1601006011 SHORT CASE
Hall ticket no.1601006011
SHORT CASE.
FINAL EXAM SHORT CASE
35 year old male patient,
RESIDENT -ramchandrapuram,
OCCUPATION-works as a daily wage labourer, a chronic smoker (1 pack of beedi every 2 days) and chronic alcoholic (90ml daily) since 20 years presented with a
3 month history of painless papules with erythema that started initially over the face then gradually extended to upper limb, low limbs and trunk
~Patient got topical cream, soap and some oral drugs from nearby medical shop
~He used them for 2 months, few lesions regressed but few persisted on nose, ear lobe, hands, legs and trunk.
~14 days ago patient developed blackish skin discolouration 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 continuous high grade fever associated with chills and rigors.
Loss of appetite
There is no history of similar complaints in the past
EXAMINATION:
- Face: loss of eyebrows,(madarosis) thickened earlobe
- Oral cavity: dark erythematous lesions on the palate
- Multiple papules with erythema all over the face, limbs and trunk