A 50yrs male known case of intertitial lung disease came with black spots on legs , hand , finger that was itching what was the diagnosis and treatment

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Pt is k/c of ILD Finger skin is hypertrophied and shrunkened Systemic scleroderma Purperic patches are secondary to ongoing steroids and aspirin or thrombocytopenia

Thanx dr Pushkar ji Bhomiya
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Acanthosis Nigerians Dermatitis? Neves melanosis Dermatitis?

Thanks doctor wagish Mishra
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Acanthiosis Nigricans Nevus melanosis

FIRST IMPRESSION IS ACANTHOSIS NIGRICANS. SYSTEMIC SCLEROSIS SCLERODERMA. DO, S. ANA,

Changes in hands 4/ 4 Dermatomyositid Other areas Acanthosis nigricans

?Systemic sclerosis/scleroderma (picture of the hand) Advice ANA

Ars Alb 200 Homoeo,