Dear XXXXXXX its difficult to say without looking at it. Please visit another dermatologist to confirm the diagnosis. Hit a thanks. Regards

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Brief Answer:
I request another clear Image; possibility of either guttate psoriais Or LP

Detailed Answer:
Hi.

Thank you. I have reviewed the Images.

Unfortunately the image of abdomen is not very clear. It is blurred and its hard to make out lesional morphology.
However, I could see the lesions on leg. They are grouped, shiny, reddish-purple, non-scaly.

I would like to keep another possibility of Lichen planus (LP).

This seems unlikely to be due to Henoch Schonlein purpura in which the lesions are mainly concentrated on dependent body areas/ lower legs.
There is usually pain & burning sensation associated with purpuric spots. There may be associated abdominal pain as well as joint pain in HS purpura.

This goes more in favor of guttate psoriasis. Lichen planus (LP) is another possibility but usually Lichen planus is very itchy.

Can you upload a cleared Image of skin lesions on abdomen?

Regards

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Brief Answer:
Either Guttate psoriasis Or Lichen Planus

Detailed Answer:
Hi.

I have reviewed the Image. It is very clear this time.

I can see small, red, scaly papules in this Image.

I will definitely keep a possibility of either guttate psoriasis Or lichen planus. Lack of itching is what goes more in favor of guttate psoriasis.

This is certainly not HS purpura.

I suggest an Oral antibiotic e.g Tab Erythromycin 500 mg thrice daily, for 2 weeks.
Topically you may use a mid potent topical steroid e.g either mometasone furoate 0.1% Or triamcinolone acetonide 0.1% cream, twice daily.

An OTC Oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.

Regards

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Brief Answer:
Lichen planus is my first diagnosis; psoriasis is a close differential

Detailed Answer:
Hi.

I will keep lichen planus as my first diagnosis. However, psoriasis is a close differential diagnosis looking at the Images.
Lichen planus (LP) is usually itchy. Lesions of LP are purple/ violaceous, smooth, shiny, scaly and distributed on legs and torso.
Psoriasis usually also involves the scalp with scaly patches. Itching may be variable in psoriasis. It may be mild in some patients Or may be a prominent symptom in others.
Both these conditions respond to topical steroids.
Therefore you may use a topical steroid cream which I mentioned in my previous reply. You may try to find them over the counter, if possible till you can get an appointment.
Follow up with me after 2 weeks.

Regards

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