A 13 yr old male who resides in hostel presented with diffuse,mild scaly patches with few islands of normal skin in between all over the scalp. Scaling seen all over the body & Solitary erythematous papules r seen. Diagnosis & management

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GOOD MORNING , MADAM NIDA FATHIMA ....ITS.A CASE OF PSORIASIS . MORPHOLOGY :- WELL DEFINED , ERYTHEMATOSUS PLAQUES WITH CHRACTERISTIC SILVERY , LARGE , LOOSE SCALES , ACCENUATING BY GRATING LESIONS ; AUSPITZ SIGN POSITIVE .ISOMORPHIC PHENOMENON ALSO KNOWN AS KOEBNER'S PHENOMENON ( ALTHOUGH THIS PHENOMENON IS ALSO PRESENT IN LICHEN PLANUS AND VITILIGO AND IT INDICATES ACTIVE DISEASE. ) SITES OF LESION:- SCALP , AS IS THE CASE OF MADAM NIDA , PRRSSURE POINTS , EXTENSORS FREQUENTLY INVOLVED. ASSOCIATION :- NAIL CHANGES AND ARTHRITIS. COMPLICATION:- ERYTHRODERMA , PUSTULAR PSORIASIS . TREATMENT:- LOCALISED LESIONS= TOPICAL THERAPY WITH COAL TAR , DIATHRANOL , PUVA SOL , THAT MEANS PSORALENS+ SUNLIGHT. , IMMUNOSUPPRESSIVE LIKE METHOTREXATE , CYCLOSPORIN , ACITRETIN D.D OF SCALP PSORIASIS:- ON SCALP SOME TIME SCALES ARE ADHERENT TO THE SCALP , KNOWN AS PITYRIASIS AMIANTACEA ( ASBESTOS LIKE ) . 2.INVOVMENT OF SCALP MAY BE DIFFUSE , IN WHICH CASE IT SHOULD BE DIFFERENTIATED FROM SEBORRHOEIC DERMATITIS. REMEMBER SCALP PSORIASIS MAY SPILL ON TO THE FORE HEAD OR NAPE OF NECK , WHILE SEBORRHOEIC DERMATITIS DOES NOT . THANKS MADAM NIDA FATIMA....

Good description. Thanks.
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seborric dermatitis

Psoriasis

Lesion on scalp looks like Seborrheic dermatitis. Lesion on wrist doesnt look like psoriasis either.

Pics of other involved sites will help in making a better diagnosis dr.
1

dds can be psoriasis or seborrheic dermatitis... dermoscopy can be done to differentiate between scalp psoriasis, sd or tinea which shows specific features in each condition

scalp psoriasis. .. coal tar nd cyclosporone nd some steroids like salicylic nd with derivative of vitamin d nd methotrexate.but it's used with caution bcoz it's also has side effects bcoz it's not the normal vitamin supplement it's derivative which more stronger that's y these work normal supplement does not work. .u also add some ketokenazole in shampoo form to hygiene of scalp...

a case of psoriasis rx local application of steroids & salicylic acid preparation & emollient. tacrolimus local application helpful systemic methotrexate 7.5mg wkly and folvite 5 mg OD. regular

PSORIASIS

SUGGESTIVE. OF PSORIASIS SECONDARY. TO TINEA AND CONTACT. DERMATITIS

As per history and pics its a case of seborrhoeic dermatitis treat with systemic as well as local anti fungals

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