PRURIGO NODULARIS

13 years girl having these lesions on dorsal aspects of both legs since 3 months. Severe itching and oozing. Evaluate the case!

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Multiple Itchy nodules on both sides of the dorsal aspects of both legs more favour to PRURITIC NODULARIS. It is due to chronic repetitive scratching of the skin . Detergents, cleansing powders and contact other allergens will give rise to this. Treatment: 1) Best option is INTRALESIONAL STEROIDS triamsilone 2) dipping the affected parts into lukewarm water with added salt and KMno4 for 20mts. 3) Tab Antihistamines 4) Cap Amoxyclov 625 mg bd for 5 days. 5) Betamethasone with gentamicin cream application after 1/2 hr application of Mupirocin cream.

ATOPIC DERMATITIS WITH NODULAR PRURIGO TREATMENT TOPICAL STEROIDS INTRALESIONAL TRIAMCINOLONE TOPICAL CAPSAICIN ATARAX XEROSIS CONTROL BY EMOLLIENTS

Mycosis fungoids ERYTHEMA MULTIFORME
1

Pruringo Nodularis AD Rx .IL Triamcinolone Tab fexofinadine Clobetasol propionate oint Multivitamin n Antioxidants Maintain proper hygiene

SUGGESTIVE OF MYCOSIS FUNGOIDS.... WITH ECZEMATOUS CHANGES SECONDARY. TO . P. N

Prurigo nodularis probably with atopic diathesis with some personality disorder anxiety. Difficult to manage as it will go into remession and exacerbation. LiberAl amount of moisturizer Potent steroid twice a day for three wks Systemic antibiotic for seven days Seating antihistamine Anxiolytic at night

Prurigo Nodularis Prevention of icth scratch cycle is of main importance Topical Steroid with anti histamine ( hydroxizine) Oral antibiotics if required

DX : BULLOUS IMPETIGO. D/D PSORIASIS THE SECONDARY INFECTION. R/O : IMMUNE DEFICIENCY STATES. R/O : DIABETES MELITIS.

As DD Lichen planus,atopic dermatitis Cream clop S at night,rest symptomatic

Prurigo nodularis depending on investigations thalidomide can be started

D.d: ezematoid dermatitis, psorias, contact dermatitis

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