Female 55 Years, Lesions Since 5 months Less Itching Rest is normal DIAGNOSIS ???

### 54 years old lady on irregular medication for Diabetes Mellitus Type II presents to OPD with such skin lesions. Diagnosis and treatment???

HERE IS A MALE PATIENT AGED ABOUT 27 YEARS WITH THESE TYPES OF LESIONS GETTING TREATMENT FROM DIFFERENT DOCTORS INCLUDING TOP DERMATOLOGISTS OF LUDHIANA . TIMELY SUPPRESSION OF LESIONS .WITH THE STOPPAGE OF TREATMENT RECURRENCE IS THERE . OCCUR IN ALL SEASONS OF THE YEAR. NOW THE QUESTIONS IS :- 1.WHAT IS DIAGNOSIS. 2. WHAT IS D.D?3.MANAGEMENT . IN DETAILS .SPECIAL ATTENTION , DERMATOLOGISTS .......DR.RAJESH GOPAL. MBBS IMA PMC REG NO 35726.LUDHIANA PUNJAB. INDIA...

age 55 itching and progressive known case of diabetes mellitus please dx and rx

Pt aged 44 yrs....C/o generalised itching....Since 8 yrs....Daily itching....Taken treatment at many drs no Response and well Known dermatologist treated no response.... Pt is non diabetic/No thyroid problem/No Anaemia/No Scabies/No Liver problem/No renal problem/No Tension or Hysterical/No HIV/No Hbsag positive/No Drug Related Itching/Non HTN/No Food Related Allergy.....Dermatologist given her steroids/Dapsone tabs etc her weight increased but no Symptoms relieved....So pt is Very much Fed up of this along with family members.....No Relief of Itching.....So Challenging One pls share ur Opinions fast......If u feel diagnosis then tell Related Investigation,Treatment and prognosis...Must.