Question: Hello Doctor,
I'm facing an Allergy problme since last 2-3 yrs. now. Sudden itching starts in almost all parts of my body, specifically in head, hand and toe fingers, private parts, stomach and in my legs.
The affected portions got reddish .Sometime some whitish material is seen on my body parts post I rub myself to get relief from itching.

I had met a Dermatologist and he recommended me to undergo certain tests which include LFT,KFT,Lipid Profile, Blood sugar Tests as well some other tests. The reports of same seems normal.

Further he asked me to visit a Liver Specialist and further Liver Specialist also recommended me certain Kidney related tests to confirm if their any allergy related from any liver diseases.
All above tests seems in normal limits and had also undertaken medicine courses both from Dermatologist as well from Liver Specialist.

Till the time I undertake medicines my allergy remains in control, But moment I stopped taking any medicine ,same allergy re-occurs in my body.

After almost visiting for above doctors for almost 2-3 months I stopped visiting anymore as there was no permanent recovery seen.
Till last 1-1.5 yrs now I had been taking LECOPE medicine after a routine cycle of 2 days as otherwise the allergy causes such high itching in my body, that even I feel less of breath sometimes and need to take immediate LECOPE medicine which takes almost 2-3 hrs to control the itching.

I'm now confused as to meet whom as I had met a known Dermatologist/Liver Specialist of a reputed Hospital in NCR, but still my problem is not resolved.

I keep very good care of self hygiene and other necessary things so as to prevent allergy/itching due to any wrong environment.
Now I had observed one more thing that incase I touch any dusty material or stays in any dirty place barefoot or in that environment, issues starts again in my body.

Due to my work profile, I sometimes needs to sit continuously for 24 hrs. and even in nights after working full day, I feel acute itching now in my hands in case I work in such extended durations.

Kindly let me know as what I can do to find the source of allergy as well as how can I kill this disease permanently.

Hello Doctor,
Thanks for your updates on my issue.

As per your queries ,kindly find replies:

Another important thing is better to take combination of levocetrizine (anti histamine) and montelukast (anti allergic), rather than taking plain lecope (levocetrizine).

Kindly let me know which medicine should I take apart from LECOPE.

1. Have you ever undergone allergy testing?
No
2. Did you have any of these symptoms in childhood?
In my childhood, I have itching problem only in my private parts,but use general skin ointments such as ITCH GUARD,FORDERM creams and visited general physicians as well.

Kindly let me know any good Alergist details.
Also I read there are various types of Allergy tests perfrormed such as Composite Allergy test,skin patch testings.

So kindly guide me,which allergy test should I undergo and do I need to visit an Allergist before or directly get my Allergy test performed from any Laboratory.

Thanks && Regards
XXXXX

Hello Doctor,
I had got below indirect allergy clinical tests done in last 2 yrs.
Year 2014.

INNUNOGLOBULIN IgE,SERUM (FEIA) 34.90 kUA/L

Detailed Test Reports done is as below which includes all tests I had undergone till date in Yr 2014 as prescribed by Dermatologist and Liver Specialist doctor.


1. Hepatitis B Surface Antigen;HBsAg,SERUM Result 0.00
2. Hepatitis C Antibody (Anti-HCV),SERUM @ CMIA Result 0.10
3. LIPID PROFILE,BASIC,SERUM
Cholesterol 205.00 mg/dl
Triglycerides 137 mg/dl
HDL Cholesterol 39.00 mg/dl
LDL Cholesterol 138.40 mg/dl
VLDL Cholesterol 27.60 mg/dl
Non-HDL Cholesterol 166.00 mg/dl
4. LIVER & KIDNEY PANEL,SERUM
(Spectrophotometry,Indirect ISE)
Urea 21.00 mg/dl
Creatinine 0.66 mg/dl
Uric Acid 7.00 mg/dl
AST (SGOT) 75 U/L
ALT (SGPT) 115 U/L
GGTP 46 U/L
Alkaline Phosphatase (ALP) 112 U/L
Bilrubin Total 1.70 mg/dl
Bilrubin Direct 0.25 mg/dl
Bilrubin Indirect 1.45 mg/dl
Total Protein 6.70 g/dL
Albumin 4.05 g/DL
A:G Ratio 1.53
Calcium Total 9.00 mg/dL
Phosphorus 3.20 mg/dL
Sodium 138.00 mEq.L
Potassium 4.52 mEq/L
Chloride 108.00 mEq/L
5. COMPLETE BLOOD COUNT CBC
Hemoglobin 13.5 g/dL
Packed Cell Volume (PCV) 40.10 %
RBC Count 4.22 mill/mm3
MCV 95.00 fL
MCH 31.90 pg
MCHC 33.60 g/dL
Red Cell Distribution Width (RDW) 13.60 %
Total Leukocyte Count (TLC) 9.70 thou/mm3

Differential Leucocyte Count (DLC)
Segmented Neutrophils 33.20 %
Lymphocytes 53.70 %
Monocytes 7.10 %
Eosinophils 5.40 %
Basophils 5.40 %

ABSOLUTE LEUCOCYTE COUNT
Neutrophils 3.22 thou/mm3
Lymhocytes 5.21 thou/mm3
Monocytes 5.21 thou/mm3
Eosinophils 0.52 thou/mm3
Basophils 0.06 thou/mm3
Platelet Count 220.0 thou/mm3

GLUCOSE FASTING (F),PLASMA(Hexokinase) 100.00 mg/dL
TSH,ULTRASENSITIVE,SERUM (CLIA) 3.062 uIU.mL
ABSOLUTE EOSINOPHIL COUNT,(AEC),WHOLE BLOOD 0.52 thou/mm3
INNUNOGLOBULIN IgE,SERUM (FEIA) 34.90 kUA/L
GLUCOSE POST PRANDIAL (PP),2 HRS.,PLASMA 80.00 mg/dL

Another replies to your queries:

Can you send me images of your skin lesions?
Generally there are no images or sign present in my skin,only in my private parts my skin is very dry and sometimes I found white patches but only in private parts, whereas in other parts of my body there is no sign even at time when I feel the itching.

Is any of your family member is having allergy?
No .

Hello Doctor,
My weight is around 85 kgs.
I intake LECOPE 5mg.

One more query: Is an Allergist and Dermatologist is purely a separate deptt.
What do u think my problem is purely related to some kind of Allergy or some skin disorder.

Any preventions I can take till time I see an Alergist.
Is taking LECOPE for so long will have any negative impact on my body or introduce any adverse impacts on any other vital organs.
I mean is it safe to consume Levocitrizine salt for such long duration.

Regards
XXXXX

Hi,
1. Do you feel drowsiness after taking levocetrizine?
No, I don't feel drowsiness in case I took it in daytime,yes but incase I took it in night hours before sleep yes I got an extended sleep then my normal sleep.

2. Do you feel any change in effectiveness of levocetrizine over the time?
Yes initially I use to take it after 3-4 days but now the cycle is reduced to 2 days and some time though very rare even I need to take it everyday as well in case any chronic attacks.

3. Please let me know exactly where do you live, so that that I can guide you about allergist.
I'am based in XXXXXXX NCR .
Initially I had got myself checked in SIR XXXXXXX XXXXXXX HOSPITAL in 2014.

Is these tests are costly and kindly clarify which test should I opt for,normal blood test or skin patch testing.
Is there any order kind of skin allergy test available also ?

Rgds
XXXX