Author: Dr. Balesh Bileyali
Patient name: Srinivas
Age: 42 years
Sex: Male
Occupation: shopkeeper and driver
Place: Tumkur
OPD No: 2271
Chief complaints: Maculopapular rashes on both palms and foot since 2 years
Associated complaints: Itching, pain and burning sensation
History of present illness: Pt. has been said to be apparently normal before then he developed gradually  maculopapular  rashes  over  both  the   palms  and foot.  For  which  he consulted physician and took the treatment and there slight  improvement  but again developed  the same. The  clinical  features  aggravates  on  taking   non vegetarian  food  or   exposure to chemicals.
History of past illness: pt is not a k/c of DM/HTN/autoimmune disorder/ hypothyroidism
Family History: No one in his family has suffered from similar complaints
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