41 YEAR OLD MALE WITH ITCHING AND SCALING OF SKIN
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable comments on comment box is welcome CASE: 41 year old male came with the chief complaints of itching and scaling of skin all over the body since the last two months HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 25 years ago then he developed itching and scaling over the scalp which then spread to his face, shoulders, chest, abdomen, back and lower limbs involving the whole body. He went to a dermatologists then and was given medication but it did not reduce, so over the years he has tri