Patient came with complaints of pain and burning sensation and discolouration of both feet for more than two years.

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palmoplantar psoriasis Levocet 5mg bd. Tapering dose of steroid orally. Clean area with diluted betadine lotion apply calamine lotion than clobestol + salicylic acid 6%oint locally bd. Sulphur 2% oint locally EOD. Multivitamins and antioxidants orally. Improve general health and personal hygiene. Maintain nutrition hydration and hygiene.
Thanks Dr Shivraj Agarwal.
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Palmerplanto psoriasis discoloration seems to be fallout of some applications Rx salicylic acid oint 6%+clobetasol dipropionate oint twice daily for 15days to 1month than review and tapper of and shift to 3% orally tab dispred4mg 1tds for 7days and tapper off gradually and tab fexofenadine180mg 1od and tab neurobion 1od
Thanx dr Ashok Leel
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It's a case of.. ? Vasculo-Neuropathy.. ? Palmoplanter keratoderma.. ? Palmoplanter psoriasis.. Better to go for.. Biopsy.. Blood.. Urine.. Colour dopler study..
Tnx
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? Necrolytic acral erythema
PPKD Psoriasis ? Fissures feet, Scaly lesion, crusting with pigmented skin seen need some investigation of blood nd Management as per dd with personal hygiene maintained
PLANTER PSORIASIS PLANTER KARATODERMA Nadoxin plus cream for LA Moiste lotion Tab Atarax 25 BD Multivitamins & antioxidant Evion 400mg & Vit A D
PALMO PLANTAR PSORIASIS WITH DISCOLORATION DD... PALMO.. PLANTAR KERATODERMA
Fissures feet, salicylicacid oint cetzine antoxidants Omega
D/d Planter psoriasis Hyperkeratosis Tinea pedis
? Necrolytic acral erythema
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