Litchen with cracking of palms and soles .

27 yrs house wife with litchen 1 St seen in left elbow joint to wrist joint from 1 yr , next it spreads on right shoulder joint to elbow joint and gradually increasing in whole legs with tingling sensation < night , bleeding and burning after scratching > cold water . Hair becomes graying and thins out . Cracking of palms and soles with bleeding , difficulty to walks < winter . F/H father died in tuberculosis of lung . P/H scratched by dog and took vaccination at the age of 6 , continued fever for 3 months at the age of 12 . Mind extrovert Hot patient , bathing 2 times a day Sleep normal lying on back Appetite normal craving for fish salty foods with raw salt , sour soup and hot food , rapidly eating , aversion to sweet thirst low Urine normal , frequently 30 minutes interval . Stool constipated crumbling without desire 2-3 days interval Sweat ++ foul smell + . Menses normal stay 4 days , pain in lower abdomen and backache before mense ,1 St day severe in nature . Please advise your best opinion of the case .

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Dx Phrynoderma Vitamin A deficiency Advise the patient to eat foods rich in beta-carotene like carrots, papaya, mango, etc, which will get converted to vitamin A. Vitamin supplement along with homoeopathic treatment.

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May be chronic ECZEMA... Maintain proper hygiene and Avoid junk and spicy foods.. Tab.purim BD Gandhak rasyan vati Giloy Ghan vati Khadirarishta

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?? Phrynoderma examin eye for Bitot's spots  ?? Scabies Take family history of same problem namd mainly night itching ...

Agree with Dr.Twara Aashish mam

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Sulph 200/3dose once in week

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Start with sulphur 1m

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Anti crud thuja

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