Concluded Case

ALLERGIC CONTACT DERMATITIS

A case of skin disease suffering since3 to 4 months. The symptom of itching and oozing watery discharge after scratching is his chief complaint. He is doing lot of cement work. According to patient its due to cement. ATTACHED ARE ALL THE IMAGES! WHAT IS THE DIAGNOSIS? WHAT WOULD BE THE DDx?

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Concluded answer

Irritant Contact Dermatitis. With vitiligo? . R/O anemia. You know the better medication @Dr. Yashpal Chadha sir. Along with your dose plz advise your patient to wear protection(gloves) before exposure . And secondly soak his hand in warm water pot containing Calendula Q in it daily for 20 minutes. That's GIVES you amazing results. It also act as smoothener.

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Irritant Contact Dermatitis. With vitiligo? . R/O anemia. You know the better medication @Dr. Yashpal Chadha sir. Along with your dose plz advise your patient to wear protection(gloves) before exposure . And secondly soak his hand in warm water pot containing Calendula Q in it daily for 20 minutes. That's GIVES you amazing results. It also act as smoothener.

OK Sir, thank you for advise of calendula. I will definitely let him know to soak his hands in calendula.
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Basically it is ECZEMA. Since patient has contact with CEMENT, it is more likely the cause.Regarding foot added footwear allergy may be there. @Dr. Yashpal Chadha .

Thank you sir for reply!
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Vitiligo contact dermatitis

Eczema 1 tab gandhak rasayan vati two bd 2 tab kenakorte one bd 3 sheikh Pachan churan one tea spon ate night with warm water 4 syp khadirarisht 10 ml two time daily with water 5 ointment softadex use of effectively part only

Thank you sir for reply!
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Eczema/ Panch tikita ghrita guggulu tab 2 tds or Cap Purodil 2 tds and Takzema tab 2 tds/ Takzema ointment Locally Pathya apathya should be taken care Review after 1 month

Ayurvedic it called Vichar chika ( Eczema )
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? Eczema Choice of medicine is graphites or petroleum Affected skin hard and on straching and scratching if discharge is watery and sticky and if pt.give h/o constipation. Graphites is helpful If not above similarities use petroleum. So differentiate the medicine with pt symptoms.

Thank you sir for reply!
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Contact dermatitis, graphitis may be helpful

Thank you for reply Sir!
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It's contact dermatitis...Advice him to avoid r reduce contact with cement in addition to the medication sir..,if cause is not stopped the disease can't be cured. Nidana parivarjana ie avoidance of the causative factors is the main line of treatment for this

Agree with your advise of removing cause! Thank you for reply!
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1) Wear proper hand gloves before doing Cement works in order to avoid skin irritation. 2) Mahalaxmi vilasRas 1 tab. Gandhak Rasayan 1 tab Rasmanikya 50 mg Kamdudha Ras 1 tab With madhu 2) Khadirarishta 10 ml Mahamanjishthadi Kwath 10 ml b.d.p.c. 3) MahaMarichyadi tail Chandan bala lakshadi tail Locally 4) Haridrakhand 5 gm b.d. 5)Panderm plus oint locally

Atopic contact dermatitis/ Contact allergic dermatitis. Insufficient symptoms gathered!!! Though think about sulph,Mezer.

Thank you sir for reply!
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