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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headache And Red Rash On Face?

My 79 almost 80 year old mother is getting sharp head pains also red raxsh on face. No signs of stroke, but I thought she should have baseline ct? Did lab tests said Normal, maybe 1st sypmtoms of shingles, even though she has hgad that vaccine?? Confused
Wed, 29 Jan 2020
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General & Family Physician,  's  Response
Hi,

Based on the history you have shared, it can be sign of shingles which may rarely occur with vaccination failure or immunodeficiency states so should be ruled out.

However, if the pain is associated with any focal neurological deficit or fits etc may need brain imaging in that case. The rash must be reviewed by a dermatologist.

Rarely giant cell arteritis or any large or medium-sized vasculitis may present like this so baseline autoimmune profile and inflammatory markers may be needed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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What Causes Severe Headache And Red Rash On Face?

Hi, Based on the history you have shared, it can be sign of shingles which may rarely occur with vaccination failure or immunodeficiency states so should be ruled out. However, if the pain is associated with any focal neurological deficit or fits etc may need brain imaging in that case. The rash must be reviewed by a dermatologist. Rarely giant cell arteritis or any large or medium-sized vasculitis may present like this so baseline autoimmune profile and inflammatory markers may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician