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What Do My Lab Test Reports Indicate While On Anti-allergy Medication?

Posted on Fri, 25 May 2018

Question: Hi Sir could you please review attached reports and assess major issues and care to be taken now , only issue iam facing is rashes under my thighs repeated even though iam using anti allergic drugs

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
Kindly upload images

Detailed Answer:
Hello. Thank you.
I am Dr kakkar (Dermatologist and Venereologist).
I have noted your concern and I have viewed the attachments.
Your lab reports for HIV screening, Urine routine microscopy, Thyroid screening profile, Blood glucose and Complete Blood Count (CBC) are fine however there is a slightly deranged Serum Lipid profile.
The rashes on your thighs are perhaps due to fungal infection rather than an allergy. I request you to kindly upload a few good quality images of the affected area in "Reports Section" so that I am able to guide you better.

Regards

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

Follow up: Dr. Dr. Kakkar (2 days later)

HI sir,

I have uploaded images , it starts with pink and in short time turns into hives , will dssapear after some time , but itches

Another image 10070 is developed suddenly , when I shown my family doctor may be it Was due to bathing in sea water he said ( I went to Goa for couple of days and bathe in sun and sea )

Please advice

Answered by Dr. Dr. Kakkar (10 hours later)

Brief Answer:
Regarding skin lesions on inner thigh and a possibly an insect bitten area

Detailed Answer:
Thank you.
I have viewed the images.
I can see red patches and bumps in the groin area. Seems like a fungal infection. I suggest you to apply a topical antifungal e.g clotrimazole 1 %cream (Candid cream) Or miconazole nitrate 2% cream(Zole cream), twice daily for 2-4 weeks. These are available over the counter (OTC) from a drug store.
The last image 10070 seems like an insect bite hypersensitivity. It must be causing discomfort?burning? etc. I suggest you to apply a topical steroid and antibiotic combination cream e.g fluticasone propionate 0.05 %+2% mupirocin ointment (Flutibact ointment), twice daily. It is a prescription topical preparation.
In addition to this you may take a tab cetrizine 10mg once daily for symptomatic relief from itching.

Regards

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

Follow up: Dr. Dr. Kakkar (14 hours later)

Hi sir,

Thanks will apply creams , but this is repetaed frequently , can you suggest any tests to check for any infection

XXXXXXX

Answered by Dr. Dr. Kakkar (9 hours later)

Brief Answer:
Regarding recurrent fungal infection

Detailed Answer:
Hi.

You can take a test for blood glucose levels as raised blood glucose can be a cause for frequent recurrence of fungal infection.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Kakkar (3 days later)

sir

I have uploaded new pics , Iam applying surfaz cream which is having combination as suggested by you earlier , the lesions are repeated every day will be suppressed if apply cream

Please advise

Answered by Dr. Dr. Kakkar (7 hours later)

Brief Answer:
Add an oral antifungal - terbinafine tab

Detailed Answer:
Ok.

I suggest you to also take an oral antifungal e.g tab terbinafine 250mg (Zimig tab), once daily for 4 weeks. It may have side effects, so take it under guidance of dermatologist.

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. Vaishalee Punj