26years old lady c/o sever cracks in both foot with pain, bleeding frequently , treated with dermatologist for a month but symptoms relapsed after a week, plz suggest me conditions &treatment.

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Diagnosis:- PLANTAR PSORIASIS. Treatment:- Mild psoriasis of the palms and soles may be treated with topical treatments: Emollients: thick, greasy barrier creams applied thinly and frequently to moisturise the dry, scaly skin and help prevent painful cracking. Keratolytic agents such as urea or salicylic acid to thin down the thick scaling skin. Several companies market effective heel balms containing these and other agents. Coal tar: to improve the scale and inflammation. Because of the mess, coal tar is often applied at night under cotton gloves or socks. Topical steroids: ultrapotent ointment applied initially daily for two to four weeks, if necessary under occlusion, to reduce inflammation, itch and scaling. Maintenance use should be confined to 2 days each week (weekend pulses) to avoid thinning the skin and causing the psoriasis to become more extensive. Calcipotriol ointment is not very successful for palmoplantar psoriasis. It may also cause an irritant contact dermatitis on the face if a treated area inadvertently touches it. Dithranol is too messy and irritating for routine use on hands and feet. More severe palmoplantar psoriasis usually requires phototherapy or systemic agents, most often: Bathwater PUVA Acitretin Methotrexate Biologics (targeted therapies) are also sometimes prescribed for severe palmoplantar psoriasis. However, it should be noted that TNF-alpha inhibitors such as infliximab and adalimumab may trigger palmoplantar pustulosis.
According to Ayurveda it is called as Daran. Rx is : 1) Aarogyavardhini 60tab + Gandhaka rasayan 60tab + Triphala guggul 60tab + Punarnava mandur 60tab + Sutashekhara rasa 60tab + Guduchi satva 10gm + Amrita guggul 60tab mix all properly and give 500mg BD with warm water. 2) Mahamanjishthadi kadha 15ml + Sarivadyasava 15ml mix and take with 1 cup of water BD. 3) Indrayava + Patol + Kutaki all in equal quantity and make kwath and take twice in a day. 4) Raktamokshana by Jalauka. 5) Jatyadi ghrita or Pamahar lepa f can be applied over the affected area. Panchakarma : Mridu virechana by Gandharava haritaki 1tsp HS. Avoid Kapha-Pitta vardhaka aahar vihar. Keep area dry and clean. Rule out DM. If there is itching then you can also use Kandughna gana kwath mentioned in Charak sutra sthan And Krimikuthar 2BD with warm water.
crack cream
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As the lesion is on both feet and lacks the look of Psoriasis, It seems to be contact dermatitis caused by the chemical in her footware. She should change her shoes and apply a mixture of Evion cream +Moisturex cream, Flucort cream and pet jelly. She should also be given orally Supradyn 1 OD, Astymin M Forte 1 daily and Ferium XT 1 OD. Avoid the offending footware
contact dermatitis with secondaries Fluconazole 150 weekly for 8 weeks Levocetrizine OD Zole F application Clotrimizole dusting powder Vitamins A 600000 in divided doses in six days . Tab Evion 600 OD for one month Tab Folic acid Glycerin application + elovera application. use good quality sport shoes.
It's palmo planter psoriasis needs clobetasole with salysilic acid local application with a course of antibiotics and anti alergic
It's paddari in ayurveda give jatyadi malahar for L. A. do raktamokshan by leech aplication. gandhak rasayan vati 2 bd
Dr, already I given T Gandakarasayana BD Oint Cutfar for LA & Manjistadi kashaya.. but no improvement
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contact dermatitis Avoidence of allergen is must Tenovate cream LABD Elovera cream LABD T Bact cream over fissures
Plantar hyperkeratosis and lichenification..Adv..Moisturizers...my Dx...Plantar Psoriasis...Xpert guidance solicited..
plantar psoriasis. topical steroids and keratolytics. if not responding oral methotrexate
plantar psoriasis.
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