Concluded Case

Itchiness Ear

58 Y / male Itchiness Before 3 days Lots Itching on Left side outer ear He said digestion problem from 2 days History Family history was Good. No any problem in Family. Have no any fungal Infection in family. Sometime Infection is Hereditary Through family member to others. Vitals Temperature - 97.5°c BP- 139/98 mm hg PULSE rate - 85 BEAT / MIN ( Saturation ) SPO2- 99.% Investigations No any Investigation before . Management Please suggest the Your best Diagnosis and Treatment??

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? INTERTRIGO.. ? ACD..CD.. ? SD ..

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Outer ear infections may heal on their own without treatment. Antibiotic eardrops are the most common treatment for an outer ear infection that hasn't healed on its own. They can be prescribed by your doctor. Doctors may also prescribe antibiotic drops mixed with steroids to reduce swelling in the ear canal. Rx Topical corticosteroids (eg, 1% hydrocortisone cream or a more potent 0.1% betamethasone cream) can decrease inflammation and itching. Patients should avoid using cotton swabs, water, and other potential irritants in the ear, because these will aggravate the inflammatory process.

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Dx Proper Examination Check A.Nigrican & Candida infection? ACD (if whole family involve) Seborrheic dermatitis ? Rx Antihistamine Steriod with tempering dose

Antifungal ear drop prefer
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? INTERTRIGO.. ? ACD..CD.. ? SD ..

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Its Tinea facei.(active erythematous margin) Itching rules out Hansen. Sebhorrheic dermatitis has overall redness with greasy scaling.

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A C D Sebhorric dermatitis Tinea infection

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Seborrheic dermatitis Antihistamines oral Medicines Topical application on the external ear Antacids for digestive problem

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Seems like ear infection Rx -silicia6x thrice a day Pulsatilla 30ch TDS

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