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Treatment for erythema ab igne - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   Erythema ab igne
User :   Hello
Doctor :   hi
Doctor :   please proceed with your health query
User :I was wondering if you could help me with this skin rash Iv developed, I'm getting really upset with it
Doctor :   please describe the skin rash and its appearance in detail
Doctor :   since when are you having this?
Doctor :   was there any precipitating factor associated?
User :   basically I have been using a hot water bottle to kep warm over the past few weeks on my tummy and now Iv got I'v got a horrible rash which looks like Erythema ab igne
User :   It's mottled and blotchy in appearance
Doctor :   ok. have you stopped using the hot water bottle?
Doctor :   if yes, has it been improving?
User :   Yes I havn't used it since yesterday
User :   Erm I'm not too sure, I don't think so
Doctor :   ok. avoid its use fora week, and see if this improves, you can put Caladryl lotion over it to soothe it 2-3 times a day.
Doctor :   *for a week
User :   Ok it doesnt hurt at all it just looks really ugly
User :   Im really upset it will be permanent with all the stuff Iv read about skin toasting syndrome
Doctor :   if the hyperpigmentation persists, then further investigations and a check done by a dermatologist would be necessary for getting a skin biopsy done
User :   How long do you think I should leave it to improve
Doctor :   if the appearance does not improve with these measures, then a check with dermatologist would help. a laser treatment might be needed.
Doctor :   after stopping the causative stimulus it usually improves in 1-2 weeks time
Doctor :   if it does not improve in this time gap, then consider visiting dermatologist at the earliest
User :   Have you ever seen anyone with this kind of blotchy kind of net like rash from heat?
User :   ok
Doctor :   also a hormonal test to rule out hypothyroidism would be needed to rule out hormonal issues.
Doctor :   yes, what you describe does seem to be erytheme ab igne.
User :   ok thanks, it is definatly from the hot water bottle though
Doctor :   it is also called as hot water bottle rash
User :   from your experience does the rash go away?
Doctor :   most of teh cases get resolved without any treatment. some do require further treatmenta s suggested above
Doctor :   very rare cases with prolonged use of hot stimulus, get converted to squamous cell carcinoma.
User :   Yes I read about that, it is not as bad as some of the photos I have looked up at all, but it is still very noticable
Doctor :   sometimes the pigmented and blotchy appearance can persist for years. laser treatment is known to help in such cases
User :   I am just so worried, I would have never of used the hot water bottle if I knew anything like this could happen
Doctor :   do not worry, with treatment it will improve
Doctor :   is there anything else I can help you with?
User :   so for now would you reccomend not to worry about it for a week and see if it goes away itself staying away from any heat
Doctor :   yes along with application of Caladryl lotion or anything with Aloe vera in it
Doctor :   and if it persists to go ahead with examination and further management by a dermatologist
Doctor :   is there anything else you would like to ask me?
User :   Yes please...I have been prescribed dianette for my skin
Doctor :   take Vit -E supplement like Evion tablet 200 mg one tablet a day for better skin healing
User :   I was wondering how long it takes to work
Doctor :   ok. since when you are taking Dianette? and for what skin problem they prescribed to you?
User :   I have only been on it a I know there will be no improvement yet
User :   I had it prescribed for acne
Doctor :   it is a contraceptive pill. the effects on skin can be visible after first pack use. the protection against pregnancy starts with the 2nd pack use
User :   What skin treatment would you say is better for acne, tetracycline or dianette
User :   like which is stronger
Doctor :   both together
User :   Together?
Doctor :   along with good hygiene and diet changes
User :   as in taken together?
Doctor :   if pus is present in acne, tetracycline helps to eradicate infection
Doctor :   followed by dianette use
User :   ok how does dianette work then?
Doctor :   by controlling hormones mainly progesterone
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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