Spot the diagnosis, differencial diagnosis and treatment.

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This is a case of Henoch shonlein purpura. DD would be Hypersensitive vasculitis Juvenile rheumatoid arthritis Inflammatory bowel disease Kawasaki disease Leukemia Menigococcemia Thrombocytopenic purpura Rocky mountain spotted fever Polyarteritis nodosa Child abuse Wegener's granulomatosis Treatment is Most of the cases are self limited ,doesn't require any treatment. Mild cases with arthralgia, acetaminophen is used to releive pain. Moderate cases, corticosteroids are required Severe cases, corticosteroids are required along with immunosuppressants.

Diagnosis : HSP (Henoch Schonlein Purpura ). D/D : Urticaria Skin cancer Pinterest disorders HSP more common in children between the age of 2 to 11 years. Adults with HSP is usually more severe form. Rx No specific drug for HSP. It usually ends after 4 - 6 weeks. Sometimes recurrence occur in between but with no longterm consequences. If kidneys and intestine are affected treatment is often needed and regular follow up is required to prevent serious complications. Acetaminophen /NSAIDS like Ibuprofen and Naproxen for joints pain. In some cases Corticosteroids may be used. Tests : CBC, LFT, RFT Monitoring of Kidney function. Urine for protein and RBC / Routine and Microscopic examination. Skin biopsy.

Henoch schonlein purpura.

This is vitiligo in a slightly dark skinned individual Look for diabetes alzo

DD DERMATITIS DRUG RASH

HSP its self limiting condition usually disappear in 6-7 week u can use steroid along with symptomatic medication

? VASCULOPATHY .. ? HSP .. ? ITP .. NEED'S.. BLOOD CBC CT BT PT.. COLOUR DOPLAR STUDY..

looks like albenism ??no idea about HSP

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