Hansen disease
59yrs male patient having these lesions on feet n hand with sensation loss since 6month. Kindly suggest me diagnosis and treatment???
? HANSEN'S DISEASE..WITH.. ULCERS.. ? VASCULOPATHIC ULCERS.. ? DIABETIC FOOT.. NEED'S.. * HPE STUDY.. * HEMOGRAM.. URINE ROUTINE.. BSR..HBA1C.. COLOUR DOPLAR STUDY..
? HANSEN'S DISEASE..WITH.. ULCERS.. ? VASCULOPATHIC ULCERS.. ? DIABETIC FOOT.. NEED'S.. * HPE STUDY.. * HEMOGRAM.. URINE ROUTINE.. BSR..HBA1C.. COLOUR DOPLAR STUDY..
NON HEALING INFECTED ULCERS / WOUNDS ADVISABLE ..H. P E ALL. ROUTINE. EVALUATION POSSIBLY... MYCETOMA ULCERS . HANSEN'S MAY. SHOW MALIGNANT. CHANGES
D/d 1 lepromatous leprosy 2 diabetic ulcers 3 vasculopathy
Firstly test should be done like rbs cbc etc
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chronic wound were present bilateral foot on the fore foot both side,in the 65 years aged women .The wound were there for more than two years. Left foot ulcer acutely exacerbates in to abscess sole with multiple sinuses X Ray left foot metatarsals were normal and phalanx in the all toes were missing due to chronic injury related infections and further healing was reported . Insensitive foot bilaterally present for all modalities of sensation . Discuss differential diagnosis and managements.
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