Skin lesions over the back and buttocks.

Medical Case Details:

A 22 year old male (lives in a hostel) has back acne and some lesions below both the buttocks, both since three years. Itching is sometimes present over the back, but not on the buttocks. No allergies. Not on any medications. Some lesions are present over the inner aspect of the knees. Can this be due to a vitamin deficiency? Please share your ideas regarding treatment for this case.

Discussions

Dr. Sumaiya Jamil
General Practitioner

Can it be due to bed bugs ? has he used any medicine before ?How does the lesions appear
? it was cystic or pus filled before ?

06.Dec, 11:58am

Dr. Tirumala Setty Praneeth
Family Physician

Not used any medicines before..
no itching
not cystic or pus filled.
lesions appeared gradually..

06.Dec, 12:50pm

Dr. Tirumala Setty Praneeth
Family Physician

Can you please tell diagnosis, sir?

06.Dec, 06:11pm

Dr. Tirumala Setty Praneeth
Family Physician

Photos

File Attached: 398895-mcasecmt-5c0928d4955f6-822.jpg

06.Dec, 07:18pm

Dr. Tirumala Setty Praneeth
Family Physician

..

File Attached: 398895-mcasecmt-5c092a9da5d08-825.jpg

06.Dec, 07:26pm

Dr. Sumaiya Jamil
General Practitioner

From the picture it appears more of a comedonal acne .person normally has tendency to develop that .you can give him benzoyl peroxide or salicylic acid wash and topical retinoid like retin A
Retinoid cream and benzoyl peroxide has to be applied o different times

06.Dec, 07:47pm

Dr. Hafiz Muhammad Hassan Shoukat
Internal Medicine Physician

No a acne but plugged hair follicles forming black comedones, itching is common especially with heating environment as sweat cant be drained.

salicylic acid washes are karotolytics , good idea, just ask pt to take bath everyday. improve hygiene and give antihistamines.

08.Dec, 08:04am

Dr. Mohammed Osama Aboborda
ENT Otolaryngologist

I'm sorry for interrupting the conversation. Is there any problem with icliniq website? Or the app?

09.Dec, 08:26pm

Dr. Mahwish Dildar Abbasi
Family Physician

From the provided images, it appears to be Keratosis Pilaris which is often associated with xerosis and atopic eczema. The skin of the patient appears very dry, so advise moisturization along with topical retinoids. You may advise ammonium lactate lotion in 12% or salicylic acid lotion in 6% concentration.

10.Dec, 03:27pm

Dr. Suvash Sahu
Dermatologist

I do agree with diagnosis of keratosis pilaris, this is a commoner site after shoulder and arms, will definitely get relief by topical moisturizer and topical retinoids

17.Dec, 09:22pm

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