Age 55 Dermatitis Skin very dry , cracked, painful, itching Ameliorated by washing or putting hand in warm water ,aggravated by cold application or washing with cold water. Very chronic 10 yrs

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@ palmoplantar keratoderma

Palmerplanto hyperkeratoderma/psoriasis Lobate-s oint twice daily Tab levocetrizine bd Tab dispred4mg sr tds in tappering doses Moisturiser frequently

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