Suffering since 3 years. What should be proper medications @Dr. Ankit Agrawal @Dr. Ashutosh Kumar Jain @ @Vaishali Singh



D/D Chronic allergic contact dermatitis Keratoderma (keratosis palmaris) Plaques psoriasis 1.Locally moisturizing cream followed by Mometasone cream. 2.Orally Tab.Deflazocort 6mg 1BID for 10 days. Or Tab.Prednisolone 5mg TDS for 5 days then 1BID then 1OD for 5 days in tapering doses. 3.Ask for his/her occupation n investigate if that is the precipitating cause.Avoid it.

@Abhishek Mani Tripathi Psoriasis Improvement in general health can lead to improvement in palmoplantar psoriasis. Weight loss, if overweightRegular exerciseStress managementMinimum alcoholSmoking cessationInvestigation and management of associated health conditions Mild psoriasis of the palms and soles may be treated with topical treatments: Emollients: thick, greasy barrier creams applied thinly and frequently to moisturise the dry, scaly skin and help prevent painful cracking.Keratolytic agents such asureaorsalicylic acidto thin down the thick scaling skin. Several companies market effective heel balms containing these and other agents.Coal tar: to improve thescaleandinflammation. Because of the mess, coal tar is often applied at night under cotton gloves or socks.Topical steroids: ultrapotent ointment applied initially daily for two to four weeks, if necessary under occlusion, to reduceinflammation, itch and scaling. Maintenance use should be confined to 2 days each week (weekend pulses) to avoid thinning the skin and causing the psoriasis to become more extensive. Calcipotriol ointmentis not very successful for palmoplantar psoriasis. It may also cause anirritant contactdermatitison the face if a treated area inadvertently touches it.Dithranolis too messy and irritating for routine use on hands and feet. More severe palmoplantar psoriasis usually requiresphototherapyor systemic agents, most often: Bathwater PUVAAcitretinMethotrexate Biologics(targeted therapies) are also sometimes prescribed for severe palmoplantar psoriasis. However, it should be noted that TNF-alpha inhibitors such asinfliximabandadalimumabmay triggerpalmoplantar pustulosis.

Sir all treatments has been taken. No improvement seeing

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Allergic contact dermatitis


It's most likely Allergic contact dermatitis.. Proper history will help to find the etiology

Chronic allergic contact dermatitis

Psoriasis can't be ruled out as scaly in nature Also D/d -contact dermatitis Steroid cream should be started ,has recurrence although

Contact dermatitis

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