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How Can Eczematous Skin Rash On The Legs Be Treated?

Posted on Tue, 18 Jul 2023

Question: K.ATTN. Skin Doctors Dear Sir, My father aged 73 (no smoking no drinking no sugar no BP). His legs became blackish color redness skin with itching problem in legs. While itch, he uses Fucibet on 1st day, emoderm on next-day n gets cured within 2 days. But again frequently such blackish legs with itch occurs. While he rubs legs, bleeding from.legs seen because he rubs strongly for itching. He hv undergone mitral valve replacement before 20 years. Now he is normal. He regularly takes following medicines. Acitrom 3 mg daily evening 6 PM (Acitrom 2 mg on Wednesday, Sunday) Ecosprin 75 mg. -0-0-1 Levipil 500 mg. -0-0-1 Arbitel 20 mg. -1-0-0 Complete TD -1-0-0 Dytor 10 mg. -1-0-0 Calaptin 40 mg 1-0-1 Mucolite. -1-0-1 Please advise me how to cure blackish legs n itching in legs. Any tablets side effects, please let me know alternate tablet He got FITS/Seizure frequently (before 3 years) because of eptoin 100+zeptol 100+acitrom combination. Now stopped eptoin n zeptol. And added Levipil500 at nights. Now since 3 years No Seizure/Fits. He is normal now. Please advice me, about the side effect of which tablet, this itch n blackish swelling side effect is happening. Please advice me sir Thanks. Axxxx S/o.Sxxxxxxx Txxxxxxxx Txxxxxxx Mob.0000

Answered by Dr. Asmeet Kaur Sawhney (47 minutes later)

Brief Answer:

Difficult to comment on the nature of medicine causing itching,

Detailed Answer:

Hi,

Itching in the legs of your father could be age-related or related to drugs but it is very difficult to comment that which medicine is causing itching as the majority of the medicines he is taking can cause itching.

As itching in your father's age is very common because of dryness and age-related issues.

I would recommend him to apply a combination of topical steroid like clobetasol propionate cream diluted in a moisturizing lotion containing white soft paraffin in the ratio of 1:3 twice daily and take antihistaminic like tablet Hydroxyzine 10 mg once daily at bedtime for few days regularly.

This will take care of the itching and will reduce the darkness of the legs.

Also ask him to use lukewarm water for bathing instead of hot water, wear cotton clothes and use a mild soap for bathing.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Asmeet Kaur Sawhney, Dermatologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Asmeet Kaur Sawhney (12 hours later)

Side effects

Calaptin 40mg
Leg swelling
Redness of neck, legs
Constipation

Levipil 500mg
Change in skin color
Skin rashes

Complete TD
Seizure

Dytor 10mg
Skin rashes

Ecosprin 75mg
Skin rashes
Constipation

Mucolite
Skin rashes

Fucibet
Itching
Redness skin
Rashes
Thinning of skin

Emoderm
Irritation
Redness skin

Please see attachment for photos of rubbed water washed legs

Please advice me after the abv side effects, which is Best alternate tablet

Answered by Dr. Asmeet Kaur Sawhney (28 minutes later)

Brief Answer:

Could be related to levipil

Detailed Answer:

Hello,

I have reviewed the attached photographs and looking at these it seems to be an eczematous skin rash. It could be related to levipil.

You need to consult a neurologist and ask for an alternative drug.

Meanwhile, you can stop fucibet and emoderm. I would recommend you to apply tenovate cream diluted in moisturex soft lotion in the ratio of 1:3 twice daily and give him tablet atarax 10 mg thrice daily for 2 weeks. This should take care of itching and pigmentation.

Hope I have answered your query.

Take care

Regards,
Dr Asmeet Kaur Sawhney, Dermatologist

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar