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Suggest Treatment For Rashes On The Feet

Posted on Sat, 18 Nov 2017

Question: She developed a rash on *both* feet. It looks similar on both feet. With itching it spread to her calves (nowhere else). She ran in wet conditions. Her quadmates have ringworm. Her team doc saw it and prescribed cortisol cream which she thinks is working. What do you think?

Answered by Dr. Dr. Kakkar (23 minutes later)

Brief Answer:
Vasculitis

Detailed Answer:
Hello. Thank you for writing to us.

I am Dr. kakkar(Dermatologist). I have gone through your query and I have viewed the image.

I can see red patches of varying sizes covering the dorsum of feet and lower leg.
I will keep a possibility of vasculitis - perhaps small vessel vasculitis.
I would like to know more details...
Are the patches persistent? Does she feel pain in her leg? joints?
Any history of fever?swelling in legs? any history of abdominal pain? black/ tarry stools?
I would like to rule out internal involvement. In doing so I would normally order a few investigations in such patients like CBC, Liver & Kidney function tests, Serum Complement levels, Urine Routine Microscopy, Urine Total Protein, ANA, XXXXXXX and a skin biopsy for H&E and Immunoflorescence microscopy.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Kakkar (1 hour later)

Are the patches persistent? She has had the rash for about two days.
There is no abnormal pain in her legs or joints (she is in training for a Division I team so the normal). She has no history of fever, abdominal pain, odd stools or other swelling. She recently completed antibiotics for a persistent chest cold tho.
Thankyou for your thinking - it is much appreciated! We have made an appointment
for a dermatologist too physically examine her too. I will ask her if her team doctor took blood to test for vasculitis or some other problem.

Answered by Dr. Dr. Kakkar (8 hours later)

Brief Answer:
Vasculitis

Detailed Answer:
Hi.
Cutaneous small vessel vasculitis can be due to an infection (viral flu/ common cold/ streptococcal sore throat etc could be a cause of vasculitis), Drugs/ medications (antibiotics) can also be a cause of vasculitis.
Tge lesions of vasculitis are commonly seen on dependent regions like feet and legs therefore i would suggest her to avoid too much of walking and standing as it can lead to more lesions on legs. She should take bed rest for a week.
Other than that I suggest an oral antihistamune e.g tab. cetrizine 10mg once daily and either tab. dapsone or tab. colchicine for her vasculitis... of course after consulting your dermatologist and need to do those investigations.

Regards

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

Follow up: Dr. Dr. Kakkar (12 hours later)

Thankyou doctor! So wonderfull this service! May I leave this thread open and post herein the onsite dermatologists advice too? It may be a few days.

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
Vasculitis

Detailed Answer:
thank you.

Sure. I will be very eager to know your dermatologists advice on her skin condition...I am not very sure but the thread closes automatically after 3 days of inactivity and you can have 3 follow up enquiries on every query. Kindly contact customer care of healthcareMagic. They will help you on this...

Regards

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

Follow up: Dr. Dr. Kakkar (15 hours later)

Her appointment is for Monday (in two days). Today she woke up and the rash was completely gone, but she is going Monday to the appointment to be thorough.
I will post what doc says when I know it! Thankyou again.

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Vasculitis

Detailed Answer:
Thank you.

Sure...I will be happy to know what your dermatologist thinks of it...You have the Images to show your Dermatologist.

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. Chakravarthy Mazumdar