Concluded Case

Dermatology case

Patient age of 25 year male C/o itching since 5 year It cover whole buttocks, thigh, and some area of back shown in image. And he has used many antifungal treatment got some relief but proper. Kindly make diagnosis and advise treatment. Management Advice

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Concluded answer

Its Recalcitrant Tinea only. Rx Cap. Itraconazole 100mg BD x 3 weeks Tab. Griseofulvin 250 mg OD x 3 weeks Amorolfine cream LABD Tab. Hydroxyzine 10mg x 3 weeks Keto soap. These patients have poor compliance and then land up in such situations. Counsel them about hygiene maintainance and strict adherence to prescription

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Lesions seem to be velvety, thick ,hyperpigmented. Rule out Acanthosis Nigricans.. Please do the following lab tests...Lipid profile, insulin level, blood sugar ( fasting + pp), Thyroid profile.. U can start with Salicylic acid ointment 6% ..To apply locally bd..or GA 12 % cream apply once daily at night.. Along with Tab Levocetrizine 10 mg 1 tab daily for 20 days.. Until all the lab tests performed

? TENIA INFECTION .. ? RESISTANCE TENIA .. ? PERSISTENCE TENIA ..

Tinea infection? Ezematous dermatitis? Tab Acylvoir 500 mg od Acylvoir ointment cream use at bed time.. Moisture lotion use.. Luliconazole lotion use.. Tab Azithromycin 250 mg od.. Keep the skin area sterile gauges.. Coconut oil use.. Alovera gel uses.. Tree tea oils..

Contact dermatitis

Its Recalcitrant Tinea only. Rx Cap. Itraconazole 100mg BD x 3 weeks Tab. Griseofulvin 250 mg OD x 3 weeks Amorolfine cream LABD Tab. Hydroxyzine 10mg x 3 weeks Keto soap. These patients have poor compliance and then land up in such situations. Counsel them about hygiene maintainance and strict adherence to prescription

? Tinea

Tinea Incongnito ? Overuse of steroid oint Rx Luliconazole oint Tab.Terbenafin 250mg OD ×15 days Keto soap Levocet 5mg BD Follow after 15 days if not resolved start pulse therapy Terbenafin 250mg BD for 7 days every month & continues using keto soap & oint

Tinea corporis

Dry Eczematous dermatitis Paedrous dermatitis CD

@ tinea infection

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