
Suggest Treatment For Rashes On Leg

Question: hi,
i have leg rashes and acne. i am not sure if they are acne or not but they are red in color and even after consulting a doctor and getting it treated for a month its again coming back
my age is 22
height 5'6''
weight 57
Please tell me what i can do..they leave behind very ugly scars
i have leg rashes and acne. i am not sure if they are acne or not but they are red in color and even after consulting a doctor and getting it treated for a month its again coming back
my age is 22
height 5'6''
weight 57
Please tell me what i can do..they leave behind very ugly scars
Brief Answer:
Kindly provide more information; upload photographs
Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic
I am Dr. Kakkar. I have gone through your query.
Provide me more information regarding your query
-Are there any symptoms?like itching?are the bumps/acne painful?
-Where are the rashes and acne situated on the legs?
Kindly upload a photograph so that I am able to understand the condition better and therefore guide you better
Your treatment history mentions a topical cream. This cream is a combination of a potent topical steroid with a topical antibiotic, clobetasol propionate 0.05%+ Gentamicin 0.1%.
How long have you been using this cream?Has it helped?
Regards
Kindly provide more information; upload photographs
Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic
I am Dr. Kakkar. I have gone through your query.
Provide me more information regarding your query
-Are there any symptoms?like itching?are the bumps/acne painful?
-Where are the rashes and acne situated on the legs?
Kindly upload a photograph so that I am able to understand the condition better and therefore guide you better
Your treatment history mentions a topical cream. This cream is a combination of a potent topical steroid with a topical antibiotic, clobetasol propionate 0.05%+ Gentamicin 0.1%.
How long have you been using this cream?Has it helped?
Regards
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj


I have uploaded the image in the report section.and I have been usind diprovate since last 3 months..as soon as I stop using it..the rashes appear again...and yeah they are itchy but not painful
Brief Answer:
Possibility of Scabies
Detailed Answer:
Good morning
I have reviewed the photographs.
The salient feature in your history is: Itchy lesions for 3 months, responding to topical potent steroid but recurring as soon as you stop using the cream.
If I was the treating doctor, I would keep a possibility of scabies and would have treated you empirically for scabies.
Single whole body application of 5% Permethrin lotion, kept overnight for 8 hours, followed by scrub bath next day; alternatively a single dose of Ivermectol can also be given.
An OTC oral antihistamine e.g cetrizine 10 mg once daily would provide you symptomatic relief from itching.
Any other member in the family who has the same symptoms?itching and bumps?
Is the itching more at night (nocturnal)?
Regards
Possibility of Scabies
Detailed Answer:
Good morning
I have reviewed the photographs.
The salient feature in your history is: Itchy lesions for 3 months, responding to topical potent steroid but recurring as soon as you stop using the cream.
If I was the treating doctor, I would keep a possibility of scabies and would have treated you empirically for scabies.
Single whole body application of 5% Permethrin lotion, kept overnight for 8 hours, followed by scrub bath next day; alternatively a single dose of Ivermectol can also be given.
An OTC oral antihistamine e.g cetrizine 10 mg once daily would provide you symptomatic relief from itching.
Any other member in the family who has the same symptoms?itching and bumps?
Is the itching more at night (nocturnal)?
Regards
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju


No. the itching is very occassional. its more of red rashes which is followed by white heads on the rashes ..just the way we have boils but these are very veyr small...and then after a few days they dry up and leave behind a brown mark on my loeg...if the rash is small, the mark goes after a month, if its a huge one, it stays behind.. none of my family members have this problem
Brief Answer:
Possible scabies
Detailed Answer:
Hi
Scabies commonly presents as itchy lesions on thighs and legs. It may involve other sites like abdomen, torso and arms as well.
However in those who have a good hygiene it may not become as florid so as to involve other body sites and mostly remains localized.
Moreover, itching is a subjective symptom in individuals. Also because you are already applying a potent topical steroid therefore that also mitigates itching a lot.
Family history is just a supportive finding and absence of family history does'nt rule out scabies either.
I kept this possibility because the condition has been recurring for past 3 months and it is itchy.
It is worth treating for scabies in such a scenario
The lesions such as you have described and as I can see in the photographs, can occur in scabies. In scabies the lesions primarily start as red bumps which look like mosquito bite; they can be fluid filled, which can be either clear fluid or pus (if they get infected)
The location, itching and the type of lesions are indicative of scabies. Therefore I would suggest empirical treatment for scabies as before.
The cream which you have already been using would just provide you symptomatic relief from itching and temporarily settle down the lesions because it contains a potent steroid(steroids are antiinflammatory). It will not be curative in scabies.
For scabies you need to use a cream containing 5% permethrin and apply as instructed. It is however a prescription drug.
Regards
Possible scabies
Detailed Answer:
Hi
Scabies commonly presents as itchy lesions on thighs and legs. It may involve other sites like abdomen, torso and arms as well.
However in those who have a good hygiene it may not become as florid so as to involve other body sites and mostly remains localized.
Moreover, itching is a subjective symptom in individuals. Also because you are already applying a potent topical steroid therefore that also mitigates itching a lot.
Family history is just a supportive finding and absence of family history does'nt rule out scabies either.
I kept this possibility because the condition has been recurring for past 3 months and it is itchy.
It is worth treating for scabies in such a scenario
The lesions such as you have described and as I can see in the photographs, can occur in scabies. In scabies the lesions primarily start as red bumps which look like mosquito bite; they can be fluid filled, which can be either clear fluid or pus (if they get infected)
The location, itching and the type of lesions are indicative of scabies. Therefore I would suggest empirical treatment for scabies as before.
The cream which you have already been using would just provide you symptomatic relief from itching and temporarily settle down the lesions because it contains a potent steroid(steroids are antiinflammatory). It will not be curative in scabies.
For scabies you need to use a cream containing 5% permethrin and apply as instructed. It is however a prescription drug.
Regards
Above answer was peer-reviewed by :
Dr. Shanthi.E


ok then in that case i should show a doctor and get a prescription??..or can you provide me any ointment ??which doesnt have anyside effects?? i have already shown the best dermatologist in my area in XXXXXXX . but it dint work out what do you suggest??
Brief Answer:
Visit a dermatologist
Detailed Answer:
Hi.
Yes, permethrin is a prescription product. It is not available OTC.
Surely the earlier diagnosis needs to be reviewed by your treating dermatologist since your skin condition has persisted for 3 months.
I would suggest that you seek another appointment with your dermatologist for a review of your skin condition.
Regards
Visit a dermatologist
Detailed Answer:
Hi.
Yes, permethrin is a prescription product. It is not available OTC.
Surely the earlier diagnosis needs to be reviewed by your treating dermatologist since your skin condition has persisted for 3 months.
I would suggest that you seek another appointment with your dermatologist for a review of your skin condition.
Regards
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. Bhagyalaxmi Nalaparaju

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