Short Cases

Lipoid proteinosis:

🔰 Important note

In exam, if there is a short case of lipoid proteinosis we do not give dds. We simply say our provisional diagnosis is lipoid proteinosis.

If the examiner asks what other dds can we keep by juz looking at the scars then u may mentions other dds of pock like scars

Amyloidosis:

🔰 Important note

 

In a short case of amyloidosis, examine the skin from head to toe, starting from the region of command.

In exam we had a pt with typical lesions of papular amyloidosis on shin bilaterally but she had lesions of macular amyloidosis on her back and shiny nails secondary to chronic pruritis.

So take home lesson is to look for lesions of all types of amyloidosis in the same patient and for the signs of associated features too.

Leprosy:

Dds

Leprosy

Hypopigmented MF

Hypopigmented sarcoidosis

 

 

Investigations ..

Slit skin smear

Skin biopsy

Serology to pgl 1 antibodies.

 

To start treatment

CBC

LFTs

RFTs

Eye examination.

 

Management..

MDT along screening of family .

Multibacillary

Stop infection with chemo

Treat complications and reactions

Educate patient and rehabilitation socially and psychologicaly.

 

WHO multidrug therapy .

Day 1

Rifampicin 600mg

Dapsone 100mg

Clofazamine 300mg

Day 2 to 28

Clofazamine 50mg

Dapsone 100mg

For 12 months ..

 

Screening of close contact as well as giving prophylactic dose of Rifampicin to close contacts

Test:

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