Male pt. age 43 having this type of leisons on whole body ,no itching plz suggest the treatmemnt and diagnose the leison ,more severe at thigh nd axillary region
Pityriasis versicolor Levocet 5mg bd. Clean area with diluted betadine lotion apply calamine lotion than lulliconazole+. mupirocin oint locally bd. Sulphur 2%oint locally biweekly. Itraconazole 200 mg od. Multivitamins and antioxidants orally. Maintain nutrition hydration and hygiene. Keep area clean and Dry covered with sterile gauge.
- it's pityriasis Versicolor as per appearance of patches. - Antifungal- Antihistamine needs to start SOS Antibiotic preferably doxycycline. - for LA Antifungal lotions. - if it's chronic start cap.Itracanazole 200mg 1 od for 21 days. Will get relief
Looks like a case of Pityriasis Rosea. Since it has scales calamine lotion can cause dryness& more irritation. Do a blood VDRL & investigate for diabetes mellitus. Any case resembling PR should be investigated for syphilis. Though there is no itching , the extent of the problem irritates the mind & causes a tendency to scratch. So, an anti histamine like cetrizine can be given at night. Provides good sleep too. Externally can advise liquid paraffin after bath. If the patient’s blood VDRL is non reactive even mild steroid ountments can be given. Review periodically.
Pityriasis versicolor
Cases that would interest you
- Login to View the image
Penile skin frequently involves in many skin disease. Presenting common skin diseases involving penis seen by me in 2018 (Figures 1-8). All of you know the diagnosis. Thank you.
Dr. Pankaj Jagirdar1 Like19 Answers - Login to View the image
❄ 67yrs M presents with Burning mouth to slightest spicy food, Erythema & Ulcer in left buccal sulcus for last 6 months, non-responsive to earlier treatment elsewhere. No oral habit, known controlled diabetic & hypertensive. Dx & Management...
Dr. Partha Sarathi Sahana13 Likes23 Answers - Login to View the image
16 years boy multiple white spots on face both front and back of the body since 3 weeks. Itching present no burning. 1) diagnosis 2) Differential diagnosis 3) how to manage this case?
Dr. P.kishore Kumar8 Likes20 Answers - Login to View the image
a 23 yrs old man has asymptomatic lesions on the trunk only. no diabetes, increasing day by day. dx Rx PL.
Dr. Vavuluru Sudhakarbabu0 Like16 Answers - Login to View the image
A 50y/o male was presented to ED with known h/o Diabetes Mellitus (DM) and Hypertension (HTN). The skin condition as shown in the images. What is your diagnosis and treatment?
Dr. Prashant Ved5 Likes16 Answers
2 Likes