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DERMATOLOGY CONSULTATION

HISTORY: The patient came here complaining of a rash, itching and redness on the elbows for a long time. He is a known case of COPD. He has a history of lung cancer and prostate enlargement.

PHYSICAL EXAMINATION: On clinical examination, he is a heavyset gentleman. Central part of the face, especially the nose is bright red with erythematous papules. Conjunctiva is normal. On the right dorsum of the hand, there is an erythematous, scratched, well-defined plaque on both the elbows.

DIAGNOSES: 
1. Rosacea.
2. Tinea manuum.
3. Lichen simplex chronicus.

PLAN: I advised MetroGel for the face and Spectazole for the hands and clobetasol ointment for the elbows. Follow up in four weeks.