Concluded Case

LICHEN SCLEROSIS

60 years female Intense itching White patches on vulval area since 6 months.. Burning while contact with water. Diabetic but strict glycemic control Her Hba1c ...6.8 No other ailments What is the diagnosis? Treatment? She is using triple combination cream ...beclomethasone, gentamicin and clotrimazole....

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Concluded answer

Thin, white and wrinkly skin on both inguinal regions, vulval area in this age more favour to LICHEN SCLEROSIS... It may be due to Autoimmune related problems, diabetes and hormonal imbalances. Treatment... Personal hygiene... Antihistamines to combat the itching... Low potent topical steroids for 1 week and replaced by Tacrolimus 0.03%gel DERMOJET triamcinolone spray on the lesions...weekly once.. Tricyclic antidepressants in low doses... UV light therapy...

All Answers

?? Lichen sclerosus

SUGGESTIVE OF VULVOVAGINAL LICHEN SCLEROSUS V. L. S.... ADVISABLE.... TACROLIMUS TOPICAL...0 . 1 % MOISTURIZER ANTIHISTAMINES .

Impressive diagnosis
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Thin, white and wrinkly skin on both inguinal regions, vulval area in this age more favour to LICHEN SCLEROSIS... It may be due to Autoimmune related problems, diabetes and hormonal imbalances. Treatment... Personal hygiene... Antihistamines to combat the itching... Low potent topical steroids for 1 week and replaced by Tacrolimus 0.03%gel DERMOJET triamcinolone spray on the lesions...weekly once.. Tricyclic antidepressants in low doses... UV light therapy...

Senile pruritis in diabetic old lady always invites fungal infections Apparently seen is CANDIASIS INTRITIGO VULVA D/d linchen sclerosis vulva Rx beside good control of diabetes Locally canastan-s oint twice daily Orally tab gris-od or terbenafine Tab Levocetrizine5mg 1bd Sos oral steroids

Lichen sclerosis of vulva Topical corticosteroids (clobetasol) twice in a day for 2wks then twice in a week. Oral retinoids Valvular hygiene.

Typical of guttet psoriasis dd lichen planus site goes in favor of tenai cruris

Lichen sclerosus.topical steroids would be the therapy.

IT'S A..CASE OF.. ? LICHEN SCLEROSUS.. VULVA..

Most probably lichen sclerosis

Lichen schlerosis?

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