60 year old male patient having c/o-DM Crack heel, Burning pain 1 mon

@Dr. Shivraj Agarwal

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Planter keratoderma with cracks Keep hygiene of feet Clean and apply urea based creams like cotaryl and lobate-s oint twice daily Tab clindamycin 300mg 1bd Tab fexofenadine180mg 1od Edjucate about footwears and footcare

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? PPKD .. NEED'S.. TOPICALLY.. STEROID .. OINTMENT..WITH..TAPERING DOSE SCHEDULE.. MOISTURIZERS.. KERATOLYTICS.. COL TAR PREPARATIONS.. GOOD HEALTH AND HYGIENE.. D/D.. ? PPPs ..

First advice would be to clean his foot by immersing in lukewarm saline water twice or thrice daily, followed by petrolatum jelly or Vaseline application followed by wearing socks. This will be of immense help. Apply Halovate S or Lobate S at bedtime

PPKD treatment ointment Solecare apply locally in day, ointment Helobet-s apply locally at bed time Cap VITAMIN A one daily

PPKD. Rx as suggested by Dr.Shivraj Agrawal Sir

SUGGESTIVE. OF EXTENSIVE PLANTAR KERATODRMA / KERATOSES... POSSIBLY SECONDARY. TO G. I. T. DISORDERS

@palmoplantar keratoderma

Looks like PPKD

Please share some important points regarding case.... Any history of DM, what is the occupation of pt. .?.age ? ...

No any H/o-DM, HTN, Pt Age -58year,He is farmer, crack heel, with Burning pain Since 1 month,
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