dermatology
A 60 years old male, agriculture by occupation C/o severe itching and mild oozing from the lesion past 20 days.diagnosis and treatment?
Nodular prurigo. Nodular prurigo is a skin condition characterised by very itchy firm lumps. It is the most severe form of prurigo. It is not known why these lumps appear. It is also called ‘prurigo nodularis’. Nodular prurigo is very difficult to treat effectively. It is uncertain whether scratching leads to the nodules or if the nodules appear before they are scratched. The reason for the nodules, the inflammation and the increased activity and size of nerves in the skin is under investigation but remains unknown.
Eczematous dermatitis D/d:- lichen planus, stasis dermatitis. Fusibet cream Erythromycin 500mg bd for 3 days Tab. Hydroxyzine 25mg bd Tab. Lycost 1 od for 10 days
Eczema DD Lichen planus hyoeryltrophicus Steroid ointment antibiotics for secondary infection, antihistamines
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