patient was applying betamethasone for 3 year, was started on isotretinoin 20 mg as initial dosage after all investigations. As we can see multiple papules, nodules & cysts over the face.
characterized by multiple superficial erosions, painful, h/o exposure 7 days back prior to eruption of lesions, left side inguinal LN palpable & painful.
Treatment : syndromic management of the disease done. patient was given Azithromycin 1g stat & doxycycline 100 mg twice daily for 3 weeks. and all routine & ELISA for HIV 1& 2 done & was non reactive.
infected scabies, brother & sister effected in the family, typical lesions over finger webs, more itching in night. Scabies is caused by mite, highly contagious.