B/l legs involved Pruritic lesion Diagnosis? (6 P's.) @IhabFathiSulima @ArunInamadar @DrAkhilX @DrSharadMutalik @drkeithsiau @jsChoud76335852 @DermMarianne @PediatricsC_1 @modernHealthMe @rashlessdoctor @schowardjd

Diagnosis - clinical Wood's lamp - coral red fluorescence Rx - topical antibiotics Resolution is seen in 3-4 weeks but reoccurrence is common.

ERYTHRSMA - Corynebacterium minutissimum presents as brown, scaly patches on the skin, commonly found in moist, warm areas where skin folds or rubs together, such as the armpits, groin. Risk factors include warm, humid climates, poor hygiene, obesity, excessive sweating,Diabetes.

Antibiotics: 1 Sulfonamides [co-trimoxazole]) 2 Fluoroquinolones (e.g., ciprofloxacin, ofloxacin) 3 Nitroimidazoles (e.g., metronidazole, tinidazold) 4 Tetracyclines (doxycycline) 5 Erythromycin Analgesics 1 paracetamol 2 NSAIDs -ibuprofen, diclofenac, naproxen

#FDE lesions usually appear at the same site upon re-exposure to the offending drug, commonly affecting areas like face (mostly lips), genitalia, extremities, trunk, and buttocks. The reaction occurs within hours of intake and resolves with characteristic hyperpigmentation.

@ArunInamadar @DermMarianne @Doctors_GUILD @drkeithsiau @DrSharadMutalik @drsthanus @hemo_shk @IhabFathiSulima @Janetbirdope @jsChoud76335852 @kolla_bharathi @rashlessdoctor @PediatricsC_1 @p_jrn1 @schowardjd

Otherwise healthy individual presented with hyperpigmentation in Bilateral axilla with no itching Diagnosis? @ArunInamadar @DermMarianne @Doctors_GUILD @drkeithsiau @DrSharadMutalik @drsthanus @hemo_shk @IhabFathiSulima @Janetbirdope @jsChoud76335852 @kolla_bharathi

@IhabFathiSulima @ArunInamadar @DermMarianne @Doctors_GUILD @drkeithsiau @DrSharadMutalik @drsthanus @hemo_shk @Hhhash1146519 @schowardjd @p_jrn1

@PediatricsC_1 @jsChoud76335852 @rashlessdoctor @PRAVINBANODKAR

Hyperpigmented patch since 4-5 months Asymptomatic No trauma,H/o some undocumented medicine taken for DIARRHOEA 4-5 months back Likely diagnosis? @IhabFathiSulima @ArunInamadar @DermMarianne @Doctors_GUILD @drkeithsiau @DrSharadMutalik @drsthanus @hemo_shk @Hhhash1146519

Complications: Persistent nerve pain after the rash heals, known as postherpetic neuralgia, is a common complication, especially in older adults Management - antiviral agents like acyclovir famciclovir Valacyclovir

#herpes zoster aka shingles - Reactivation of herpes virus (dormant in dorsal root ganglion) Clinically it is a painful,localized rash that usually appears as a stripe of red skin covered with fluid-filled blisters,typically along the distribution of a single nerve dermatome.

@IhabFathiSulima @ArunInamadar @Janetbirdope @DermMarianne @DrSharadMutalik @PediatricsC_1 @schowardjd @drkeithsiau @modernHealthMe @PRAVINBANODKAR Lesions have a characteristic "apple-jelly" color when pressed with a glass slide (diascopy). They may ulcerate and cause scarring If left untreated, lupus vulgaris can lead to irreversible skin damage and disfigurement. # MANAGEMENT - ATT AS PER REGIMEN

@IhabFathiSulima @ArunInamadar @Janetbirdope @DermMarianne @DrSharadMutalik @PediatricsC_1 @schowardjd @drkeithsiau @modernHealthMe @PRAVINBANODKAR # lupus vulgaris A type of cutaneous TB (paucibacillary) characterized by painful or painless reddish-brown nodules or plaques, most commonly appearing on the face (particularly around the nose, eyelids, and lips), ears, neck, or, in India, often the buttocks and extremities.

Diagnosis? Treatment modalities? @ArunInamadar @IhabFathiSulima @drkeithsiau @DrSharadMutalik @hemo_shk @schowardjd @modernHealthMe @PediatricsC_1 @PRAVINBANODKAR @rashlessdoctor @jsChoud76335852 @DermMarianne

Multiple discrete nodules over generalized body with hypoesthesia over back. Diagnosis and which nerves are mostly involved? @ArunInamadar @drkeithsiau @IhabFathiSulima @MoarSahitoPTI @modernHealthMe @PediatricsC_1 @schowardjd @jsChoud76335852 @DermMarianne

Easy one 43 Male K/c/o Diabetes presented with fever & unilateral lesions which were associated with pain and burning Diagnosis? @IhabFathiSulima @drkeithsiau @MoarSahitoPTI @PediatricsC_1 @schowardjd @ArunInamadar @rashlessdoctor @jsChoud76335852 @modernHealthMe @DermMarianne

slowly growing to one side, asymptomatic to mildly symptomatic lesion with Central atrophy. Diagnosis?? Treatment? @IhabFathiSulima @ArunInamadar @Janetbirdope @DermMarianne @DrSharadMutalik @PediatricsC_1 @schowardjd @drkeithsiau @modernHealthMe @PRAVINBANODKAR

lesions can appear anywhere on the body and are usually present from birth or develop in early childhood,but they may also appear later in life. Management- Most cases require no treatment beyond observation and Cosmetic removal (e.g., laser therapy) is possible if desired.

#Nevus spilus aka speckled nevus characterized by a light brown patch (café au lait background) speckled with multiple small, darker spots