Medical case
43F with Tinea corporis
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PAST HISTORY:
The patient is 43 years old female who is a high school teacher. She used to suffer from frequent high fever, throat pain and loose motion in her childhood. She had broken her left elbow at the age of 8. In 1989,she suffered from jaundice. She was diagnosed with allergic rhinitis at 14 years of age.
In the year 2002, for the first time she had severe itching in her neck which resulted in pus. At that time she had done homeopathic treatment. She experiences severe itchiness in her feet whenever she wears rubber sandal since 2016. She has been suffering from itchiness in her elbows, thighs, feet , shoulder and private parts since October 2022. Her itchiness in elbows started with dryness along with flakes and bleeding. She had used Clotrimazole cream in her private parts which relieved her from the itching in July. She had used moisturizer on her elbows. Itching in her feet, thigh and shoulder have stopped after using the prescribed medicines.
FAMILY HISTORY:
Mother-She has COPD.
Father(late)- He died because of heart failure.
Brother- He has shoulder injury.
CHIEF COMPLAINTS:
- ITCHING
- DRYNESS
- PUS/FLUID
DRUG HISTORY:
- LULICONAZOLE CREAM(2.5 MONTHS)
- EBERCONAZOLE CREAM(2.5 MONTHS)
- FUDIC CREAM(7 DAYS)
- TECZINE(4-5 TABLETS)
PICTURES OF SKIN LESIONS:
6.1.23:
18.2.23
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20.2.23
6.3.23
8.3.23
17.3.23
29.3.23
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PRESCRIPTION:
Inputs from our dermatologist from Delhi :
ReplyDeleteSir, from the pics it seems like only her sites of friction are involved and that too since 2002 on and off and again since 2022 ..
seems like friction dermatitis or even psoriasis..
although could be tinea corporis , and since she is using antifungals for quiet sometime may be resolving ..
I would suggest to first do fungal scrapping ( KOH mount ) which will clear whether it’s actually tinea or not
She definitely has a history of allergy to rubber from her history so she should be advised to avoid all allergens completely ( which can be known by history and subsequent symptoms or after her lesions resolve completely patch test can be done )