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VIRTUAL CASE BANK MEDICINE

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 19 year old male resident of Nalgonda and currently studying intermediate ,came to opd with complaints of : -Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year . -Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year . -Abdominal distension and facial puffiness since 6 months. - Pedal edema since 3 months. - Low back ache since 3 months . - Feeling low , not feeling to talk to anyone. - Weight gain and decreased libido since 3months. - Loss of libido and erectile dysfunction since 2 months . Pt was apparently alright one and half year ago , when he slowly developed erythematous round leisons which are annular shaped and itchy all over abdomen , upper limb ,groin and inner thigh region . No history of fever back then. No other complaints apart from skin lesions. Pt visited local RMP where he prescribed auyurvedic medications and other creams ( unknown composition as pt don't have them currently ). He also prescribed tablets (u...
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