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Ereythema nodosum problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
Doctor :   Hi
User :   hi
User :   and this is from McAfee
User :   let me give you some brief about my issue
Doctor :   How can I help you ?
Doctor :   Ok.
User :   last year in the month of dec i visited bangalore from delhi for 15 days and there was no such problem
User :   then in jan our whole team relocated to bangalore
User :   and for the first 15 days we worked like 16-17 hours to meet deadline
Doctor :   Ok.
User :   in that time this problem developed
Doctor :   Ok.
User :   m feeling burning and itching sensation @back of my head
Doctor :   May I know the probelem ?
Doctor :   Ok.
User :   so i went to manipal hospital
User :   and doc prescibed me
User :   halox lotion and teczine tablest for 2 weeks
User :   thereafter i again went to delhi and taking pills and all ..feeling better
User :   but now this burning and itching sesation returns again
User :   what to do?
Doctor :   Ok.
User :   i have applied cocunut oil and using medimix soap for skin problems
User :   but it stills persists
User :   pls help
Doctor :   Did teh doctor tell you that you were having a dermatological problem called Ereythema nodosum or something like that ?
User :   no
User :   he said that is happens due to work stress
User :   what is this disease?
User :   is it serious?
Doctor :   No, not to worry. Erythema nodosum is an inflammatory disorder that is characterized by tender, red nodules under the skin.
User :   and i never had it in delhi and NCR days just when i relocated to bangalore this happens to me
Doctor :   n about half of cases, the exact cause of erythema nodosum is unknown. Some cases may be associated with the following: Infections. Some of the more common ones are: Doctor :   Streptococcus (most common).
Doctor :   But on the scalp it is rare and is very persisitent and doesnt heal fast.
Doctor :   Do you see any reddish patches ?
Doctor :   or nodules ?
User :   yes yes
User :   when i touch my scalp i can feel patches
User :   and in some parts have pain
Doctor :   Ok.
User :   pls help doc fed of it
Doctor :   The diagnosis is primarily based on the appearance of the skin nodules.
Punch biopsy of a nodule may show characteristic changes (septal panniculitis).
Throat culture may be done to rule out a strep infection.
Chest x-ray may be done to rule out sarcoidosis or tuberculosis.
Doctor :   These are the essential steps to be followed.
Doctor :   The underlying infection, drug, or disease should be identified and treated. Nonsteroidal anti-inflammatory medications (NSAIDs) may reduce symptoms. An oral potassium iodide (SSKI) solution may produce prompt resolution of the nodules.
Corticosteroids or salicylate medications may be needed to reduce acute inflammation. Analgesics and limitation of activity may be needed to control varying amounts of pain.
Topical therapy is not generally needed, although hot or cold compresses may reduce discomfort.
Doctor :   hot or cold compresses may reduce discomfort.
Doctor :   Hope you have followed ?
User :   yes
User :   but its too much of medical termonology
User :   did not understand much
User :   though read what you have wriiten
Doctor :   Where do you stay in Delhi ?
User :   in ejipura ,bangalore
Doctor :   I shall advise you a good dermatologist ?
Doctor :   Ok.
User :   yes pls
Doctor :   In Bangalore ?
User :   yes pls
Doctor :   Ok.
Doctor :   Pls. hold on .
User :   ok
User :   do i need to do all the tests that you have mentioned above? like xray,throat culture,punch biopsy etc?
User :   ok
Doctor :   First you need a punch biopsy of the derm.lesion.
User :   ok..
Doctor :   and then we shall advise you to get any further tests if required.
User :   is this test is too costly
User :   and do i need to admit for that?
Doctor :   Dr. can be your second option.
Doctor :   No , no admission is required.
Doctor :   Test may cost you at least 600-800 rs.
User :   ok..
User :   i m asking this bcoz i have medical insurance so ..
User :   these are the best doctors ?
User :   right
Doctor :   Yes.
User :   last time manipal experience is not good so.
Doctor :   They are the best.
User :   any idea where these docs sits in in any recognised hospital or have their own clinic?
Doctor :   I shall ask the customer care team to get back to you with the appointment and their exact address and clinics.
User :   yes pls
User :   my full name
Doctor :   Hope they will get back to you on your mail id or phone tomorrow by 10 am , as it is late tonight.
User :   yes
User :   and my email id is
User :   pls raise a request
Doctor :   Do not worry, it can be treated very easily if properly diagnosed.
User :   thank you very much doc
Doctor :   Yeah , It has already been sent.
User :   thanks again!
Doctor :   Thank you for consulting me.
Doctor :   Take care, bye for now.
User :   Bye and gn
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