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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rash On Earlobes, Redness, Swelling, Fatigue. Taken Vitamin D Supplements. Solution?

Hi,
My father travelled to USA and got unexplained rash on his earlobes - redness and mild swelling or itchy bumps. Now he is back and still getting those rashes but worse on lot of areas of body esp. exposed to sun. He has developed extreme fatigue and bone/muscle tiredness. He checked his vitamin D which was low. Then took Vitamin d and now he seems to have normal levels of those. He still has extreme fatigue and bone/muscle tiredness. He also developed diarrea /stomach ache recently. Conditions do not seem to improve. Doctors in india have not been able to diagnose the issue. Please help.

Mon, 21 Oct 2013
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Dermatologist 's  Response
Hi,

It seems that your father is having actinic prurigo.

There are itchy papulonoduar lesions on sun exposed area.

The disease may be due to over exposure to sun.

He must avoid sun exposure.

He should cover the affected area.

Give him anti histaminics like levocetirizine till itch subsides.

If there is infection,give him antibiotics.

If the condition is embarrasing, give him steroids in tappering dose.

Apply steroid cream on the lesions.

Fatigue may be due to senile age,vitamin deficiency or some internal disease.

Complete blood check up may be done to rule out DM,thyroid,liver diseases,renal diseases,blood diseases or other.

Antioxidants,calcium and vitamins may be given to improve general health.

Keep him reassured to improve psychologic status.

I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD

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Rash On Earlobes, Redness, Swelling, Fatigue. Taken Vitamin D Supplements. Solution?

Hi, It seems that your father is having actinic prurigo. There are itchy papulonoduar lesions on sun exposed area. The disease may be due to over exposure to sun. He must avoid sun exposure. He should cover the affected area. Give him anti histaminics like levocetirizine till itch subsides. If there is infection,give him antibiotics. If the condition is embarrasing, give him steroids in tappering dose. Apply steroid cream on the lesions. Fatigue may be due to senile age,vitamin deficiency or some internal disease. Complete blood check up may be done to rule out DM,thyroid,liver diseases,renal diseases,blood diseases or other. Antioxidants,calcium and vitamins may be given to improve general health. Keep him reassured to improve psychologic status. I hope you got my answer. Thanks. Dr. Ilyas Patel MD