ulcirous lesions present over bil foot
Dermatology Chief Complaints a 28 yrs female approached my hospital with co fever on nd off,mlid swelling over bil foot,lesions over foot ,scratching..since 20 days ...help me to diagnos this case.
Inflammatory swelling with scratches Cellulitis with ulceration D/d peripheral vasculopathy Broadspectrum antibiotics like amoxyclav625mg 1bd Tab lenazolinid 600mg 1bd Antiinflamatory Antiallergics Locally mupirocin oint Rest to foot Adv cbc esr bsl urine Colour doppler
I agree with Dr Parth Sarathi Sahana with provisional clinical diagnosis of Livedoid vasulopathy Need investigations like CBC ESR COAGULATION PROFILE ANA TITER ANTI PHOSPHOLIPID ANTIBODIES-IgG and IgM Review after lab reports.
? CELLULITIS FOOT.. NEED'S.. HEMOGRAM.. URINE ROUTINE.. BSR..HBA1C.. PUS C AND S EXAMINATION.. MEANWHILE TREAT WITH. BS..ANTIBIOTICS WITH NSAIDS AS PER REQUIREMENT.. CLEANING DRESSING WITH MUPIROCIN..
?? Livedoid vasculopathy
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