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Suggest Treatment For Spreading Rash On The Lower Leg

Posted on Mon, 29 Jun 2015

Question: Hi, Doctor, I've been having this skin problem on my outer lower leg above the ankle for the last two months. Initially it started as a scratch which i aggravated by scratching it some more & then putting aftershave lotion on to it. Theafter the scratching started forming a mark & then formed a rash. To address the problem , i started applying canasten on a regular basis which did not bring any relief. Thereafter from scratching the sensation turned into a burning sensation which began to pain. Thereafter, i stopped using canasten & switched on to suthol which did not give any relief.On 12th of May i visited a dermatologist in my home town as the psi had began to irritate & was hurting when ever rubbing against my jeans. By the way i generally wear jeans & travel a lot at times. The dermatologist said that this was an allergy & prescribed the following medicines - Lorapil 10 for oral consumption for 4 weeks & Clobial-S ointment for external application on affected area. The main appoint of origination as become better but the surrounding area has darkened & sometimes scratching & burning sensation is felt intermittently on the affected surrounding area. Attached snaps for your reference. Its been tow months now & i am not seeing a very positive progress on this i spite of the medication. Do i need to consult a better dermatologist or do i need to change my medication both orally & external application. Thanks.

Answered by Dr. Dr. Kakkar (26 minutes later)

Brief Answer:
Try and upload an Image once again

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

I have gone your query and i have understood your concern.

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

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

Hi, I have provided some attachments. Please review them.

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

Brief Answer:
Eczematous dermatitis; topical potent steroid+antibiotic cream

Detailed Answer:
Hi.

Thank you. I have reviewed the attachments.

It is infected eczematous dermatitis.

The ointment that you are already using contains clobetasol propionate 0.05% + salicylic acid 3% combination ointment.
If I was the treating doctor I would rather suggest you to use a topical potent steroid+antibiotic combination cream, twice daily for 2-3 weeks e.g tenovate Gn cream, contains clobetasol propionate 0.05%+neomycin sulphate 0.5%.

Topical steroids are prescription drugs and should be used under supervision of a dermatologist.
You should also follow it up with your dermatologist every 2-3 weeks.

In this Image I can see some oozing/crusting as well which suggest that there is some superimposed bacterial infection as well, due to scratching, therefore I suggest that you also be started on an Oral antibiotic e.g Amoxycillin thrice daily for a week.
Oral antibiotic would take care of the secondary bacterial infection.
Oral antibiotics are prescription medications.

Kindly visit a dermatologist in your vicinity for a review clinical examination and for necessary changes to treatment that need to be made.

An oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.

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