Chronic scalp lesions - Diagnosis?

A 17 years old male presented with this ovoid scalp lesion. He explains the lesion to be chronic since last year varying in severity over the period of time. The lesion is itchy and flaky with well-defined margins. ESR, CBC, are within normal parameters. What are your inputs on this?

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Psoriasis Levocet5mg bd. Tapering dose of steroid orally. Multivitamin and antioxidant orally. Clean area with diluted betadine lotion apply lobate-S fucibact oint locally bd. Rehydrate skin by applying moisturizer or emollient lotion locally. Improve General health and personal hygiene. Reassurance and counciling required. Keep the area clean and covered with sterile gauge.

Thanks Dr Sandeep S

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Plaque are seen Lesion is silvery shiny It is scalp psoriasis Rx tacrolimus 0.03%oint twice daily Tab Levocetrizine5mg 1bd Tab deflazocort 6mg 1tds Tab methotrexate 7.5mg weekly Review every fortnightly

Thanx dr Vipin Bihari Jain

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Plaaue Psoriasis A condition in which skin cells build up and form scales and itchy, dry patches. Psoriasis is thought to be an immune system problem. Triggers include infections, stress and cold. The sped-up skin cell production causes new skin cells to develop too quickly. They are pushed to the skin's surface, where they pile up. This results in the plaques that are most commonly associated with psoriasis. The attacks on the skin cells also cause red, inflamed areas of skin to develop.

Appearance in Scalp psoriasis Prednisolone 1tds Cetrizine,1bd Antioxidants emollient lotion and fucibact ointment

1.Silvery white Scales. 2.Dandruff like. 3.Dry scalp. 4.Itching Looking all of the symptoms. Definitely It's "SCALP OF POSRIASIS".

Psoriasis. D/D: Seborrheic dermatitis. Tinea Capitis

Thank you Dr Jain


Psoriasis treatment Tab Apxenta 10 one daily ointment Pacroma apply locally twice

? Tinea Capitis

@ scalp psoriasis - potent steroid + moisturiser , coal tar shampoo, vit D supplement, tappering dose of steroid , blood investigations - CBC , SUGAR LEVEL ,ANA, CRP

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