Concluded Case

60 year old female with a history of biopsy proven sarcoidosis which is currently well controlled without medications develops bilateral lower extremity skin lesions of unknown etiology as pictured over 3-4 weeks.Suggest diagnosis and treatment plan?

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Concluded answer

Biospy of the skin lesion - Bullous phemphigoid

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Biospy of the skin lesion - Bullous phemphigoid

Looks like trench foot , detail history and examination needed .

Psoriasis vulgaris

*IT'S A CASE OF.. TUBERCULOSIS VERRUCOSA CUTIS.. D/D.. * LEISHMANIASIS SPOROTRICHOSIS.. *PSORIASIS VULGARIS..

TVC/ PSORIASIS VULGARIS

Tuberculosis Berrucosa cutis? Psoriasis Vulgaris. ?

Psoriasis vulgaris

Psoriasis vulgaris.....sterpids...emollients...antioxidants

Tuberculosis berrucosa cutis /psoriasis vulgaris Further investigation nd treatment

DD.. TVC (Tuberculosis Verrucosa cutis) or Psoriasis vulgaris, as per HPE, Treat accordingly, ATT Or steroid+ emollients antioxidants antihistomonics

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