Case
side of effect of penicilamin

Age: 29
Sex: Male

History
History of present illness:
skin is becoming black in whole body, whole back pain, and stiffness in neck, back and chest. joint pain also

Medical History:
skin is becoming black. 12 years back skin biopsy was done, revealed scleroderma, penicialmin medicine was given. but, this medicine reacted in barian and the patient started to break anything whatever he was getting in front of. his behavior became very aggressive and hot tempared. suddenly his body used to start stiff and he used to become very aggressive. again biopsy was done it revealed another desease - macular ameloidosis. again after 3 months biopsy done - it revealed another one new desease - lichen planus. the pation got confused but continued peniclilamin and additionally he started to take pschiatric traetment. he took alzolem 0.5, protheadin. but, problem became maore complex. he stopped the all medicine. now he has got only skin problem and has got severe whole back pain, and stiffness in neck, back and chest. skin is becoming black.

Past surgical history:
no surgery is done

Allergies:
no test is done

Medications:
presently taking only deanxit 0.5, no medicine is taken for skin problem

Family history:
No bobody in the family has got such problem

Social history:
working as a consultant


Physical Exam
General:
able bodied

Temperature:
normal

Blood pressure:
normal

Respiratory rate:
normal

Oxygen saturation:
normal

Head, ears, eyes, nose & throat:
sore throat sometimes, eyes burning sensation

Neck:
stiffness in neck

Chest:
stiffnaees in neck

Abdomen:
gastric problems

Neurological:
severe back pain

Skin:
becoming black day by day




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