Acrokeratosis paraneoplastica

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Psoriasis is often associated with other comorbidities such as psoriatic arthritis, obesity, inflammatory bowel disease, diabetes, and cardiovascular disease. Psoriasis causes increased medical costs, work limitations, as well as productivity loss. This economic burden, along with reduction in quality of life in patients prompts the need for effective disease management. Widespread disease often requires systemic treatment due to the extent of BSA involvement. Guidelines recommend treatment with biologic agents or nonbiologic agents or phototherapy with ultraviolet B (UVB) or with psoralen plus ultraviolet A (PUVA) therapy. Guidelines suggest that physicians should balance the individual patient characteristics with side-effects when making therapeutic decisions. Please share your thoughts on the same......

29 y F C/o- Constant dry spasmodic cough, nasal blockage,smell and test loss,. Appt- Less Thrst-Less Des- sour, Chilli Avrs- food Sweat- Scanty, Stool- Loose Sleep- Distrub due to cough Mind -Irritable, easily anger Dr suggest your opinion

A 30 years man with this skin rashes over his right scapular region What is the Dx and Rx Seniors plz guide

A 27 years married woman suffering with low hemoglobin associated with menorrhagia for 3 years. Blood is profuse, coagulated, dark colour. Hot pt. Appetite-good Craving- cold foods and drinks Thirst- profuse Perspiration- moderate Stool-regular Urine-normal Menses-regular but profuse Mind- Anxious, always in hurry Nervous Weak memory, forgets easily Please respected doctors suggest your views on this case.