Introduction: Neurodermatitis and rosacea are chronic dermatological conditions often triggered bypsychological and environmental factors. In patients with comorbid hypertension, obesity, and historyof stroke, management requires a holistic approach. Methods: A case report of a 61-year-old malewith complaints of itching on the left ankle and facial erythematous patches. Data were obtainedthrough history taking, physical and supporting examinations, as well as psychosocial and familyassessments. Results: The diagnoses established were neurodermatitis, rosacea, stage II hypertension,and CVA sequelae. The patient also presented with moderate anxiety based on the GAD-7 score.Comprehensive management included pharmacological therapy (topical hydrocortisone,antihypertensives, antiplatelet), non-pharmacological interventions (DASH diet, stress management,range-of-motion exercises), and family involvement to support adherence. After initial interventions,skin lesions improved and the patient reported better emotional control. Discussion: Family medicineprovides comprehensive care by integrating biomedical, psychological, social, and environmentalaspects. Family support plays a key role in improving treatment adherence and patient quality of life.Conclusion: This case emphasizes the importance of a multidimensional approach in family medicinefor patients with multiple chronic conditions.
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