How to Manage?

F55. clinical diagnosis..left lower lobe pneumonia.

Rare diseases Patient with dry skin, low sweat, with characteristic facial features. Dental abnormality seen. Identify the condition.

A 25 year old man comes to the OPD stating that he has problem chewing food and cannot open his mouth completely. On examination white patches were seen on the tongue.The picture of the lesion is shown below.What is the most probable diagnosis and the best treatment available for this patient?

#my original CCA case An asymptotic patient. He had history of thoracotomy in the past. Diagnosis?

it's fibrocystic disease in breast... what would additional finding???