Here s a pt aged 56yr hav normal phsiqu vit k/c/o diabetic on treatment since 2yrs came to my clinic vit symp like uncontrolled suger n skin pigmentation over back n developed symptoms of diabetic neuropathy. Much high compare to other DM patients....now plz suggest .. how to mange it in ayurveda n modern

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YES POSSIBLY TERRA FIRMA FORME DERMATOSIS NEEDS CLINICAL. CORRELATION 5%. SALICYLIC. ACID. IN PATROLATUM. GEL/ OINTMENT

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Pt is diabetic without blood sugar profile and present line of treatment available nothing can be advised So far pigmentation on back with symptoms of diabetic NEUROPATHY as per say than consider it Neurodermititis Clobetasol propionate oint twice daily

Thanx dr Dinesh Gupta
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@? lichen amyloidosis

न्योग्रादि चूर्ण 3 ग्राम सुबह और 3 ग्राम शाम को शहद में मिलाकर नियमित रूप से सेवन कराएं। सोमराजी तेल लगाने के लिए। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Duncan's dirty dermatosis. If it rubs off with little alcohol, diagnostic. DD if pruritic, think of pediculosis corporis..

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Rule out hemochromatosis Diabetic dermopathy plus neuropathy Get fbs,ppbs,hba1c,urine microalbumin-creatinine ratio, lft,cbc,transferrin sats.. Treat neuropathy with pregabalin.

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