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Suggest Treatment For Severe Swollen Rashes On Forearms

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Posted on Tue, 25 Aug 2015
Question: I have a severe rash on my forearms only. they itch severely,are red and swollen. THIS has been going on for over two months. I was tested for lyme disease, and was negative. I was also tested for Lupus and was found positive. I was given Prednisone twice.. When the prednisone, stops the rash begins again. Since my doctor treated me with prednisone nothing else has been done.My doctor did suggest the problem could be systemic. I am getting concerned. Can you help with a diagnosis please.
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doctor
Answered by Dr. Dr.Albana Sejdini (4 hours later)
Brief Answer:
A photo of rash on forearms and following data are needed....

Detailed Answer:
Hi,

I understand your concerns.

1. A photograph of the rash on your forearms is needed to understand your current situation better and help with a proper diagnosis.

2. You are saying that have carried out many tests and was found Lupus positive. Can you please provide the reports of these lab tests you did so I can analyze them further before running into final conclusions?

3. The severely red and swollen forearms are due to itchiness. Do you have any other symptom apart the rash like: fatigue? joint pain? or any other unusual problem? Is the rash located only on your forearms or you have other areas of your body with rash?

I need to have all these information and the photo in order to determine whether you have a case of isolated (rash) Lupur or systemic lupus for proper diagnosis and treatment.

Looking forward to have the requested info in.
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (8 hours later)
please look for the answer to your question. I have posted them twice with no success.
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
could be due to lupus;local steroids/antihistaminics advised as following..

Detailed Answer:
Hi back,

1. Thank you for providing the requested photos. I have gone through them and I have noted the rash, which in some parts has caused ulcers due to scratching.

2. Unfortunately, I was not able to receive any answer to my previous questions; only the photos I received.

3. Anyway, the rash could be due to lupus. Apart taking prednisone orally; a steroid cream locally can be of help to ease the itchiness.
Taking anti-histaminic orally or applying anti-histaminic cream locally can also be of help.

Sometimes, injections of steroids on the itchy area can also help if other treatments will fail.

Now, at the end, I need to know if doctor found out you have systemic Lupus or only cutaneous Lupus only? Because sometimes, the cutaneous rash is a manifestation of systemic Lupus in active stage too.

Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (32 minutes later)
I ONLY have the rash on my arms. The doctor has stated the Tests were not very high, but that it indicated Lupus, sustemic Lupus. The test results for LUPUS was 132; Mixed Homogenous and Nucleolar. I was supposed to have a cream but it was never given to me. He was supposed to PRESCRIBE atarax, but he forgot. I have nothing for the rash, and am suffering. I am fatigued, full of joint pain and moody. I GET SHORT OF BREATH, and have a sunburn look on my nose and cheeks every morning and sometimes during the day. I get chills often and sweat often. I wear an insulin pump.I have a cough.I am over weight. Please let me know any thing you can share with me, I also need some advice on finding a physician to help. Do you know of any doctor in the Pornd
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
systemic lupus to treat with systemic therapy

Detailed Answer:
Hi back my dear,

I am really sorry for the situation you are going through.

1. All the symptoms you are experiencing : fatigued, moody, joint aches and sunburn appearance on your nose and cheeks are strongly suggesting Systemic Lupus.

2. If I was your caring doctor would recommend to keep following up with a rheumatologist. You can ask your family doctor to make a recommendation to a rheumatologist at your location.

3. Atarax is a good choice for itchy rash you are experiencing. However, I still think that as you are sufferingof systemic lupus, you need systemic treatment orally or by injections to dominate the symptoms.

4. With regards to rheumatologists in XXXXXXX you can find at the XXXXXXX clinic:
Rheumatology Locations
Beaverton
15950 SW Millikan Way Beaverton, OR 97003
(503) 646-0161 | DIRECTIONS
Downtown
800 SW 13th Avenue XXXXXXX OR 97205
(503) 221-0161 | DIRECTIONS
South
6640 SW Redwood XXXXXXX XXXXXXX OR 97224
(503) 620-7358 | DIRECTIONS
Rheumatology Practitioners
Portnoff, XXXXXXX A. MD

Hope it was of help!
Dr.Albana
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
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7309 Questions

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Suggest Treatment For Severe Swollen Rashes On Forearms

Brief Answer: A photo of rash on forearms and following data are needed.... Detailed Answer: Hi, I understand your concerns. 1. A photograph of the rash on your forearms is needed to understand your current situation better and help with a proper diagnosis. 2. You are saying that have carried out many tests and was found Lupus positive. Can you please provide the reports of these lab tests you did so I can analyze them further before running into final conclusions? 3. The severely red and swollen forearms are due to itchiness. Do you have any other symptom apart the rash like: fatigue? joint pain? or any other unusual problem? Is the rash located only on your forearms or you have other areas of your body with rash? I need to have all these information and the photo in order to determine whether you have a case of isolated (rash) Lupur or systemic lupus for proper diagnosis and treatment. Looking forward to have the requested info in. Dr.Albana