Frequent monitoring of blood sugar and adjusting doses Moisturisers frequently

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Tinea corporis. Cap Canditral 200- ODPC 28 days. Tab Trfy 250- ODPC 28 days. Ointment lulibet(1%)- apply locally BDPC 28 days. Tab Levocet 5- BDPC 5 days. Tab Famtac 40- BDAC 28 days. Cap Vizylac Rich-BDPC 1 month. Strict control of Diabetes. Proper personal hygiene. Follow up 2 weekly with LFT

Tab Deflocort 6 mg
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Psoriasis pustulosis. Tb.azithromycin 500mg 1tbx3days consecutively in a weak for 4wks. Clobetasol+calcitriol cream twice daily for L/A. Tb.levocetrizine 1tb daily.

Guttate psoriasis Topical steroids Antiallergic PUVA soln followed by UVA

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Guttate psoriasis Methylprednisolone tappered dose. Tacrolimus ointment

Psoriasis With secondary infection

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Guttet Psoriasis

Psoriasis?

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