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CASE PROFILE
Diagnosis: Eczema of Undetermined Etiology
History:
- Severe rash of both hands present for 4 years
- Progressive in nature with regard to thickening of skin, itchiness and generalized discomfort
- Periodic hemorrhage
- Difficult to use hands in normal fashion and unable to hold golf club due to discomfort
- Prior treatments include topical ointments and medications with no significant effect
Physical Examination on Presentation at Meditech Clinic:
- Erythematous – purplish scaly lesions covering palmar aspect and dorsum of both hands; most pronounced in palmar area, wrist and base of digits
- Punctuate hemorrhage noted
- Areas moderately tender to palpation
Treatment at Meditech Rehabilitation Clinic:
- Low Intensity Laser Therapy 3 times per week
- Avoidance of soaps / other irritants / topical medications
Progress on the Above Regime:
- Rash largely disappeared on plantar surface and totally on dorsum after 8 treatments
- Able to use hands normally without discomfort
- No medication required
Figures:
• Fig. I to II – Initial status
• Fig. III to IV – Intermediate stage
• Fig. V to VI – Condition at discharge
Close-up of Right Hand:
• Fig. VII to VIII – Initial status
• Fig. IX to X – Intermediate stage
• Fig. XI to XII – Condition at discharge
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