Systemic lupus erythematosus

Lean NAFLD is commonly associated with obesity and metabolic abnormalities like DM, HT, and dyslipidemia. It is a part of a spectrum of conditions that includes fatty infiltration of the liver, nonalcoholic steatohepatitis, cirrhosis, hepatocellular carcinoma, and end-stage liver failure. Read about this condition which is underdiagnosed due to the absence of traditional risk factors......

Drs A, B &C had an interesting conversation regarding the treatment of hyperemesis gravidarum.

Patient aged 17yrs old boy C/o deep fissures+itching+blackish discoloration+dryness over bilateral palm and sole region along with pain and serious discharge since 10years *Chief Complaints* Patient aged 17yrs old boy C/o deep fissures+itching+blackish discoloration+dryness over bilateral palm and sole region along with pain and serious discharge since 10years O/E Auspitz sign-positive *History* Nothing significant *Vitals* BP=110/70 mmHg RR=22/min

59 years T2DM patient having sever itching with red colour rashes all the body last 15 days, treated with anti fungal and anti histamine, VIt E as well lotion sachet Still patient having same complaints . Plz guide me ahead