Medicine case

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   Case discussion      70yr Male patient came to opd with c/o lesion associated with itching all over the body since 20days. Pt. was apparently asymptomatic 20days back then he developed intense itching over the posterior trunk then his attender noticed fluid filled lesion over the back The lesion is initially small in size and gradually increased in size. lesions rupture spontaneously or by scratching. The lesion ruptures and serous discharge is present resulting in t