Dr Sachin Tiwari's Ayurveda

Dr Sachin Tiwari's Ayurveda Ayurveda Family Physician ЁЯзСтАНтЪХя╕П

31/07/2026

1.5 yr male child present with multiple hypopigmented (light-colored), oval to round patches that are merging together across the skin of the upper and lower trunk and back.

Patient don't have itching and hypopigmentation started from lower back and spread on whole body in about 15 days.

Can you guess the diseases based on appearence and history.

Comment your diagnosis.

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29/07/2026

55 year old female came in OPD with itchy highly erythematous (intensely red), thickened, and well-demarcated inflammatory plaque spanning across the extensor surface of the knee joint and lower back and buttocks.

The affected area exhibits visible skin surface textural changes, including prominent dry scaling, mild skin wrinkling/lichenification, and multiple small superficial excoriations or papular bumps superimposed on the red base.

Patient is a known case of DM 2 since 10 plus year and she is taking allopathic medicine for it.
Guess the diagnosis as per appearance and history.

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Sachin Tiwari

20/07/2026

16 yr male presented with fever, generalised body ache and yellowish fluid filled well-defined lesion with thickened central core on the medial side of the foot.

17/07/2026

32 year male presented with widespread, confluent pattern of reddish-brown and dark hyperpigmented macules and small papules covering the lower leg and ankle. The texture appears slightly thickened with no visible scaling.
Also had complain of pain in calf muscle while walking and standing for longer duration
Patient don't have any history of DM or HTN.

Comment your diagnosis
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16/07/2026

Dr Sachin Tiwari's Ayurveda

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15/07/2026

17 yr male appeared with reddish spot over the thumb of left foot
H/o playing football barefoot

13/07/2026

28 yr male appears on clinic to show a cluster of small, reddish, fluid-filled blisters on a red base situated on the right side of the neck.

This rash shares characteristics with herpes zoster (shingles), a painful viral infection caused by the reactivation of the varicella-zoster virus.

It also resembles a herpes simplex outbreak, which can cause similar localized, blistering lesions.

Alternatively, this type of localized rash can sometimes be caused by insect bites or contact dermatitis.

Comment your differential diagnosis.
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sachin Tiwari's Ayurveda

12/07/2026

Guess the diagnosis

29 yr Female patient appeared with numerous small, distinct circular spots distributed across the back skin surface.

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30/06/2026

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Vaivarnyam (Redness/Discoloration): Changes in the skin's natural color, often presenting as red (Rakta).

Vedana (Pain): Intense throbbing, pricking, or aching pain (Dolor).

Shopha (Swelling): The primary localized bulge or elevation of tissue (Tumor).

Ushma (Local Heat): Increased warmth or a burning sensation in the affected area (Calor).

Paka (Suppuration): Maturation or pus formation, indicating the progression of the infection.

The four primary cardinal signs of acute inflammation are redness, heat, swelling, and pain

61 yr old female present with dry itchy scaly lesion on right foot.K/C/O DM HTN Obesity
25/06/2026

61 yr old female present with dry itchy scaly lesion on right foot.

K/C/O DM HTN Obesity

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