Exfoliative dermatitis Vs Eczima Vs Psoriasis

THIS IS UPDATE OF MY PREVIOUS CASE AND NO IMPROVEMENT BY Antihistaminic AND STEROIDS

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? OCCUPATIONAL DERMATITIS.. ? ACD..ICD.. ? POMPHOLYX ..

PSORIASIS CAN INVOLVE SCAP  NAILS JOINTS PSORIATIC ARTHOPATHY\ FLEXOR TYPE EXTENSOR TYPE IT CAN CAUSE  CATARACT DRY EYE

Exfoliative dermatitis *Take the history, if the patient is using proper doses of medicine or not, and also ask to avoid any allergen

Occupational dermatitis, ACD Need to change job/ or wear gloves Continue steroid ointment, emollients, moisturizers

Rule out Tinea. KOH preparation of skin scraping. Use gloves while working. Moiz cream. Montec LC. Also rule out Diabetes

Palmoplantar keratoderma

Arsenic keratosis