Thursday, November 25, 2010

atopic dermatiits


2 year old child suffering from recurrent scaly plaque both ear region with positive history of atopy.
t/t : condition was explain to parents & avoidance of allergens along with mild topical hydrocortisone with sedative antihistaminic

pitted keratolysis

patient is a housewife, there are multiple erosions over sole caused by coryneform bacteria, lesions coalesce to form irregular lesions.
t/t : topical fusidic acid was given and dusting powder to keep the area dry, & avoidance of excess use in watery area

steroid modified tinea

scaly plaue with central clearing, h/o application of betnovate steroid over that area, h/o recurrence of the lesion.
t/t : systemic terbinafine 250mg for 2 weeks succefully treated the case.

verruca plana or flat wart

multiple skin colored asymptomatic papules. H/O threading over face, which appeared after that only.
T/t: Radiofrequency ablation was done.

palmoplantar psoriasis

eruthematous silvery plaque both hand & feet, with winter excerbation, chronic & recurrent.h/o intake of methtrexate,
T/t: 10mg Methtrexate weekly along with symptomatic management

Monday, November 22, 2010

steroid modified ACNE VULGARIS


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.

chancroid

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.

SCABIES

infected scabies, brother & sister effected in the family, typical lesions over finger webs, more itching in night. Scabies is caused by mite, highly contagious.