Short case final exam
This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent
35 year old male patient, Resident oframchandrapuram ,HYD,works as daily wage labourer .
Who is a chronic smoker(1 pack of beedi every 2 days ) and taking alcoholic (90 ml daily ) since 20 years
Presented with 3 months history of painless lesions - papules with erythema that started initially over face then extended to upper limb and lower limb ,trunk .
No hypodense lesions ,no fever ,no pus discharge ,no loss of sensation ,no genital lesions .
Patient got topical cream ,soap and some oral drugs from medical shop - OTC
He used for 2 months ,few lesions regressed ,but few persisted on nose ,earlobe and on trunk ,hands ,legs .
14 days back patient developed blackish skin discoloration over hands and feet with skin peeling ,cracking ,ulcer formation - associated with burning sensation and
erythema all over the body.
No new lesions were noted .
Since 4 days patient developed high grade fever associated with chills and rigors , continuous .
Loss of appetite +
No known comorbidities .
No history of similiar complaints in the past .
On examination :
Face -
Loss of eye brows
Thickened earlobe
Multiple Papules with erythema over face ,limbs ,trunk
Oral cavity -
Palate - dark ,erythematous lesion.
Diagnosis -
Hansen’s disease
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