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Has Facial Swelling And Puffy Eyes. Treated For Scabies And Skin Scraping Which Detected No Scabies. Advise?

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Posted on Fri, 5 Jul 2013
Question: Hello,
My 83 yo mother has had facial swelling and puffy eyes, the facial swelling got worse after flu injection, about three weeks ago.She takes medications for blood pressure and heart failure, fluid retention and a blood thinner.She was also treated for scabies several months ago, and had a skin scraping which detected no scabies,but she continues to get more of what appears to be scabies type skin eruptions mostly on her back and arms.They are very itchy and she picks at them and scratches in the night and when she gets overheated.She also suffers from regular coughing fits notably when moving from warm to a cooler room or environment. Sucking a lozenge usually settles the coughing for a while.
doctor
Answered by Dr. Dr. Rahul Kumar (56 minutes later)
Hello,
Thanks for the query.
Facial puffiness is due to fluid retention.

As she is quiet old her immunity wont be that good.
It is quiet possible that still scabies infection is persisting on her body.
It is very difficult to find a scabies in scraping.

I think she should apply permethrin cream, followed by a repeat application after 15 days. This will ensure complete cure.
Daily application of calamine lotion and antihistamine tablet will provide good relief.

Let me know if you have any other doubts.

Wishing her good health.
Thank you
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6636 Questions

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Has Facial Swelling And Puffy Eyes. Treated For Scabies And Skin Scraping Which Detected No Scabies. Advise?

Hello,
Thanks for the query.
Facial puffiness is due to fluid retention.

As she is quiet old her immunity wont be that good.
It is quiet possible that still scabies infection is persisting on her body.
It is very difficult to find a scabies in scraping.

I think she should apply permethrin cream, followed by a repeat application after 15 days. This will ensure complete cure.
Daily application of calamine lotion and antihistamine tablet will provide good relief.

Let me know if you have any other doubts.

Wishing her good health.
Thank you