A 65 yr old female presented with itching
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.” This is a case of 65yr old female came from nlg homemaker by occupation came with Cheif complaints of itching since 5yrs Hopi Patient was apparently asymptomatic 5yrs ago then she developed itching over the left leg below the knee (she noticed hyperpigmented patch ) intially it was small later it covered most of the anterior surface of the leg Since 1month she is experiencing more itching 5yrs ago she went to the hospital where they prescribed medicine but didn&#