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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Darkening And Open Wounds On Skin Where Fluid Oozes And Treatment For The Same?

hi, my husband experience severe itchiness in the ankle, back & now abdominal area & on those site he developed lichenification of skin where there is darkening & open spots(like wounds) where fluid comes out. We treated it w/ hydrocortisone but the skin changes was not resolve, some of the itchiness did. Why is that & what is the treatment?
Fri, 24 Jan 2014
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Dermatologist,  's  Response
Hi. Thanks for posting your concern at HCM

I would keep a possibility of Infected Eczematous Dermatitis.

In such a case i would normally prescribe an oral antibiotic (penicillin group) for a week.

I would have prescribed a potent steroid+antibiotic combination cream twice daily for the dermatitis and lichenfication. Hydrocortisone is the mildest steroid and i don't think it would affect the thick lichenified skin.

An oral antihistamine like cetrizine once daily will help in controlling the itch associated with it.

take care
regards
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What Causes Darkening And Open Wounds On Skin Where Fluid Oozes And Treatment For The Same?

Hi. Thanks for posting your concern at HCM I would keep a possibility of Infected Eczematous Dermatitis. In such a case i would normally prescribe an oral antibiotic (penicillin group) for a week. I would have prescribed a potent steroid+antibiotic combination cream twice daily for the dermatitis and lichenfication. Hydrocortisone is the mildest steroid and i don t think it would affect the thick lichenified skin. An oral antihistamine like cetrizine once daily will help in controlling the itch associated with it. take care regards