Rash

Patient - female 21 years. Presented with lesions shown in the picture since 15 days. Multiple red papules and ring like lesion on neck chest abdomen and extremties. Spreading Itchy specially at night On itraconazole tablet 100mg bd and cetrizine 10mg BD. But the rash is not healing rather spreading . For the ring lesions applying luliconazole cream. What can be the diagnosis ?

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PR Dermatitis..? Ps dermatitis..? Management.. Histopathological examination study.. Sugar levels test.. Psoriasis.. Pityriasis roseca.. Clobetasol ointment used.. Tab flucanazole 200 MG OD 15 days.. Tab multivitamins antioxidants trace elements od.. Tab levocetrizine 5 mg BD.. Coconut oil use.. Alovira gel use.. Bath keto soap.. Keep the skin areas Sterile gauge.. Clean skin regularly betadine topical.. Maintenance hygiene ....

Scabies Permerthine 5 % af bed time (30. Gm) .Once. Fexafenedine 180.mg 1 tab OD.x5 days. Allergic Contact dermatitis. Wash the clothing gs in boiling water.

? PR .. ? Ps .. NEED'S .. HISTOPATHOLOGICAL STUDY..BIOPSY ..

Tnx Md Altaf Hussain
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-The scaly, itchy and patchy appearance suggests Autoimmune condition., Probable diagnosis -Psoriasis -Doctor please ask the patient if there has been any change in life style, Sleep pattern, new locality, Stopped any habit all of a sudden Treatment of choice -Topical corticosteroids -Please continue Citrazine -Considering the cosmetic perspective you can give Topical retinoids treatment after 15 days Thank you Doctor!

Its not that scaly doctor. What makes u think it is psoriasis. Its not that indurated and erythematous
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Psoriasis Tinea infection

No stress.... needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages no vyasan garlic little onions walnuts blue berries sunshine ginger prayers... sulpha if tolerant...abzorb powder...figs apricots dates cauliflower broccoli purple cabbage cabbage juice orange juice... cold pressed coconut oil massage and in naval lime juice under strict supervision of Doctor

Thanks ji Our Respected Dr.Saheb
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Obviously psoriasis Ointment psoralen locally Cetrizine,1bd Methotrexate 10mg weekly

Thanks Dr. Md Altaf Hussain, Dr. Amitabh Dasgupta
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Looks like Pityriasis Rosea

? Pityriasis rosea

PRIMARY FUNGAL INFECTION ? RINGWORM STRUCTURE ? TINEAL INFECTION OCCURS ? THEN LESION WILL CHRONIC THAT PSORIASIS . Changes in Tissue , HISTOPATHOLOGY OPINION.

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