60 yrs male complaints of skin lesions over both hands and feet Expert opinion please doctors

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Occupation Dermatitis secondary skin lesions psoriasis infected Ezema Dermatitis? HPE study.. Need Clinicopathological evaluation.. CBC.. Urine test..etc.. Management.. Tab multivitamins antioxidants trace elements od. Tab levocetrizine 5 mg BD. Tab flucanazole 100 MG OD 15 days.. Bath permed soap.. Lobate-s ointment used twice daily apply.. Fucidin ointment used.. Tab dispred TDs in tappering doses Review after fortnight.. Keep the skin areas Sterile gauge. Clean skin regularly betadine topical.. Daily meditation. Daily exercise. Donate blood. Maintenance hygiene

Thanks doctor pushkar Bohemia
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Since no reply, this is my diagnosis : Chronic eczema due to cheiro pampholix .

Thank you doctor
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? SCLERODERMA .. ? LAPROSY .. NEED'S .. HPE..STUDY ..

Tnx Dr Rakesh Kayasth
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Leprosy???

?Scleroderma ??CREST syndrome

Thank you doctor
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Different lesions are seems to be mixup Palmer lesions looking palmer planto Psoriasis with keratolysis Rest of lesions seems to be scabies Tab azithral 250mg od for 5days Tab Levocetrizine bd Permithrine oint to be applied allover body at a time Review after one week Shift on Rx for psoriasis Lobate-s oint twice daily Levocetrizine bd Tab dispred tds in tappering doses Review after fortnight

Thanx dr Kute Ankush
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PALMOPLANTAR KERATODERMA DERMATITIS ECZEMATOUS CONTACT DERMATITIS. ICD

YES , THERE'S PALMOPLANTAR KERATODERMAS ? ECZEMATOUS DERMATITIS?

Thank you doctor
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PPKD Eczematous dermatitis Palmoplanter Psoriasis

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What is the duration of lesions ? Is there oozing at any stage of development of the lesions?, are they itchy or very itchy?

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