55yr f with c/0 rashes over upper & lower limbs for more than an yr with eosinophil count above 500 & ESR elevated, she took siddha & developed allergic manifestation, diagnosis & management?

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Dr Karthik I agree with with others It's Lichen planus hypertrophic because of long standing condition with mismanagement. Treatment Second opinion of your dermatology friend should be taken before management. Antihistamines of your choice Oral steroids like deflazacort 6mg is safer for 6 weeks. Moisturising soap Moisturising cream Cotaryl or moisturex cream in morning Clobetasol with salicylic 12% ointment in night. She needs at least 3 months of continuous treatment for complete recovery. Kenacort triamcinolone 10 injection intralesional in thicker lesions will give faster recovery.

Thank Dr for ur valuable opinion.
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? LICHEN PLANUS.. ? LICHEN PLANUS PIGMENTOSUS..

Tnx
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SUGGESTIVE OF LICHEN PLANUS HYPERTROPHIC SECONDARY. TO STEROIDAL. AGGRAVATED PRURIGO NODULARIS

Psoriasis

lichen planus hypertrophicus

this looks like psoriasis , also rule out cause of high eosinophil count, search for other autoimmune diseases, she could be having overlap syndrome

Thank u doc, Her AEC was 470 when she presented, &, after, 3 months it has come down to 440 with treatment. Wat should to proceed in next step of management doc.
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lichen planus

Psoriasis. Pls look for auspitz sign(bleeds on scratching capillaries)

local .Hallobetasol of. Ruled out diabetes .Contact dermatitis .TT.steroids local .Azithromycin 250 bid for 3 Days .Cetricine id for 7days .Methel prednisolone 20mg of.

non diabetic Dr. Thank u for ur suggestions.
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