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." History given patient daughter as patient was unable to speak A 33 year old female who is a house wife by occupation came with the complaints of recurrent oral erosions since 10 months.and lesions over the abdomen and back since 10 months HOPI : patient was apparently normal 10 months back, followed which one day patient was travelling in an auto , suddenly slipped and fell down from the auto ..pt had injury to the left ear and used medication (analgesics) fr