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52yr old male with involuntary movements of hand and itchy skin lesions

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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:(22/10/2021) A 52year old male resident of bhogramguri of westbengal came to the casualty with chief complaints of involuntary movement of fingers since 6months(during resting),gradual onset,non progressive. Itching over the scalp,brows,armpits since 12yrs. Discoloration over the neck and shoulder since 12yrs , Decreased vision in both eyes since 6months(gradually progressive),  ringing sensation in the ear since 3years(on/off) No h/o. Giddiness PAST HISTORY:...