Concluded Case

PSYCHOSIS BARBAE...

68 year Male, itching and pricking sensation over the mustache area since 30 years.. given history of powdery while rubbing on it. marked white patch after washing the face and burning. His BP normal and not known diabetic. what is the diagnosis? and treatment.?

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Concluded answer

Thank you doctors for your good answers. No doubt, it could be SYCOSIS BARBAE caused by Staphylococcus. . The differentials are TINEA BARBAE PSORIASIS ACNE VULGARIS PSEUDOFOLLICULITIS BARBAE IMPETIGO.. Here Visual showing thick hyperkeratotic plugs with scaly lesions. Hairs intact in the lesions area indicates not TINEA. Powdery hyperkeratotic not erythematous base. So exclude the PSORIASIS. No sticky honey coloured lesions with oozing exclude IMPETIGO. Patient given history of Sinusitis, which is triggering factor of Sycosis. Treatment: Remove hyperkeratotic plugs with RF scraper under aseptic precautions and saline wash. Dermojet spray of triamcinolone and Amikacin... Mupirocin cream Tab ISOTRETINOIN 20 mg daily for 2 weeks will reduce the inflammation and hyperkeratosis.

All Answers

Thank you doctors for your good answers. No doubt, it could be SYCOSIS BARBAE caused by Staphylococcus. . The differentials are TINEA BARBAE PSORIASIS ACNE VULGARIS PSEUDOFOLLICULITIS BARBAE IMPETIGO.. Here Visual showing thick hyperkeratotic plugs with scaly lesions. Hairs intact in the lesions area indicates not TINEA. Powdery hyperkeratotic not erythematous base. So exclude the PSORIASIS. No sticky honey coloured lesions with oozing exclude IMPETIGO. Patient given history of Sinusitis, which is triggering factor of Sycosis. Treatment: Remove hyperkeratotic plugs with RF scraper under aseptic precautions and saline wash. Dermojet spray of triamcinolone and Amikacin... Mupirocin cream Tab ISOTRETINOIN 20 mg daily for 2 weeks will reduce the inflammation and hyperkeratosis.

Thank you Dr. Paras
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Sycosis barbe Antibiotics , antihistamine and analgesics orally. Clean area with diluted betadine lotion apply vioform or cetavlex cream topically and calamine lotion than apply soframycin oint mixed with nevia cream in 1:3 ratio tds. Multivitamins and antioxidants orally. Sulphur 2%oint locally EOD can be helpful.

Thanks Dr Gurcharan singh.
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Seborrheic Dermatitis / Tinea Barbae (??)

Thank you doctor.
1

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Seborroic dermatitis

Sebhorreic dermatitis

Su Odis Barnes fungal disorder
1

Tinea brabae Erythematous plaque or philtrum showing pustules of moustache

Psychosis Barbie

I too agree Sama opinions
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Tinea Barbae/ seborrheic dermatitis Antibiotics Antihistamine orally Tab flucon 150 alternative days use Cream mycoderm NM bd Multivitamin od

Tinea Barbae. ? Seborrhoeic Dermatitis. ?

@Dr. P.kishore Kumar -seborrheic dermatitis?

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