A 37-year-old female visited OPD c/o boil-like eruptions on the skin (on legs above, on and below knees) and on the scalp, which ulcerates and some eruptions get white granules tissue. These ulcers as told by the patient are itchy and when exposed to sunlight itching worsens. A patient is suffering from the condition for a year. A previous consulting doctor has diagnosed it as psoriasis and prescribed vitamin D analogues.
But patient feedback is that the treatment is not effective. Patient is economically poor and is Cook by occupation, Pictures of the condition are attached. What could be the probable diagnosis and treatment of choice?
