1601006066

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SHORT CASE FINAL EXAM :


Hall ticket no - 1601006066


This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent.


CASE :

 35 year old male patient, 

RESIDENT of ramchandrapuram, working as a daily wage labourer.

He is a chronic smoker (1 pack of beedi every 2 days) and chronic alcoholic (90ml daily) since 20 years.

He Presented with 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.

• Since 4 days patient developed continuous high grade fever associated with chills and rigors.

• Loss of appetite was present.

No history of similar complaints in the past .

ON EXAMINATION:

• Face: loss of eyebrows(madarosis), thickened earlobe

•Multiple papules with erythema all over the face, limbs and trunk 

• Oral cavity: dark erythematous lesions on the palate



















Provisional Diagnosis:-

Based on the above findings my provisional diagnosis is  Leprosy.

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