F/10years, C/o. Severe Itching leads to scratching till bleeds since 5 months of age. Symptoms aggravated since 4 years. Spot dx rx.

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Looks like Atopic dermatitis

Rx Scabies with contact dermatitis In this case family history is very important itching of any family member indicates scabies One day treatment must be apply Rx tab Itin 12 mg 1HS stat Permethrin Lotion for LA below neck Permilite soap for bathing Cap Doxy 50 mg BD 8 (days)

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Need further investigation and evaluation to conclude particularly bsl ,hormonal test etc. Rehydrate skin by applying moisturizer or emollient locally after bath with Luke water and keto soap. Latest 5mg bd. Permithrin lotion locally below neck all over body may repeat after 15 days. All family members should be treated simtaneously. Cloths and lilen washed with soap and dry in ssunlight. Deworming.

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ACD/ICD

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? AD .. ? CHRONIC PRURITUS ..

Tnx Dr Ashok Leel sir
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Atopic dermatitis .

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Epidermal necrolysis. Could be fde.

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Allergic contact dermatitis

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Allergic cont

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ATOPIC ECZEMATOUS DERMATITIS ALLERGIC CONTACT DERMATITIS ICD EXFOLIATIVE KERATOLYSIS DERMATITIS. DO,, SKIN BIOPSY TO CONFIRM THE DIAGNOSIS. RX,, TAB ATARAX-10 MG BD TAB FUSYS 100 MG WEEKLY FOR 4 WEEKS. TAB ITRACONAZOLE 100 MG OD APPLY CLOBETASOL OINTMENT TWICE A DAY. APPLY LULICONAZOLE LOTION AT NIGHT. APPLY MOISTURIZER APPLY ALOEVERA GEL APPLY COCONUT OIL VITAMINS AND MULTIMINERAL SUPPLEMENTS. KEEP THE AREA CLEAN,, DRY STERILE AND GAUZE. NOT TO SCRATCH AGAIN & AGAIN.

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