Topic: Psoriasis, Allergic dermatitis, scabies, eczema, vitiligo, Stevan Johnson’s syndrome,
Lichen Planus.
Question: 35 year old male presented with multiple itchy violaceous flat-toped papules over skin for last one year. He also complained of burning sensation in mouth. 1.Diagnose thiscondition. 2.What are the oral findings which can be associated with this condition. 3.Outline it’s management.
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- Diagnosis: The patient’s symptoms, including multiple itchy violaceous flat-topped papules over the skin and a burning sensation in the mouth, are indicative of Lichen Planus (LP).
- Oral Findings Associated with Lichen Planus: In addition to the cutaneous lesions, lichen planus can involve the mucous membranes, including the oral cavity. Oral lichen planus presents with distinctive features, including:
- Wickham striae: Fine, white, lacy lines or reticular pattern on the mucosal surfaces.
- Erosions or ulcerations: Painful sores or ulcers may be present, contributing to the burning sensation.
- Atrophic or hypertrophic forms: In some cases, the lesions may cause thinning (atrophy) or thickening (hypertrophy) of the oral mucosa.
- In severe cases, lichen planus can lead to scarring and the development of strictures.
- Management of Lichen Planus: The management of lichen planus involves both symptomatic relief and addressing the underlying inflammation. It’s important to note that treatment should be tailored to the individual patient, and dermatologic consultation is often necessary.
- Topical Corticosteroids:
- High-potency topical corticosteroids are commonly used for both cutaneous and oral lichen planus. They help reduce inflammation and itching.
- Oral Corticosteroids:
- In severe or widespread cases, oral corticosteroids may be prescribed for a short duration. However, their long-term use is generally avoided due to potential side effects.
- Topical Immunosuppressants:
- Tacrolimus or pimecrolimus may be considered for localized or resistant cases.
- Antihistamines:
- Non-sedating antihistamines can help alleviate itching associated with lichen planus.
- Oral Care:
- Gentle oral care practices, including the use of mild, non-irritating toothpaste and avoidance of spicy or acidic foods, can help manage oral symptoms.
- Regular Follow-up:
- Close follow-up with the dermatologist or oral medicine specialist is crucial for monitoring the response to treatment and adjusting the therapeutic plan as needed.
- Biopsy:
- A skin or oral mucosal biopsy may be performed to confirm the diagnosis and rule out other potential conditions.
- Patient Education:
- Educate the patient about the chronic nature of lichen planus, the importance of adherence to prescribed medications, and the need for regular follow-up appointments.
- Systemic Treatment Options:
- In refractory cases, systemic treatments such as retinoids, hydroxychloroquine, or other immunomodulatory agents may be considered.
- Topical Corticosteroids:
Medicivils Medical Science Optional Test Series: Better Than UPSC Medico? Introduction The UPSC Civil Services Examination (CSE) is one of the most competitive exams in the world. The Medical Science optional is a popular choice for many candidates, as it covers a wide range of topics that are relevant to the UPSC syllabus. There are many different test series available for the Medical Science optional, but one of the most popular is the Medicivils test series. Medicivils is a coaching institute that specializes in the Medical Science optional, and their test series is known for its high quality and comprehensive coverage of the syllabus. In this article, we will compare the Medicivils Medical Science Optional Test Series to the UPSC Medico Test Series, and discuss why Medicivils is the better choice for UPSC CSE aspirants. Quality of Questions The quality of the questions in the Medicivils test series is very high. The questions are well-drafted and cover a wide range of topics from the syllabus. The questions are also challenging enough to test the candidates’ knowledge and understanding of the subject. The UPSC Medico test series, on the other hand, has been criticized for the quality of its questions. Some candidates have complained that the questions are too repetitive and do not adequately cover the syllabus. Comprehensiveness The Medicivils test series covers the entire Medical Science syllabus in great detail. The test series includes full-length tests, subject-wise tests, and topic-wise tests. This ensures that the candidates are thoroughly prepared for all aspects of the exam. The UPSC Medico test series, on the other hand, is not as comprehensive. The test series does not cover all of the topics in the syllabus in equal detail. Additionally, the test series does not include any topic-wise tests. Model Answer Sheets The Medicivils test series provides high-quality model answer sheets for all of its tests. The model answer sheets are written by experienced faculty members and provide detailed explanations for all of the questions. The UPSC Medico test series, on the other hand, does not provide model answer sheets for all of its tests. Even for the tests that do have model answer sheets, the quality is often not up to par. Personal Mentorship Medicivils offers personal mentorship to all of its students. The students can get their papers evaluated by experienced faculty members and receive personalized feedback. This helps the students to identify their strengths and weaknesses and to improve their performance. The UPSC Medico test series does not offer personal mentorship to its students. The students do not have the opportunity to get their papers evaluated by experienced faculty members and receive personalized feedback. Video Solutions Medicivils provides video solutions for all of its subject-wise tests. The video solutions are taught by experienced faculty members and provide detailed explanations for all of the questions. The UPSC Medico test series does not provide video solutions for its tests. Evaluation Medicivils evaluates the students’ papers within 7 days. The students’ papers are evaluated by experienced faculty members and they receive a detailed evaluation report. The UPSC Medico test series takes longer to evaluate the students’ papers. The students often have to wait for 10-15 days to receive their evaluation reports. Conclusion Overall, the Medicivils Medical Science Optional Test Series is the better choice for UPSC CSE aspirants. The Medicivils test series offers high-quality questions, comprehensive coverage of the syllabus, model answer sheets, personal mentorship, video solutions, and prompt evaluation. The UPSC Medico test series, on the other hand, has been criticized for the quality of its questions, lack of comprehensive coverage of the syllabus, lack of model answer sheets, lack of personal mentorship, lack of video solutions, and delayed evaluation. If you are serious about cracking the UPSC CSE with the Medical Science optional, then the Medicivils Medical Science Optional Test Series is the best choice for you.
