ALLERGIC CONTACT DERMATITIS
10 years girl having these lesions since 15 days. Applying neem and Jammy leaves juice on this lesions. Now she develops burning and itching. fever 101 since 3 days. what is the diagnosis? what is your line of treatment in this case?
Here visual shows Multiple pustules with scab And neem application marks She has running fever and complained severe pain and itching indicated Acute ALLERGIC contact DERMATITIS. Here lesions appearing more in trunk intergluteal regions, thighs and interdigital areas more favour to Primary ....SCABIES and superadded by infection. Treatment.. Remove the NEEM deposits on the body with saline and extraction of pus. Hydration of the body by given IV fluids and Cefoperazone sodium 1 g injection through iv for 3 days Mupirocin cream application Over it soothing lotion... Fexofenadine 120 mg for weeks.. Good Nutrition diet. Personal hygiene will give drastic results. Tab IVERMECTIN 6 mg weekly once for 6 weeks.
Here visual shows Multiple pustules with scab And neem application marks She has running fever and complained severe pain and itching indicated Acute ALLERGIC contact DERMATITIS. Here lesions appearing more in trunk intergluteal regions, thighs and interdigital areas more favour to Primary ....SCABIES and superadded by infection. Treatment.. Remove the NEEM deposits on the body with saline and extraction of pus. Hydration of the body by given IV fluids and Cefoperazone sodium 1 g injection through iv for 3 days Mupirocin cream application Over it soothing lotion... Fexofenadine 120 mg for weeks.. Good Nutrition diet. Personal hygiene will give drastic results. Tab IVERMECTIN 6 mg weekly once for 6 weeks.
?Pyoderma ?infected scabies ?Prurigo nodularis. Systemic blood investigation necessary for evaluation LOCAL ANTIALLERGICS AND Antibiotic Oral antiallergics and ANTIBIOTIC corticosteroids Personal hygiene Vit. C Vit e Aloe vera based emmolients Ask whether she gone to any place like farm jungle where there's exposure to the INSECTS ? chickenpox?? ( less likely )
?Pyoderma ?infected scabies ?Prurigo nodularis. Systemic blood investigation necessary for evaluation LOCAL ANTIALLERGICS AND Antibiotic Oral antiallergics and ANTIBIOTIC corticosteroids Personal hygiene Vit. C Vit e Aloe vera based emmolients Ask whether she gone to any place like farm jungle where there's exposure to the INSECTS
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Pyoderma......commonly cause is staph n streptococcal inf.....rx tab cedon 100 mg bd tan maxofen half tds oint cipladine....maintain good hygiene......
Impetigo. ? Pyoderma?
I thought this was somple and straight forward...no doubt there are impetigenization..secondary bacterial Infection of Varicella..Even Dr Hemangi Put ?? Chicken Pox.Here I disagree acyclovir Role in 12 above as mentipned by Dr poonam as on other case..where nody went Wrong in making diagnosis of chicken pox Even thugh there were a few lesions.This is fully blown picture of Chicken Pox. O dont have any D/D.If in doubt gaint cell demonstration by patho-microbiplogist Will prove chicken pox or even serum assay titres.In western countries pediatricians worry about Necrotizing Fascitis (flesh eating Bacteria)as deadly Complication.I still remember my proffessor saying Chicken Pox is worser in Keralians. But it is true chicken pox is worser in adults..leave alone in immune compromised.
Irritant dermatitis following indiginus material, originally Chicken pox
Pyroderma
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