A 19yr old boy with multiple boils over the face, back , chest, arms b/l and lateral aspect of thighs since 5yrs..itching present..kindly opine on diagnosis and treatment



Scene vulgaris

Acene vulgaris

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It is advisable to send a biopsy of this case for HPE as this case seems to be tricky and needs to be worked upon. Could be a severe form of acne vulgaris but could be something like hidradenitis suppurativa as well. Hard to comment upon without looking at the biopsy. His viral markers may be done at first and then a course of antibiotics ( Doxycycline) and Isotretinion may be given to see if positive results are obtained along with topical clindamycin/benzoyl peroxide.

Acne pustulosa?

Acne vulgaris

Dr Parshuram agarwal At first i thought it is acne vulgaris, But it can't be. Everything thing must have been tied by now. I can't Think of a diagnosis but i will biopsy The boil, take a specimen for culture of pus from boil, perform Aerobic and anaerobic culture of blood, do B S.,HIS JOB HISTORY Working environment. And wait for the report.

It is not boil; Severe Acne vulgaris. This type of patients often suffers from Dandruff. Homeopathy gives miraculous result in these types of case. Though selection of medicine depends on extensive case taking you can prescribe SULPHAR 6, 1 dose and wait for 1 month

@Dr. Bhargav Lathiya ? Pemphigus Vulgaris Check for oral lesions

Seborric dermatitis?along with barber s itch

Acne valgaris.Protect the skin from ultra voilt rays.use antibotic for three month.self hygine is most importent

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