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Suggest Treatment For Swelling And Thickening On The Nose
Question: i week ago while teaching a class I got swelling and thickening on the left side of may nose.It extended the next day across my face like a butterfly lupus like rash exept my entire nose was 2x size and substantial pocket of fluid under and around my eye with swollen glands below my XXXXXXX The next day the red indurated thickened skin moved more right,day 5 it move over to my ear and now painful gland is on the right. Today the thick painful skin is on my forhead. My scalp is super sensative. I have has a fever in the afternoon worse evening to 3-4 days, and urinary analysis on test strips off today. S.Gravity is up, nitrates up, leuc up but mildly PH is 6, no sign of blood, bp is 116/71 pulse 85. Im stumped. The movement across my face to scalp is perplexing. I havent eaten to a few days. Today eating a smoothie with yogert, fresh fruit, and vit c. Do have loose stool. All week what stool Ive had is spinich green.
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Brief Answer:
Skin infection and erythema migrans the two most likely causes
Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your question and understand your concern.
It is uncommon for a rash to "migrate" from one area of the skin to the other. The only rash that might cause this is called erythema migrans. It is a skin lesion that tends to spread in the outer edges but being in the face might give you the feeling like it changing place.
Erythema migrans is an infection called Lyme disease which is a disease transmitted by tick bites. Some places are known for a high frequency of these infections and especially contact with animals or camping or sleeping out are likely risk factors.
Because you have developed this rash with fever you will need to see a doctor, chances are you are having a skin infection even if it is not erhythema migrans. In both cases you likely will need the antibiotics.
The doctor might ask for some more tests to identify the infection and its cause. He also has to examine your rash and this is a very important part of your examination.
I hope this is helpful to you and answers to your question.
Please feel free to let me know if anymore clarifications are needed.
Kind regards,
Dr Antoneta Zotaj
Skin infection and erythema migrans the two most likely causes
Detailed Answer:
Hello,
Thank you for asking at HCM.
I carefully read your question and understand your concern.
It is uncommon for a rash to "migrate" from one area of the skin to the other. The only rash that might cause this is called erythema migrans. It is a skin lesion that tends to spread in the outer edges but being in the face might give you the feeling like it changing place.
Erythema migrans is an infection called Lyme disease which is a disease transmitted by tick bites. Some places are known for a high frequency of these infections and especially contact with animals or camping or sleeping out are likely risk factors.
Because you have developed this rash with fever you will need to see a doctor, chances are you are having a skin infection even if it is not erhythema migrans. In both cases you likely will need the antibiotics.
The doctor might ask for some more tests to identify the infection and its cause. He also has to examine your rash and this is a very important part of your examination.
I hope this is helpful to you and answers to your question.
Please feel free to let me know if anymore clarifications are needed.
Kind regards,
Dr Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Raju A.T
What about the urinary symptoms?
How do they relate to the rash.
Need an alternative idea other than lymes. Unlikely with my life style.
Thanks for looking further. XXXXXXX
My face is not a rash its inflamed thick and the edema around my eyes is extreme.
The uti seems to be related or the origin of the infection.
Lymes not likely.
How do they relate to the rash.
Need an alternative idea other than lymes. Unlikely with my life style.
Thanks for looking further. XXXXXXX
My face is not a rash its inflamed thick and the edema around my eyes is extreme.
The uti seems to be related or the origin of the infection.
Lymes not likely.
Brief Answer:
infection and immune diseases are some other causes that might be the cause
Detailed Answer:
Hello XXXXXXX
Thank you for your reply and the further questions.
If the lifestyle you have does not put you at risk for lyme disease than some other infection might be the cause. Skin infection causes redness and swelling that feels like thick area. If you have had some fever this might be important also.
It is strange the rash is moving. This is not a very common thing. Still it might be a skin infection that is spreading the germs and infecting the urinary system also or vice versa: urinary infection causing the skin infection by blood spread.
Another possible cause is autoimmune diseases. These are diseases where the body fights his own "proteins" and might cause rash and fever and even kidney problems. Vasculitis is a rare but important condition.
I would recommend you to see a doctor and have some tests done. I would have a urine culture also. CBC, ERS, RF, ANA and your doctor might choose to do more tests. You really need a good investigation.
I hope this is helpful and answers to your question but please feel free to contact me if any more concerns.
Kind Regards,
Dr Antoneta Zotaj
infection and immune diseases are some other causes that might be the cause
Detailed Answer:
Hello XXXXXXX
Thank you for your reply and the further questions.
If the lifestyle you have does not put you at risk for lyme disease than some other infection might be the cause. Skin infection causes redness and swelling that feels like thick area. If you have had some fever this might be important also.
It is strange the rash is moving. This is not a very common thing. Still it might be a skin infection that is spreading the germs and infecting the urinary system also or vice versa: urinary infection causing the skin infection by blood spread.
Another possible cause is autoimmune diseases. These are diseases where the body fights his own "proteins" and might cause rash and fever and even kidney problems. Vasculitis is a rare but important condition.
I would recommend you to see a doctor and have some tests done. I would have a urine culture also. CBC, ERS, RF, ANA and your doctor might choose to do more tests. You really need a good investigation.
I hope this is helpful and answers to your question but please feel free to contact me if any more concerns.
Kind Regards,
Dr Antoneta Zotaj
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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