Eczema c hyperkeratosis

A fifteen year old boy had these symmetrical lesions on both foot,since 1 month, no itching,I have Rx him c steroid ointment +salicylic acid ointment,I follow the case& Then once again share .what is Dx,DD,Rx?

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Eczematous dermatitis. Ddx. Palmoplantar keratoderma.

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Eczematous Darmatitis/Pulmoplanter Keratosis Topical Clobetasol+Salicylic acid+Urea+Emollients,Tab Levocetrizine5 mg BD, maintain personal hygiene

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Epiderm cream zyxal tab fungiheal 200mg capsule inj kenacort vail medoral8 mg tab

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Palmoplantar keratosis

Thanks Dr Abdul Mageed
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Eczematous dermatitis

Eczematoid dematitis

Plantar keratoderma

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Do a scraping. Mcs for actinomycosis / rx for fungal foot inf 3 pulses of itraconazole 300 mgs nocte In milk / ur 1 st month day 1 to 7 / 2 Nd month/ day. 1 to 7 / day 3 / day 1 to day 7 wear closed shoes powder feet with antifungal powder to keep dry / if no improvement sent to dermatologist

Thanks,I’m treating him& will follow up & once again post
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Bilateral symmetrical lesions , rule out psoriasis , wat about nail finding s sir ? Is there oozing of lesions present ?

Thanks madam, nails r normal, der is no ozzing , no itching,I will follow up him &once again post
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@Dr. Madhukar Deshpande -chronic eczema?

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