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Suggest Treatment For Rashes On Face And Shoulder

Posted on Tue, 19 Aug 2014

Question: Hello Doctor,

One bad morning two weeks ago I found rashes on my face, shoulder Â and hands Â with itching, Â I thought Â Â those were because of climate changes, and I ignored and did not consult any doctor , After three/four days I observed those increasing , rushed to â noble hospital puneâ and consulted a Doctor

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He have checked and given medicines, including one lotion, and Â asked me to do the course Â for one week . after following one week course rashes on hand are almostÂ healed, but thereÂ is no much progress for rashes on FACE and NECK

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I again consulted doctor after one week Â and he has given Few more tablets

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But I observedÂ rashes on FACE and NECK got increased now,Â and giving me very Bad look.

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Please find attached snaps of the rashes on FACE and NECK and medicines that I used , Kindly verify and advise me the solution.

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Thanks, XXXXXXX

MB:0000

Answered by Dr. Hardik Pitroda (19 minutes later)

Brief Answer:
Pictures required

Detailed Answer:
Hello,
Thank you for writing to us on HCM.

I can understand concern regarding the skin rash which is not responsive to treatment you have taken.
As you have mentioned that you have attached clinical pictures of rash along with query but I am sorry to say there are no pictures and its difficult to point specific diagnosis in absence of clinical examination.

Therefore, I insist you to post good clinical pictures to YYYY@YYYY with subject titled 'ATTN Dr Hardik Pitroda.
Also please mention the medications you used.

Thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hardik Pitroda (59 minutes later)

Hi XXXXXXX I have sent snaps to given email, which includes medicine details I have taken

kindly verify and advice me further.

thanks
XXXXXX

Answered by Dr. Hardik Pitroda (1 hour later)

Brief Answer:
Oral erythromycin, betamethasone cream

Detailed Answer:
Hello again,
I have reviewed your pictures and medications. Its obvious from pictures that you have pityriasis rosea (PR).
PR is an idiopathic skin rash. It usually follows some minor viral respiratory infection( sore throat, rhinitis etc).
Nothing to worry as such because it is a self limiting condition.
Then also for faster resolution I would advise the following treatment.
1. oral erythromycin 500mg thrice a day for 5 days.( Tab. Altrocin 500)
2. Apply a cream containing betamethasone and fusidic acid twice a day over lesions.
3. Apply Dermadew caloe lotion 1 hour after the application of above mentioned cream.
4. Take antihistaminics like levocetrizine for itching as required.
I am sure this will take care of your condition in 10-15 days.
Let me know about your status after 2 weeks.
Thanks and Take care
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Hardik Pitroda (21 minutes later)

thanks for your suggestions, please also advice, if I have to take any cautions for quick recovery? and is any change required in diet?

Answered by Dr. Hardik Pitroda (19 minutes later)

Brief Answer:
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Detailed Answer:
No other precautions except avoid scratching or picking of lesions. No dietary restrictions required.
take care
Dr Hardik Pitroda

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. Vinay Bhardwaj