Difficult case . Patient has tried Vaseline, vaniply, Aqua fore.Constantly cracks and bleeds. He has no consistent exposure to any type of chemicals.
Clinical diagnosis: Psoriasis of palm (The clinical picture may be easily altered like in this case by scratching, previous application of local steroid especially with salicylic acid etc.) Contact dermatitis of hand will involve predominately more thinner dorsal skin of hand and the clinical picture will be different. Regards to Dr Yagal
? DYSHIDROTIC ECZEMA / POMPHOLYX.. ? ACD / CD .. D/D.. ? PALMOPLANTER PSORIASIS..
Dyshydrotic eczematous dermititis Rx lobate-s oint twice daily Orally tab dispred4mg 1tds for 7to15 days and tapper off gradually Tab fexofenadine180mg 1od Review every fortnightly
Psoriasis / dyshidrotic Eczema
?? Psoriasis / Dyshidrotic Eczema
? Dyshidrotic Eczema / Psoriasis
SUGGESTIVE. OF PALMAR PSORIASIS... SECONDARY. TO I. C. D
Psoriasis / Dyshydrotic Eczema
Psoriasis
Psoriasis /Dyshidrotic eczema
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