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Suggest Treatment For Skin Rash

Posted on Tue, 1 Dec 2015

Question: I have a skin rash that I want to know what causes it.

Answered by Dr. VINAY KUMAR (1 hour later)

Brief Answer:
Possibility of rash returning is remote

Detailed Answer:
Dear Madam

Welcome to this site!

I am Dr V XXXXXXX a Sr Consultant Dermatologist.
I have examined pics and noted the details.

I would like to elicit some more information to give you a detailed response. In the meantime, please take note of the following measures:

1 wash the area frequently using fresh water without any additives

2 Keep the part well ventilated and avoid exposure to sun, deos, powders etc

3 If itching is present, antiallergics like Levocetirizine 5 mg would be good

Please supply the following information and your query will betaken up on priority

1 Location of rash, is it bilateral or only on one side, itching or another symptom
2 History of having medication of any kind in two weeks prior to appearance of rash
3 Any fever or viral infection recently
4 From which area did the rash start and how it spread to invade other areas
5 Any such complaint in the past
6 Any new activity or new clothing worn before rash began
7 Few more pics, taken from distance of 6 inches, one feet, and 3 feet.
8 How much Prednisolone was taken and for how many days?

I will be awaiting more information.

Best wishes!

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. VINAY KUMAR (30 minutes later)

Nothing had changed recently before the rash appeared. It started as one spot under my breast on a Friday and had spread to cover most of the front of my torso by Monday. I was experiencing total body itching that had been previously body numbness which I was seeing a neurologist for as well as uncharacteristic weakness in my right side. After MRI'S and other tests he diagnosed me with fibromyalgia. When the rash returned it started with a larger patch and spread under my bra line quite quickly. I didn't have any fever. The farmers were harvesting wheat and beans. The doctor who prescribed the prednisone thought it might be an allergy as he had never seen anything like it. I took 3 10 mg pills for 3 days and then 2 for 3 days and then 1 for 3 days.

Answered by Dr. VINAY KUMAR (14 minutes later)

Brief Answer:
Helpful information

Detailed Answer:
Dear Madam

Welcome back with more description.

Thanks for letting me know the necessary details.

It is good that you are off Prednisolone now. The issue can be managed with only topical creams though these might not give a very fast response but will be very safe.

1 Fluticasone or Clobetasol ointment is a good choice and need to be used twice daily

2 After the rash has stabilized continuously for two days or more , one needs to dilute the above creams with plain cold cream using equal proportions and to mix just before applying. This should continue till rash is gone.

3 Anti allergics are necessary like Levocetirizine 5 mg to 10 mg per day or as per need.

Other precautions as explained in my previous message

The most likely cause would have been an exaggerated response to atmospheric changes or changes in the air constituents accentuated by the friction between body folds. Hence protection by keeping the area covered but with loose garments is a priority.

We wish you early recovery and good health, always!

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. VINAY KUMAR (3 hours later)

sorry, I was at a school musical and my phone didn't have enough battery to continue this discussion. If I understand, you believe the cause is an allergic response. I remember some more details that might be interesting. Several weeks before the rash I developed large bumps on the back of my throat that were extremely sore and didn't respond to the normal treatments I do for a sore throat. I still have some bumps but they are not as sore. It is curious to me the location of my rashes. I thank you for your response and suggestions. I'm not sure how to avoid this reaction in the future. Will the Levocetirizine help with the exaggerated response? Is it a prescription or over the counter? How do I know when to take it?

Answered by Dr. VINAY KUMAR (12 minutes later)

Brief Answer:
No worries

Detailed Answer:

Hi Madam,

Welcome back!

You have provided details which I have analyzed in the light of your problem. The throat problem does not appear to be related to this episode.

I believe that problem that you encountered on skin was related to an allergic phenomenon. A person can be allergic to one or more products and such products can become less or more allergenic with time.

I also feel that by following the suggestions outlined previously, you should be largely free from any such problem in future.

Please let me know if I can help you in anyway.
Levocetrizine is antiallergic which to the best of my knowledge should be easily available. Please check with your pharmacist. It can be taken at the onset of symptoms and should be continued till the problem is resolved. If levocetrizine is not available, you can consider an alternative Zyrtec which has Cetrizine 10 mg. Zyrtec is available over the counter.

Ideally, it should be taken at night, just before you go to bed.

Best wishes for early recovery!

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. VINAY KUMAR (1 hour later)

Thank you for your time and expertise. I shall take special note of your suggestions.

Answered by Dr. VINAY KUMAR (2 minutes later)

Brief Answer:
Welcome, always!

Detailed Answer:
Dear Madam,

We wish you a good health and it is our pleasure to be of help to you!

Best wishes

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. Prasad