Short case


This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. 

Here we discuss our individual patient' problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.


 A 52 yr malecame with chief complaints of reddish erythematous plaque over both lower limbs with itching and dryness over them since 2 and half years 

HOPI:

Pt was apparently normal two and half years back ,then starting suffering from reddish erythematous plaque overboth lower limbs with itching and dryness over them ,he took medication for above complaints but there was no satisfactory relief, so he came to our hospital for further treatment 

PAST HISTORY:

K/C/o HTN since 8 years and is on regular medication (TELMA 40)

Not a k/c/o DM,EPILEPSY,ASTHMA,TB,CAD,CVA

PERSONAL HISTORY:

Diet -Mixed

Appetite -normal

Decreased sleep due to itching

Bowel And Bladder-regular and normal

No addictions 

FAMILY HISTORY:

No family History of any dermatological disorders

General Examination:

On examination pt is conscious,coherent,cooperative 

Moderately built

No signs of pallor,icterus  cyanosis,clubbing,generalisedlymphadenopathy, pedal edema 

Systemic Examination

CVS-S1 S2 heard No murmurs

RS-BAE present,NVBS heard

Per Abdomen-soft,non tender ,bowel sounds heard

CNS- no focal neurological deficit

Local Examination:

Red scaly palpules and plaques noted over the rt palm,rt and left leg,rt foot 

GRATTAGE TEST POSITIVE 





Investigations:
Hemogram -increased neutrophils seen 

Provisional diagnosis:

 PSORIASIS VULGARIS  

Treatment:

1) LIQUID PARAFFIN LOCAL APPLICATION  TWO TIMES A DAY 
2) TAB TECZINE 5 MG PO/SOS
3) CAP. ALCROS 100 MG PO/BD 
4)CLOP-S OINTMENT LOCAL APPLICATION  DAILY NIGHT 


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