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What Causes Itching Red Spots On Skin?

Posted on Tue, 10 Jun 2014

Question: i am a 48 years old . Recently i got itching and red spots on my skin. They comes and go. My doctor took some test and results wer Hamoglobin 12.5,tlc 6250,dlc neutrophils59,lympocytes 36 monocytes02,eosinophils03,basophils00,esr(wintrobe)11mm Renal Function Test serum urea 20,Serum creatinine 0.9 LFT Serum Billrubin Total 0.5,SB(Direct) 0.1 SGOAT/ast 29.0 SGPT/ALT 32 Uric Acid 5.9 And some other. She told me all are proper. Then She gave me Following medicines hydroxychloroquine sulfate tablets300mg,deflazacort tablets and levocetirizine dihydrochloride and montelukast tablets. My problem is that after taking this medicine for 18 days i still get some time thease itchings. Is it allergey due to some food or something different
Regards XXXXXXX XXXXXXX

Answered by Dr. Kalpana Pathak (1 hour later)

Brief Answer:
details below

Detailed Answer:
Hi,
Thanks for writing to us.
From the description of the lesions and treatment prescribed, you could probably be having urticaria or sun induced allergy.
In sun induced allergy one gets itchy persistent red rashes in sun exposed areas only.
Other possibility could be urticaria. It is characterised by itchy transient wheals. In simpler words a patient gets itchy red raised lesions that disappear spontaneosuly.

Hydroxychloroquine sulfate acts as a systemic sunscreen and is usually given in cases of photodermatitis, systemic lupus erythematosus, porphyrias etc. It is also prescribed in rheumatoid arthritis, malaria etc.
Deflazacort( a steroid) and levocetrizine can be given in urticaria as well as sun induced allergy.

Now I would like to know
Since how long are you having these lesions
Site of lesions
If these are transient
Type, shape, size of lesions
If having any other associated findings like sun induced itching, redness etc.

If possible also upload an image of your skin lesions as it would help me in making most probable diagnosis.
Hoping to hear from you soon.

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

Follow up: Dr. Kalpana Pathak (6 hours later)

Thanks for so fast reply.The answers for your questions are as below
I am having these from last 2 months.The comes on back of hand .on arms,on back and front on stomach,chest.they comes with itching and go.The size is small and shape is round.In sun i get these sometimes and also in addition some fungus allergies on my neck ear. As these days i am on medicine again no skin lesions so i can not upload any picture at this time.I want to know if i should continue these medicines or go for other.
Regards XXXXXXX

Answered by Dr. Kalpana Pathak (23 hours later)

Brief Answer:
Details below

Detailed Answer:
Hi XXXXXXX
Thanks for writing back.
Your description sounds more like uritcaria.
So as far as my clinical opinion is concerned, I would like to begin with
Tablet levocetirizne 10 mg twice in a day and tablet hydoxyzine 25 mg twice in a day. You may take these for two weeks and if there is no recurrence of lesions, we will just continue with levocetrizine twice in a day for another two weeks. Later on depending on response, we may reduce the dose to once in a day and continue the same for sometime.
I would not advise you to continue with hydroxychloroquine and deflazacort.
Hope this helped.
Take care

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

Follow up: Dr. Kalpana Pathak (16 hours later)

Thanks for your answer. But I have some latest snap to show you. Also I have some queries.
1 The medicines prescribed by you are thease available in market by same name and of what company I should opt..
2 what precautions I should take in my food etc.
I hope u will go by thease points and will answer my questions.
Regards XXXXXXX

Answered by Dr. Kalpana Pathak (2 hours later)

Brief Answer:
details below

Detailed Answer:
Hi XXXXXX,
Thanks for writing back.
You have taken such close shots of your images that its really difficult for me to appreciate the size, shape, surface , texture and site of lesions. If these lesions are still there please take high resolution pics of these lesions from some distance!
I would suggest that you start
Tablet levocetirizine 10 mg( levosiz/hhlevo/xyzal/teczine) and hydroxyzine 25 mg( atarax/prugo)

If its urticaria, sour fermented food, foods with preservatives, canned tinned food should be avoided.

Hope this helped.
Take care

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