Chronic skin condition. Diagnosis and management?

Chronic skin ds x 6 years Took several treatments --> no relief. Diagnosis & management?

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Looks like Neurodermatitis

Thank you doctor
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? LSC .. WITH .. PIH .. NEED'S .. TOPICALLY .. STEROIDS WITH TAPERING DOSE SCHEDULE.. MOISTURIZERS .. ORALLY .. BILASTINE 20MG OD FOR ITCHING..

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NEURO DERMATITIS.. Tab levocet 5 1 tab ODHS.. Lobate s cream apply BD locally.. Tab Doxt SL 100 1 tab ODPC 10 days.. Tab Zincovit 1 tab ODAC 10 days.. Alovera gel apply locally.. Coconut oil.. Take Plenty of fruit and vegetables.. Avoid spicy food and oily food, Milk, egg.. Take Plenty of lime water..

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Neurodermatitis Exfoliative keratolysis palmopanter keratoderma Management.. Tab multivitamins antioxidants trace elements od. Tab Medrol 8 mg BD. Tab levocetrizine 5 mg BD. moisture lotion use. lobate-s ointment used,.. Otherwise.. Surgical intervention. Biopsy.. Need Clinicopathological evaluation..

Thanks doctor Sukula Vikram
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Chronic and aggressive itching following any etiology.. Skin biopsy could be help ful to access the underline cause of itching. This ultimately results in NEURODERMATITIS..

Thanx Dr.Rakeshji
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PALMOPLANTAR KERATODERMA EXFOLIATIVA. LICHEN PLANUS CHRONICUS WITH PATCHES OF VITILLIGO RX, APPLY CLOBETASOL OINTMENT TWICE DAILY APPLY MOISTURIZER TAB LEVOCET OD TAB DISPERED BD IN TAPPERING DOSES APPLY ALOEVERA GEL APPLY COCONUT OIL APPLY TACROLIMUS OINTMENT

Icon vs sb ur tb coc

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Exfoliating keratolysis Moisturiser locally Clop gm oint locally Tab Medrol 8 mg bd Tab Levocet bd Patch of Leukoderma also seen d/d vitiligo

Dear Dr. Vijay Kumar Singh Sir, Advice for the case by Ayurveda. Do Raktamoxana with Shrungi. Tab. Arogyavardhini Ras 1 tds with Khadirarist 10 ml. Apply Shatdhaut Ghruta twice a day.

Thank you @Dr. Rakesh Kayasth (pt) Sir.
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Neurodermatitis . Lichenified patches on accessible areas with excoriations are suggestive and so is failure of treatment for 6 years. Need to make pt understand the underlying pathogenesis and proper counselling . Just my personal view . Open to other possible diagnoses.

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