Suggest Treatment For Lichen Complicatus Simplex
As a clinician biopsy report is bible for me
Detailed Answer:
Hi,
You should have uploaded a picture that assist the case.
If I have two differential diagnosis in mind, I would straight go with a biopsy and expect a dermatopathologist help me to zero in the diagnosis easily.
Biopsy is supreme for clinicians. So I would go ahead with Lichen complicatus simplex if the report mentions it. I would go ahead with treatment. It is important for you to stay away from water and soap contact, and applying emollients. Topical steroids of higher strength are almost always needed to control the symptoms. Cut your nails short and cover the areas of blisters so that you do not scratch them at night unknowingly.
Take my opinion to your Dermatologist.
Bullous pemphigoid like picture
Detailed Answer:
Hi,
You had said that you have Hashimoto's and the TPO is in hundreds. Which means there is an autoimmune process is suspected behind the skin lesions.
This kind of picture is in Bullous pemphigoid, which is most common autoimmune disease of skin. This is common in this age. Please ask your dermatologist about this. There is complete treatment for this.
Hope this gives you a valuable direction.