53. Prurigo Nodularis

Clinical Features: 

1. Chronic & itchy lesion

2. Nodular lesion extensor surface of both leg  

Investigation : 

1)Blood count

2)Renal function

3)Liver function

4)Immunoglobulins

5)Protein electrophoresis

6)Skin antibodies

7)Thyroid function tests

🎴Rx:

1.Tab.Xyril ([post id="534" title="Hydroxyzine"]) (10mg)

1+0+1.........10 days 

For child: syrup.Xyril 

2.Facid BT([post id="540" title="details"]) ...2 times daily .....6-8 weeks 

3.Cefotil plus ([post id="404" title="Cefuroxime"])

1+0+1.........7 days 

For Child: syrup. Furotil (125mg/5ml) 20mg/kg/day

4. For adult: Tab.Amilin([post id="477" title="Amitriptyline"])(10mg)  0+0+1......2 month 

5. Tab. Calboral 9[post id="655" title="CalciumCarbonate"]) ....0+1+0...........2 months 

if no improvement: 

1. Cryosurgery 

2. Laser