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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rashes On Body During High Fever?

my 8 yr old daughter gets rashes( she gets two kinds of eruptions on her body and face, palms, sole) during high fever. she is sensitive to dust, and gets nose block and sometimes wheezing after play. shes allergic to brufen. we are planning to do the allergic test for her. please advice.
Wed, 6 Aug 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your daughter's history and I would like to make following suggestions for her:

1. If she gets frequent eruptions with fever, I would first think of drug allergy. Common drugs causing allergies are analgesics like ibuprofen (Brufen), nimesulide, diclofenac, etc as well as antibiotics like penicillins, cephalosporins, etc.

Hoever, practically any drug can cause allergy, so were I treating her, I would review her medicines in great detail.

2. As she is allergic to brufen, personally I suggest to use only paracetamol for fever and pains. Paracetamol is the safest analgesic for patients with drug allergies in my opinion.

3. For drug allergy, unfortunately most of the allergy tests are not reliable to diagnose/rule out drug allergies with exception of penicillin allergy.

In my clinic, if I suspect allergy to drugs other than penicillins, I have to eview each and every drug used by the child in great detail and then can make suggestion regarding avoidance.

4. As she also gets nose block and sometimes wheezing, I would suggest her testing for air-borne allergens (specifically house dust mites, common molds in your area, common pollens in your area, cockroach proteins, animal dander if she has contact with animals, etc).

Were I treating her, I would take her history of symptoms as well as her environment in a great detail to select the allergens to be tested. This is very important because testing for number of substances without knowing child's symptoms many times yield results which are falsely positive causing unnecessary restrictions on the child.

Hope above measures will be useful to you.

Should you have any further query, please feel free to ask at HCM.

Wish your daughter the best of the health.

Thank you & Regards.
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What Causes Rashes On Body During High Fever?

Hello. Thank you for asking at HCM. I went through your daughter s history and I would like to make following suggestions for her: 1. If she gets frequent eruptions with fever, I would first think of drug allergy. Common drugs causing allergies are analgesics like ibuprofen (Brufen), nimesulide, diclofenac, etc as well as antibiotics like penicillins, cephalosporins, etc. Hoever, practically any drug can cause allergy, so were I treating her, I would review her medicines in great detail. 2. As she is allergic to brufen, personally I suggest to use only paracetamol for fever and pains. Paracetamol is the safest analgesic for patients with drug allergies in my opinion. 3. For drug allergy, unfortunately most of the allergy tests are not reliable to diagnose/rule out drug allergies with exception of penicillin allergy. In my clinic, if I suspect allergy to drugs other than penicillins, I have to eview each and every drug used by the child in great detail and then can make suggestion regarding avoidance. 4. As she also gets nose block and sometimes wheezing, I would suggest her testing for air-borne allergens (specifically house dust mites, common molds in your area, common pollens in your area, cockroach proteins, animal dander if she has contact with animals, etc). Were I treating her, I would take her history of symptoms as well as her environment in a great detail to select the allergens to be tested. This is very important because testing for number of substances without knowing child s symptoms many times yield results which are falsely positive causing unnecessary restrictions on the child. Hope above measures will be useful to you. Should you have any further query, please feel free to ask at HCM. Wish your daughter the best of the health. Thank you & Regards.