M/50 yrs k/o Diabetes multiple lesion on body since last 3 months itching present

66y/o female patient presented with complaints of persistent itching and multiple Hyperpigmented Skin lesions both legs (from thigh to feet) lasting over 4 months. The patient has Mhx of HTN, non diabetic, currently on Amlodipine and Lisinopril which she has been using for more than a year. PMHx: Severe itching on both hands and legs with mild swelling 4years ago. She was treated and symptoms subsided. Pt has seen a dermatologist, no diagnosis was given. labs (LFT, E/U/Cr, Pap smear) are non-significant. No mention of a biopsy. Pls, what's your advise?? (Patient tends to believe it's spiritual problem)

45 yr male complaints of burning sensation and pain in affected fingers. not a known case for HTN and T2DM but pt is alcoholic.This skin lesions present since five yrs. what are your views, Dx, Tx and management of it.

60yrs old female having these asymptomatic lesion.Diagnosis?

A 62-year-old man presents for evaluation of a rash on his leg. The condition has been present for several months and is mildly pruritic. The patient currently takes oral medications for control of diabetes and hypertension, and he tests positive for hepatitis C virus infection. Suggest the Dx and Rx