A 12 year old boy presented with generalised erythematous papules and extensive scaling all over the body. Diagnosis? Differential diagnosis? Investigations? Treatment?

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? Pityriasis rubra pilaris progressing to erythroderma

Yes madam..the clinical features and histopathology fits into Pityriasis rubra pilaris.Any other management options other than Acitretin??

D/D......Juvenile PRP Plaque Psoriasis Etythroderma Perform a skin biopsy 1.Topically emolients to relieve symptoms of drying n cracking. 2.Topically steroid cream. 3.Acitretin or isotretinoin 4.Topically Calcipotriol-Vit.D analogue 5.Phototherapy.

Ichthyosis vulgaris

The primary lesion is erythematous follicular papules with intervening areas of normal uninvolved skin. The PRP sandal which is characteristic of Pityriasis rubra pilaris is also seen. This patient was started on Acitretin at 0.5mg/kg body weight.

Lamellar icthayosis,ll get better as age progress,moisturizer,vita a&zinc supplement

non bullous icthyosiform erythroderma

Ichthyosis Mometasone plus emolent application twice daily Vit e and a supplement Avoid using soap and detergent over this


locally emmoients and keratolytics with systemic retinoids

I agree with drDrashmi sinhg

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