A 45-year-old obese female presented with such lesions over her neck region with mild itching. She attributes it to wearing a necklace which led to this. So it gave me an impression of allergic contact dermatitis. After a week of treatment, she is not doing fine. What would be the diagnosis? ACD? Nodulocystic truncal acne? Kindly comment on the lesion and line of management? She also has a history of acanthosis nigricans.

a 45 yr old female ,known diabetic presented with this patch on back of neck. diagnosis & treatment?

74 year old male with cough and fever. Patient is a known diabteic and came with breathlessness. your views regarding workup and management

ENDOMETRIOTIC CYST IN OVARY cured with homeopathic medicines without surgery 2 Large Endometriotic Cyst in Ovary measuring 3.8 x 3.6 x 2.2cms and 2.5 x 2.3 x 1.6cms Cured without surgery with Homeopathic medicines By Dr Deepan P Shah at Dr Shah’s Homeopathy. THE OVARIAN CYSTS RESOLVED IN JUST 60 DAYS First consultation on 10/4/2018 Patient has endometriotic cyst both ovaries, till one year ago she had only on one side. h/o medicines for hypothyroidoism which she had stopped. Prolactin Elevated, h/o occasional oozing of fluid from nipples, only on pressing nipples, patient used to have sensitive nipples even before menarche, this oozing was first noticed when her dermatologist examined nipple and on pressure fuild oozed out. PCOD detected in jan 2014 H/o acne, hairfall Patient also has H/o severe pain in pelvis and lower back in 2017 at that time patient was not even able to sit due to pain, after which she got detected with endometriotic cyst in right ovary then later on left ovary as well. Then patient sarted allopathic hormonal medicines but still she has a constant pain in pelvis but has reduced by 80% Menstrual Functions Menarche at around 14-15 yrs Cycle regular 28 days Initial 10 yrs menstrual bleeding phase used to last for 7 days with heavy flow, her mother used to have similar pattern. Other notable factors Hyperacidity and Constipation since 10 yrs. Patient lost her younger brother 10 yrs ago. Patient follows regular meal pattern. Patient has c/o mild to moderate allergic respiratory affections especially sneezing and rhinorrhoea which Aggravates even on draft of air, needs covering. Lower Backache , pain in Nape of Neck Axillary lymphomegally Renal Stones No Record of Hypertension , Diabetes Mellitus, drug reactions RX PULSATILLA 200 SINGLE DOSE WAS ADMINISTERED AND PATIENT WAS ADMINISTERED SAC LAC Later on after 3 weeks based on her symptoms, she was administered with Conium Mac 200 single dose and left on placebo NOW AFTER ENDOMETRIOTIC CYST HAS BEEN CURED PATIENT IS STILL CONTINUING TREATMENT FOR PCOS WHICH IS ALTOGETHER A DIFFERENT ENTITY Note Reports attached before and after treatment.

such somewhat acne like projection on forehead which is painless no itching since from 2 month no response to clindamycin local dx ..?