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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain Around Neck With Patchy Rashes?

Thanks for your service My wife has been complaining all day of pain around the back of her neck and I have inspected this area and found a patchy rash all around the rear of the neck area and shoulder. She has been feeling unwell all day . If this is shingles do we need to have professional advice immediately or can it wait until tomorrow ? Your reply appdreciated. Errol
Wed, 5 Jul 2017
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Dermatologist,  's  Response
hi,
thank you for putting up your query on HCM.
as per your history, it may be shingles if there are fluid filled lesions with redness d pain, also it may be allergic contact dermatitis.
-- it can be confirmed only by seeing the lesions.
-- shingles can be treated with a dose of tab acyclovir for 5 days, started within 72 hrs.
-- also, she may need a course of antibiotics preferably of cephalosporin group for 5 days.
-- she may take tab levocetrizine twice a day for itching and tab ibuprofen for pain.
-- topical steroids should be started only after consulting a dermatologist.
you may consult a dermatologist nearby.
wishing her good health.
thank you
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What Causes Pain Around Neck With Patchy Rashes?

hi, thank you for putting up your query on HCM. as per your history, it may be shingles if there are fluid filled lesions with redness d pain, also it may be allergic contact dermatitis. -- it can be confirmed only by seeing the lesions. -- shingles can be treated with a dose of tab acyclovir for 5 days, started within 72 hrs. -- also, she may need a course of antibiotics preferably of cephalosporin group for 5 days. -- she may take tab levocetrizine twice a day for itching and tab ibuprofen for pain. -- topical steroids should be started only after consulting a dermatologist. you may consult a dermatologist nearby. wishing her good health. thank you