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Warty Eczema perhaps

Discussion in 'General Issues and Discussion Forum' started by David Smith, Jul 15, 2014.

  1. David Smith

    David Smith Well-Known Member


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    Hi all (Especially Bel)

    I have a young female patient 19yrs old who has had this (pics below) warty type skin lesion for several yeras and GP and dermotologist treatments have not resolved it i.e. emolient and steroid creams.

    I have been treating as warts using cryo and occlusal (salycilic acid 23% home use) but it has not resolved, although there was a more typical red scaley eczema rash on the dorsum that has resolved.

    I'm trying a Nano silver / ceramide cream now but can anyone identify the skin condition and give any advise on effective treatment.

    Cheers Dave

    The first pic is normal view and looks like warts but the second a 400 magnification does not resemble wart I think, just scaley plaques.

    [​IMG]

    [​IMG]
     
  2. blinda

    blinda MVP

    Hi Dave,

    Great pics, esp the magnified one.

    A little more history wouldn't go amiss...but I agree; the straie doesn't appear to have the HPV interference..

    What was the dermatologists dx? Is the lesion puritic? Does the pt take any meds? Any similar lesion/rashes elsewhere on the body or a white streaky tongue? Could be LP.

    It doesn't look malignant so you might struggle to arrange biopsy, but that's the only way for definitive DX.

    http://www.dermis.net/dermisroot/en/32967/image.htm
    http://www.dermrounds.com/photo/lic...ions?context=album&albumId=1980062:Album:7513

    I'll have a look through The Docs book tomorrorow...
     
  3. Greg Fyfe

    Greg Fyfe Active Member

    Last edited: Jul 16, 2014
  4. David Smith

    David Smith Well-Known Member


    Cheers Bel good stuff
     
  5. David Smith

    David Smith Well-Known Member

    Greg

    The PEODDN looks very similar and the description fits plus she has had Eczema since childhood

    Update of med Hist

    She has had small areas of eczema since childhood, which is sometimes pustular, she has IBS.

    cheers Dave
     
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